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1heEoCl�`CF ...,� ' �`OIVSTRUCTION '� � ... <br />�verett �ERI�I", PERMITi NO. �38�� <br />259-8810 <br />❑ DEMOLITION � CO��HINATION ❑ BUILDiNG ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />ONN[q 1AMl A��FiE55 CITY ZIP PHONE <br />Select Homes 708 P.O. Dox Mukilteo 98275 827-8196 <br />iEN4NT MqILADDfiE55 CITY ZIP PHONE <br />qRCHITECT OR �ESiGNER MFIL AD�RESS CITY ZIP PNONE <br />GENERALWNTRACTOR IdFILA0�RE5S qTY ZIP PHONE �ICENSEe <br />Owner SELECHI110KN <br />MECHANIC/LCONTRAGTOH MAILAO�RE05 CITY ZIP PMONE LICENSEr <br />PLL/MBINGCONTR�CTOR IdAILAOCR[SS CITY ZIP PNONE LIOENSEn <br />CLASS OF WORK <br />f�NEW ❑ ADDITION <br />❑ ALTERATION ❑ REPAIR ❑ DEIAOLITION ❑ BUILDING RELOCATION <br />— — I WNTACT PERSON ANO PHONE N0. IF OTMER THAN �BOVE <br />CONTRACT PRI(,E OF WORK: S <br />OESLRIDE WORK AND SOUARE FOOTAGE INVOLVE� <br />New Construction <br />Single family residence <br />LEGAL OESCRIPTION OF PROPEBTY �SHOW BELOYJ OR ATTACM FOUR COPIES) <br />16 Glenhaven Heights Div 2 <br />�o�— e�ocrc— oF <br />JOBAD�RE55 <br />4924 9th Ave. W. <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM <br />3 WATER ClOSET (TOILET) <br />1 BATHTUB <br />3 LAVATORY (WASH BASIN) <br />]. SHOWER <br />1 KITCHEN SINK 8 DISP. <br />], DISHWASHER <br />LAUNDRYTRAY <br />1 CLOThES WASHER <br />URINAL <br />DRINKING FOl1NTAIN <br />fLOOR�RAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAR. ETC.) <br />SUBTOTAL <br />PEflM1T <br />TOTALFEE <br />FRONTSETBACK REAR SET9ACK <br />20 2� <br />USE ZONE LOT AREA <br />R-1 7210 <br />iVPE G: GONSiFUf.TI0t1At1014ABlE iVPE GF CONSiPUCiION AC70. <br />V-N V-N <br />SIZEOFBLDG NOOFS' SS <br />2031+517 gar <br />OCCLIPANCYL040 FlRESPRIW((.ERSRiO'O <br />N�� ❑ VES � NO <br />REASONFOR SPRINKIERS <br />AF' IICATION ACC �Y PLANS APPROVED BY <br />J. EI. <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />�. FOiiCED AIR SVSTFIdS — B.T.U. Id <br />UNIT HEATERS — B.T.U. M <br />1 CLOTf1ES DRVEflS <br />3 VENTILATIONPAN pti <br />1 RANGEHOOD <br />1 V✓ATER HEATER � <br />WOODSTOVE C <br />1 METAL FIREPLACE & CHIMN�� T <br />FIREPLACE INSERT <br />HEAT PUMP <br />X G�5 PIPING IJ�TFG� <br />I EXHAUSTFAN unnn-��ni <br />5 SUB <br />S PEflI <br />5 TOT <br />SiDE SETBACK PLAN CHECK NUMBER <br />6 & 10-49th P1 89/23506 <br />VAC�NT SITE <br />W vEs ❑ No FEES <br />a�'c�;�`' No.oF�tY[lur:6uNiis BUILDING <br />R-3 1 p;��MBING <br />BASEMENT <br />❑ YES � NO AiFSHANICAL <br />MEIGHTLIMITATION OTHER <br />28 --- <br />STATE BOILOING SURCHARGE <br />STATEENERGYSURCNAHGE <br />CITY OF EVERETT <br />LOCAL SALES PUBLIC WORKS <br />TAX CODE IS TOTAL <br />3105 <br />PERMITS E;;P!RE IF WORK 15 NOT COMMENCED WITHIPJ <br />?F30 DAYS OR GEASES FOR MORE THAM 180 DAYS. <br />ADDRESS FiLE <br />FEE <br />LhU�'��� �`��.'.�.i{u-- <br />(i R 10 L 5�4.� �' <br />FEE RECEIPT NO. <br />Basic <br />euaoiNccooe FEE <br />v <br />591.646.00 <br />Y VALIDATED THIS IS YOUF PERMIT <br />r ��, , � r �; ^ .'1 <br />� <br />L� lJ (.�' � 'J <br />