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theEvcr��een A�^���,1������ :' . ,._ <br />CITY OF 6� "'J <br />everett PERMIT PERMITNO. _ ��()�)� <br />259-8810 <br />❑ DEMOLITION �4& COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEF MAII.PDDRESS GItY ZIP PHONE <br />Select Homes, Inc. P.O. Box 708 Mukilteo, WA 98275 827-6196 _ <br />TENANT MAILqDORESS CIiY IIP PHONE <br />��C���TECTORDESIGNER MAR.�ppnE55 CI�Y �IP PHONE <br />G[NERALCONTFACTGB MqILADDR[55 CITY ZIP PHONE <br />Same SGLECHIl10KN <br />MECHWICALCONTRnCTOR I.IRILApDRE55 CItY ZIP PHONE <br />PLUMOINGCONTBACTUIl M41l�JDfiE55 CITY 21P PMONE <br />CLASS OF WORN <br />�7 �EW ❑ AODITION <br />CONTRACT PRICE OF WORK: S <br />❑ SIGN <br />IICENSEa <br />LICENSE p <br />LIC[NS[> <br />❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />DESCRI�E WORK AND SOU�R[ FOOTAGE INVOLVE� <br />New construction, residence <br />Si.ngle �amz�cx�amzi¢�}c family residence <br />LEGAL DCSCRIPTION OF PpOPERTY (SMOW BELOW OR ATTACH FOUR COPIES� <br />6 Glenhaven Fteights <br />LOT— BIOCK _ OF <br />JODAOORE55 <br />5008 - 9th Ave W <br />PLUMBIkG <br />N0. TYPE OF FIXTURE OR <br />3 WATER CLOSET (TOILET) <br />BATHTUB <br />3 LAVNTORV�WASHBASIN) <br />SHOWEii <br />Y.I7CHEN SINK 8 DISP. <br />1 DISHWASHER <br />LAUNDRYTRAY <br />1 CI.OTHES WASHEFl <br />URINAL <br />DRINKING FOUYTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVE�TERS <br />ROOF DRAINS — RAINLE4DER5 <br />SINK (SERVICE — BAR, ETG) <br />FEE <br />.�� � <br />� �� <br />GOMhGi VERSON AND PHONE h0. IF OTHEfi THAN ApOVE <br />MECHANICAL <br />NO. TYPE OF Eqjlj{ <br />AiC — A/hINDLG UNITS — N.P. <br />1 FORCEO AIR SVSTEMS — B."�� <br />UNITHEATERS—BTL. (y( <br />�. CLOTHES DRVERS �(� <br />3 VENTILATION FAN $� <br />1 RANGEHOOD BI <br />1 WATERHEATER 1. <br />WOOD STOVE {j� <br />1 METAL FIREPLACE 8 CHIMN� <br />FIREPLACEINSERT F�I <br />HEAT PUMP HI <br />g GAS PIPING � <br />E%HAUST FAN [jl <br />LS <br />SUBTOTAL i (C OO SUBTOTAL S <br />PERM1IIT 5 PEHMIT 5 <br />TOTALFEE 5 GO OO TOTALFEE S <br />rnoNT5E1BncK REnRSEiBnCK SioE5E1BACK PLANCHECKNUMBER FEE RECEIPTNO. <br />20' 9th Ave W 20' West P.L. 5'+10' alonq S. 90/23795 Basic <br />USE 20NE LOT /+REA VACANT �ITE BUIL <br />R-1 8778 sf �YES ❑ NO FEES va <br />iYPEOFGONSiqOCIl011nLLO15'ABLE flPEOGCON57PUCilONAC1UAl ��p�� NOAF014FlLIqfI1Ni75 BUILDING .,S E <br />V-14 R-3 1 PLUMBING <br />SiZ[OF�LOG NOOFSTOlilES AASEMENT <br />1971 Sf 1 ❑ YES �10 MECHANICAL <br />OCC�PPNCVLOAD FIRESPIIINNLEi15RE0'0 HEIGHTIIMITATION QTHER <br />N�p n ves �7 No Zg � <br />r�ensarv ron saaiNK�Ens STATE BUILDING SURCHARGE <br />STPTcENERGVSURCHARGE <br />APPUCATIONACC �Y PLANSAPPROVEDB'/ CITY OF EVERETT � <br />LOCAL SALES PU�L!i. WORKS <br />sMrt TAX CODE IS TOTAL <br />3105 WHEN PROPERLY VALIDA <br />PERMITS EXPIRE IF WORK IS NOT COMMEN(:ED WITN�IJ <br />180 DAYS OR CtASES FOR MORE 7HAM 180 DAYS. <br />ADDRESS RLE <br />Om <br />io 00 <br />679 00 <br />PERMIT <br />�t�`�,�,Yi <br />