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� 1 <br />, 1heE�er6'�'een � ���T�1 ,��IO� <br />A V <br />GITY OF • <br />everett PERMI i PERMITNO. _ ����� <br />259 -8810 ❑ SIGN <br />COMBINATION Xp�p{BUILDING ❑ MECHANICAL ❑ P�UMBING <br />❑ DEMOLITION ❑ Z�p rnoNe <br />h1AIL AD�FESS LITY <br />UWNER <br />,.___ fl,...v.,,�../.Tiro .Tnhna�n PO Box 3291 Kirkland, WA 98083 <br />TENANT <br />ARCNITECT OR OESIGNER <br />GENEFBLGO�TRACTOR <br />M! IL FOORE55 <br />R1NL ADDRESS <br />MqIL AO��E55 <br />QTY <br />CITV <br />CITY <br />ZIP <br />�AJ <br />PNON[ <br />PNONE <br />Z�p PHONE IILENEE� <br />Bl'aekhawk Const. PO ?3ox 3291 KiYkland� WA 98083 336—L�3ZI' UpNONE� y� ueeruse. <br />MECI I�NICAL CONTRACTOR <br />MAIL AO�RE55 CITV <br />PLUMOING COHTRAGTOR <br />MFILAO�RE55 CITY ZIP PNONE LICENSE• <br />GLASS OF WORN <br />� NEyy ❑ ADDITION <br />❑ ALTERATION <br />❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />CONTACT PERSON �.NO PHONE NO. IF O�neri i nnrv nowe <br />CG TRACT PRICE OF WORK� $ I — <br />LESCi 9EWORNANDSOUAREFOOT�GEINVOLVEU <br />ro istruct n�w sinqle family residence -- ,:�nff-0170�#t#�9-�""' <br />_ � <br />FFOPOSEDUSEOFBUILDING BLDG SrfBL.00 <br />SFR _.� , — <br />LEGALCESCHIPTIONOFPFOPEf1fY�5'�OWBELOWORFTTACtiF011l1COPIES� MECH �C]O.00 <br />LOT — BLOCK � OF E SRCH 44. Su <br />SEe attached � � � • <br />N000�7990 � <br />doe nooaess <br />2910 — 9th St. <br />PLUMBING <br />NO. TYPE OF <br />BATHTUB <br />KITCHEN SINK 8 DISP. <br />OR <br />LAUND9VTPAY __ <br />CLOTHFS WASHER _ <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW:'REVENTERS <br />ROOF DRAINS — RAINLEADERS <br />S W K(SERVICE — BAR. ETC.)_ <br />SUBTOTAL <br />PERMtT <br />TOTAL FEE <br />FRONT SETdAGN PE=�R SETBACH <br />20' 20' <br />USE ZONE LOT AFEA <br />g_y 5 OOOs <br />ttf4 Of LO451f10LiNH lLtOWAOLE iVFC OF CONSiPIICiI( <br />V—N V—N <br />SIZE OF BLOG NO. O� STORIES <br />OCCLIPAIJCY�OAD FiRE'PRINN�ERSREO'� <br />n �, ❑ VES �] NO <br />FJR <br />acc av <br />CHECY. 4647._S <br />MECHANICAL <br />FEE NO. TYPE OFEOUIPI <br />NC — A/HNDLG UNITS — H.P. <br />1 FORCED AIR SVSTEMS — B T.U. <br />UNIT HEATERS — �.T.U. <br />�_ CLOTHES DRYERS <br />�_ WENTILATIONFAN <br />�'ANGE HOOD <br />WATER HEATER <br />—5 WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE iNSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />S 45 UU <br />S <br />s 45 00 <br />SIOE SETOACK <br />5' <br />VALNNT SITE <br />[�f(ES ❑ NO <br />OO�ko�'�" eo oFowfwrvci <br />R-3 1 <br />BASEMENT <br />❑ YES }�NO <br />HEIGMT LI611TATION <br />o�l <br />no�ecor I CITY OF EVERETT <br />� LOCAL SALES <br />TAX CODE IS <br />3105 <br />PLAN CHECK NUMBER <br />90/25436 <br />FEE <br />M EA. <br />M <br />SUBTOTAL s _ <br />PERN.If S <br />TOTALFEE S <br />FcT 313 3�* RECEIPT!JO. <br />I(od 307.45) I 32816 <br />eui�oiNc <br />PLUMBI� �G <br />MECHANICAL <br />OTHER *�ddl /�1dL Ch <br />STA?E BUILOING S�,9CHARGE <br />STA7E ENEFiGY SURCHAitGE <br />PUBLIC WORKS <br />TOTAL <br />S <br />fee <br />IJ <br />C:i� <br />PERMITS EXPIRE IF WORK I� NOT COMh%MEN(:ED WITHIM �aCDP.ESS FILE 2 5 4 3� <br />1E10 DAYS OR CEASES FOR MORE THAN �AO DA'fS. <br />0� <br />