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1heF.uergrren �-���TF�U�TION � <br />CITY OF p /� <br />�VQ'Y'���l1, �GI"IM�T i='ERMIT NO. _ ��U`�S <br />259-8810 <br />❑ DEMOLITU�N ❑ COMBIMATIUN ��9 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEB i�— , AUILADDR65 CIiY Zi^ F�r10NE <br />Select Homes, In� _,_� n��i4z !�g Mnk'lten WA 98��5 R?7—R19fi <br />TENANT 61AILPO�PESS CiTY 21P PMONE <br />n/a <br />FRC��GECTOF�[SIGNEfl MAILNOOPE55 CITY ZIP PHONG <br />CONTdAr,TOR <br />MAiL ADDIiESS <br />MAIL ADDIlESS <br />CIiY <br />CITY <br />ZIP PMON[ <br />nv <br />LICENSE • <br />LICENSE • <br />PLUTABINGCONTRACIOR MAILAOORE55 CiTV ZiP PHONE LIGENSEn <br />LLf•5$ JF WO4K <br />�]{N@y/ ❑ ADDITION ❑ ALTEflATION C REPAIR ❑ DEIdOLI i ION ❑ BUILDING RELOCATI <br />---' I C^RiA�s��� �1ND PHONE N0. �F pTHER THAN AOOVE <br />CONTIIACTPRICEOFWORK:$ ']g,g04 00 �P.3Tldy CIdYK 3+-ts—la[� '�r �,icy ��i'-" — <br />pESCHIpE \40RK AND SOUARE FOOiAGE INVOLVEC <br />New Single Family Resic'ence <br />PROPOSEO I15E OF BJILOING <br />SFR <br />LEGFL DESCRIPTION OF PROPERTY (SMDW BELOW OR ATT4CN iOUR COPIE>� <br />LOT �— BLOGN — Of — �" H* <br />JOBAODRE55 <br />5032 - 9th Ave W <br />PLUMBING <br />NO. TYPE 6F FIXTURE <br />3 WpTER CLOSET ITOILET) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />LAUNDRYTFAY <br />f,LO fHES WASHER <br />OFINKING FCUNTAIN <br />FLOOR DRAIN <br />BhCKPLOW PR[VENTERS <br />ROOF DRAINS — RAINLEA�EFS <br />SINR �SERVICE — BAR, ETC.) <br />20' <br />USE20NE <br />R-1 <br />iYCE OF GONSiPULiION ALICWAI <br />Si[E OF BL�G <br />2 330 sa ft <br />occu�aNcv�ono <br />PEASON:ORSPRINNLFRS <br />SUBTOTAL S <br />PEHMIT S <br />TO'iALFEE S <br />25' <br />;OT AqEA <br />7197 <br />IVPE OFCONSiPUGi <br />V—N <br />HO OF SiOPiES <br />MECHANICAL <br />FEE N6. TYPE OF E�UIPMEN � <br />LS OO A/C-A/HNDLGUNITS-H.P. <br />FORCED AIR SVSI'EMS - B'i.U. M EA. <br />�_ UNITHEATERS-B.T.U. M <br />S CLOTHESORYERS _ <br />VENTILATION FAN <br />RANGEHOOD _ _ <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSEHT <br />HEAT PUMP <br />GAS PIPWG <br />I EXHAUSTFAN <br />SiDE SETBACK <br />F� <br />VACNNT SITE <br />x ¢] VES ❑ NO <br />Fcruni �'o�;p" t+oo�owtc;�c <br />2 ❑ VES �NO <br />IESPRINNLEPSREO'0 HEIGHTLIIdITALON <br />v[s o >:o I �,Q � <br />B� I CITY OF :=\'ERETT <br />LCCALSALES <br />TAX CODE IS <br />3105 <br />PLAN CHECK NUMBEF <br />90/23847 <br />FEES <br />BUILDING <br />PLUWBING <br />MECHANICAL <br />SUBTOTAL S <br />PERMIT S <br />TOTALFEE S <br />�9/90 I2��8 f <br />357.1� <br />k8 '-- oe <br />�DG i5k9 ; <br />t1ECH S90 i <br />OTHER N�JUU�G:b�t <br />STATE OUILDING SURC�'AR ;E �W�k �3O OO <br />8--�-�"� �� <br />STATEENEFiGYSURCHAFGE 1171-5 gBi3 QO <br />H00006728 <br />PUBLIC WORKS �2� <br />TOTnL CHECf: $17�7 00 7 <br />�uNFN PROPERLY VALIDATED THIS IS YOUR PERMIT <br />PERMITS EXPIRE !F WORF: IS IV�' C('�INMENCED WITHIN ADDRESS FILE ��[) �? U <br />180 DAYS O!1 CEASES FI�R ."`ORE THAN 180 DAYS. <br />� <br />