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�,���:���coF C.__�NSTRUCTION __ I� <br /> �V�re�t PERMIT PERMITNO. � � 1; �; �" <br /> 259 - 8810 .. , <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN I <br /> OWNER M41LAO�PE55 CITY ZIP PNONE <br /> Crosby Homes Inc. 16000 Mill Creek Bvld. tdill Creek 745-0232 <br /> TENPNT �tAILAD�qE55 CITY ZIP PHONE <br /> APCMITECTORDESIGNER ldA1LA�ORE55 CITY 21P PHONE , <br /> GEN[RAL CONTqACTOR MNL ADDRE55 CITY ZIP PHONE , iNSE e �� <br /> Owner CROSBCH171LP <br /> 6�EC�IfNICALCONTR4CTOR MNLApDRE55 CITY ZIP PHONE LICENSEd . <br /> PLUMBINGCONTBACTOR IdAILA�DRE55 CITY 21P PHONE LICENSEn '� <br /> CLA55 OF WORK <br /> ❑ NEW �ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> CONTACT PEPSON PND PHONE N0.IF OTMER TH�N ABOVE <br /> CONTRACT PRICE OF WORK:S 500.00 <br /> DESCRIpE N'ORK FNp SOUAPE FOOTFGE iNVOLVE� <br /> �A[XkKXi4�gXtl Construct deck <br /> PROPOSEO OSE OF 2UILDING <br /> SFR <br /> LEGA�DESCPIPTION OF PROPERTY ISHO W QELOYJ OR ATtACH FOUfi COPI[S� <br /> 7 <br /> I.OT— BLOCN— OF — <br /> J00 AODRESS <br /> 5202 15th Ave. [9. <br /> PLUMBING MECHANICAL <br /> NC.. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSE7�TOILET) A/C—NHNDLG UNITS—H.P. <br /> BATHTUB FORCE�AIR SYSTEMS—B,T.U. A1 EA. <br /> LAVATORV(WASH BASIN) UNIT HEATERS—�S.U. M <br /> SHOWER CLOTHES DHYERS <br /> KITCHEN SINK 8 DISP. VENTILATION FAN <br /> DISHWASHER �ANGE HOOD <br /> LAUNDRVTRAY IYATEFHEATER <br /> CLOTHES WASHER WOODSTOVE <br /> URINAL METAL FIREPLACE&CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN NEAT PUMP � � <br /> BACHFLOW PREVENTERS GAS PIPING <br /> ROOFDFAINS—RAINLEADERS EXHAUu7FAN <br /> SINK(SERVICE—BAR,ETC.) `- • <br /> G <br /> SUBTOTAL 5 SUB <br /> PEflM1T S PEfl IT <br /> TOTAL FEE 5 TOT .> .> 5 <br /> FRONT SETBACK qEAR SETBACK SIDESETOACK PLAN CHECK NUMBER EIPT NO. <br /> 0 0 3�i 89/23643 E §��j� #4.50 <br /> USEZONE IDTAREA VACANTSITE ^ — <br /> R-1 ❑ves �7 NO FEES p�� FEE <br /> rv�orcoxsrxuetior�auo�vae�,e nveoreousrnuenorvnemni ����g=• r+o.aFowewscur�irs BUILDiNG � �FfFf{pp $4.50 21 00 <br /> V—N V—N M-1 1 PLUMBING � <br /> SIZE Of OLDG NO Of SiORIES BASEIdENT <br /> 80 N A ❑�ES ❑ NO MECHANICAL <br /> OCCUPANCY LOAD FIRE SPRINHLERS REOD HEIGHT LIMITAt10N OTHER <br /> N A ❑ �Es �7 NO <br /> nEnSONFor+sPRwkiEHs STATEBUILDINGSURCHARGE 4 50 <br /> STATEENEP.GVSURCHARGE <br /> nrrucnnoNncc ov P�nNsnPr�oveoor CITY OF EVERETT — <br /> LOCALSALES Puoucwoarcs <br /> J.H. TAX CODE IS TOTAL ' 25 50 <br /> 3105 yyHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EY,PIRE IF WORK IS NOT COMMENCED WITHIN " � ' <br /> ADDHESS FILE [, � �� �� ;�� <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. �� <br />