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�. _ <br />fhcEbCITYOF �, �'` �°IV�TRI��T��UN � � � <br />everett P�RMI�' t 3RMITNO. �`?�!� � <br />259-8810 <br />❑ DEMOLITION �COMBINpTIUN p BUILDING ❑ MECHANICAL ❑ PLUM8ING ❑ SfGN <br />OWN[P M1IMLAD�R[SS CITV 11P PMONE <br />Select Homes P.O. Box 708 hiukilteo 98275 827=8196 <br />TENFNT NNLMCHESS CITY ZIP PMONE <br />ARCHITECT CR DESIGNER <br />GEN[fiAL GONTRFCTOR <br />Owner <br />MECMANICPLCONTRACTOR <br />PLUM[31NG CONTRACTOA <br />GlFSSOF WORK <br />[3 NEW ❑ ADDITION <br />MML ADDBESS <br />MAIL ADDRESS <br />nnn noonEss <br />MAIL AODFE55 <br />❑ ALTEPATION <br />CIfY <br />CITY <br />SELECHI110KN <br />CITY <br />CITY <br />❑ PEPAIR C DEMOLITION <br />ZIP PHONE <br />21P PI!0�lE IICENSEu <br />71P PHONE LiCENSE• <br />21P PIIONE LIC[NSEw <br />❑ BUILDING RELOCATION �i <br />CONTALT PENSON FNU PHONE NO. IF OTHER TMAN ABOVE <br />CONTRACT PRICE OF WORK: S <br />OESCRIHE W ORK AND SOUAPE FOOTAGE INVOLVED <br />P�ew Construction <br />anoaoseouse oF em�oirvc I <br />Single famil_v residence <br />LEGAL DESCRiPTiON OF PPOPERTY �SHOW 6ELOYIORATTACN FOUP COPIE51 I <br />11 Glenhaven Heights <br />LOT _ pLOCK — OF — � <br />�31d��98 ##:.:SAI4 BBAAt183S�S'=f'K:#=: <br />/ <br />�oo nooeess <br />It98"viro"v-:r— <br />5oz� 9th a� w WATER 26D.Q0 <br />J Vt.. . <br />!'LUM!`ING <br />NO. TYPE OF FIXTURE <br />� WATFR CLOSET (TOILET) <br />� BAT4TU8 <br />SHOWEP <br />KiTCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDFVTRAY <br />CLOTHE:�WASHER <br />Uf71NAL "" <br />ORIYKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOYJPHEVENTERS <br />f JGF D, �AINS — RAINLEAOERS <br />SINK �SERVICE — BAR, ETC.) <br />PHONTSET�ACN <br />20 <br />USE20NE <br />R-1 <br />size oF e�oc. <br />1947 +4:4 <br />OCCl1PANCY lOAO <br />MECHANICAL SE <br />FEE NO. TYPE OF EOIJ�jj <br />1 A%C—NHN[]IGUNITS—Hpl <br />FORCED AIR SVSTEMS — �.�0 <br />UNITMEATFAS—�7.0 e� <br />CLOTHESORYERS <br />VENiILATIONFAN j�E� <br />RANGE HOOD E' <br />WATEi7 HEATER �y' <br />WOODSTOVE CH�' <br />METAL FIREPLACE 6 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />M <br />FEE <br />SUBTOTAL S SUBTOTAL S �O GO <br />PEHMIT 5 PENMIT 5 <br />TOTALFEE S TOTALFEE 5 �JO OO <br />nEAP SErBnGn sio[ 5[ioncN PLAN CHECK NUM�ER FEE RECEIPT NO. <br />20 6 i39/23507 IIasic <br />LJT �REl. <br />7312 <br />rv;� oF ror�srnuction acm <br />V—N <br />NO OFSTORIES <br />2 <br />FIRF SPRINNLERS REOD <br />❑ YES p�{NO <br />RE�SONFOR SPNINHLERS <br />n��r�icn.ioru ncc. or a�nNs n�rnover� ov <br />[•].M. I S.Di. <br />V4CANT $ITE <br />��E$ BUILOINGCOUE <br />l YES ❑ NO — �^� <br />,,,,�,,, • uaaro�,veuncur.�is BUiLoiNG 586,337.00 <br />R-3 1 PLUM8ING <br />�nSE1dENT �— <br />❑ YES f] NO MECHANICAL <br />HeiG�+rureirnTior� OTHER <br />ia <br />S7ATE BUILDING SUFCHANGE <br />STATE ENERGY SLIRCHAfiGE <br />CITY OF EVERETT <br />LOCAL SALES PUBLIC WORKS <br />TAX CODE IS TOTAL <br />3105 . yyHEN PROPERLY VALIDATED THIS <br />PERMITS EXPIRE IF WORK iS NOT COh4MFNr'U �VITHIN <br />180 DAYS OR CEASES FOR MORC THAP! 180 DAYS. <br />��,UIi�iEc;S I�IiL <br />FEE <br />81 00 <br />65 OC, <br />760 5 <br />PEkMIT <br />u <br />