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�� <br /> fheF.vergreen " "` ������������ � <br /> CITY OF <br /> evere�t �'����T PERMITNO. � � � L' � <br /> 259 -881U <br /> ❑ DEMOLITION � COh1BINATION � BUILDING ❑ MECHANICAL ❑ PI.UMBIMG ❑ SIGN <br /> OVINER RlAll npDRE55 CITY ZIP PHONE <br /> Crosl�y Homes 16000 hiill Creek IIlvd. Mill Creek , WA 98012 745-0237 <br /> iFVnNI AINLAODBE55 Gtt ZIP PHONE <br /> 4NCHITFG� OROESIGNER fdqILA0�flE5S CITY ZIP FHOIJE <br /> GENERALCONTRACTOR MAILAOORE55 CifY ZIP PHONE I.ICBJ�G'+ I <br /> Owner CROSBHJ171LP <br /> h1E�HANIC�I.CONTRACiCii �141LApORESS GTY ZIP PHONE LICENSCn <br /> �LUI.IpINGCONTPACI�R L�NLADDRE55 CITY ZIP PHONE LICEtlSEx <br /> CLA55 OF'M1'�^:.: <br /> �] NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ OUILDING RELOCATION ,' <br /> CONT�CTPEBSONFNDPHONENO iFOTHE�iTHANApOVE �i <br /> CONTFACT PFIICE OP WORK: $ I <br /> LESCRIBE WORK FND SOl1APE FOOTAGE INVOLVED � <br /> New Constructian �. <br /> � <br /> PROPOSF.O USE OF puIL�ING iI <br /> Single family residence <br /> L[G�L UESCRIPTION OF PROFERTY�SMOW�ELOY!OR ATTACH FOIIR COPIES) I <br /> �or� o�ocH— ov-j'7illOw Run ' <br /> �oe nno�ess <br /> 5214 15th F�ve. [9. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> B WATER CLOSET(TOILET) ].S OO A�C—A/HNDLG UNITS—HP. <br /> ]. BATHTUB S OO ]. FORCFD AIR SVSTEMS—B.T.U. M EA. <br /> 3 LAVATORV�WASH RASIN) ].S OC UNIT HEATERS—B.T.U. M <br /> .L SHOWER S OO 1 CLOTHES DRVERS �_ <br /> 1 KITCHEN SINK 8 DISP. S �O 3 VENTILATION F1N _ �_ <br /> ]. DISHWASHER S OO 1 fiFNGEH00D <br /> IAUNDRVTRAY 1 INATER HEATER <br /> 1 CLOTHESWASNER 5 Q� WOODSTOVE <br /> URINAL 1 M1IETAL"REPLACE H CMIMNEV . <br /> DRINKING FOUNTAW FlREPLACE INSERT '� <br /> FLOOR DRAW tIEAT PUMP � <br /> i <br /> BACKFLOW PREVENTERS GAS PIPING I <br /> ROOFORAINS—flAINLEADEflS E%HAUSTFAN �. � <br /> SINK�SEFVICE—BAR,ETG) ` / <br /> 0 II <br /> .i c. �i <br /> SUBTOTAL S SS OO SUB � � <br /> PERMIT 5 PEH �� <br /> TOTAI �'cE 5 SS O 70T <br /> FRONT SET�ACK REAfi SEidACK SID[SETp�CK PLAN CHECK NUMBER � EIPT NO� <br /> 20 20 16/6/3/ 89/22889 b00 �2 ` 734 <br /> USE20NE LOTAq[� V�CAN*SITE <br /> R-1 9004 �vEs ❑ NO FEES °E FEE <br /> rra�oFcor+srRur,no��nuo�vnoi[ neeoFcor�siaecoonnr.mci ����,�•;�+ r�oaFor:ruwcur;ns euiLDwG 545.00-2.93 $ � '"'i .00 <br /> V—N A V—N �R�3 1 — �. <br /> PLLIMBING � SS OO <br /> 9ZEOFEILDG NOOFSiGRIES f3nSEMENT — <br /> 1749+951 gar z ❑ VES �] NO h�ECHANICAL CHECI� $1��..� �2 0� <br /> OCCUPANCY LOA� FlRE SPRINKLEfli REO� HEIGHT LIMIT4TION OTHER <br /> N/A �p vEs �] No 28 <br /> nensonFoasane:e�.en; STA7[oUILDINGSURCHAFGE 4 50 <br /> STA7EENERGYSURCHARGE <br /> APPLICATIONACC.6Y PLANSAPPROVED�Y CITY OF EVERETT <br /> LOCALSALES PUBLICINORNS 20 00 <br /> ta.i+�. sxsxJ.». TAX CODE IS TOTAL 693 57 <br /> _ 3105 ydHEN PROPeRLY VALIDATED THIS IS YOUR PERMIT <br /> Credit $2.93 on building permit fee for overpayment of plan check fee. <br /> PERMITS EXPIRE IF wJORK IS ivOT COfViMENCE� WI7HIN <br /> � iA�UIlCSS FI"= � <br /> �80 pAYS OR CEF+SES FOR MORE THAN 180 DAYS. - ' <br />