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lleeF.ocrbn'cen ...�` �.."�,`�y�TRUCTION � _�. <br /> CITY'G� <br /> eV���'�" ���EYI�T PEP.MIITNO. _ 2289G <br /> �:i9 - 8810 <br /> ❑ DEMOLITION �COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNF.R MAILADDRESS CiTY ZiP PHONE � <br /> Crosby Aomes 16000 Idi11 Creek Blvd. t9i11 Creek, SVA 98012 745-0232 <br /> TC1iAM MFiLADDRE55 GITY ZIP PNONE <br /> APCHITECTOR�ESIGNER MAILF�DRESS CITV ZIP PHONE <br /> GEvB'Ai LONTRA"i0R MAllAOGRESS •�IT� ZIP PMONE UCENSEw <br /> ��m=r CROSBHI::J:�T�P <br /> o'CH�N�CAI.CONTqACiUR MqI�ADOPE55 �ITY ZIP PNONE L;LENSEa <br /> PLUMOINGLONTRACTOfl ldFILADDIlE55 CITY ZtP PHONE LICENSE• <br /> CLASS OF YlORK <br /> C,�NEW ❑ ADDITION ❑ ALTEHATION ❑ R�PpIR O DEMOLIT�ON ❑ BUILDING RELOCATION <br /> ���NT�CT PERSON 4N0 FHONE Nl,.IF OTMER THAN ABOVE <br /> CONTRACT PP.ICE OF V�ORK:$ <br /> DESCFI�E�VORH AND SOUARF FUOTAGE INVOV.'ED <br /> Ne•a Constructiun <br /> PROPOSE�lISE OF BLIiLDING <br /> Sinael familv residence <br /> LEG/L DESCFIPiipN OF FROFERTV�SHOIY 6EL01Y OR r.TTACH FOUR COPIES) <br /> ior 5 a�ocK_or Willow Run <br /> JOB ADDRESS <br /> 5�1R 1S <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUHE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SYSTEMS—D.T.U. M EA. <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. , „b1 ., ,�_,. <br /> SHOWER 1 CLOTHES�RYERS � � � � ��� � �-�� �J�l'v SO � <br /> KITCHEN SINK 8 DISF. 1 VENTILATION FAN � �} SO <br /> DISHWASHER 1 RANGEHOOD � V � G SO <br /> LAUNDRYTRAV 1 WATER HEATER � � ���� 6 SO <br /> CLOTHES WASHER WOOD S70VE .. „��n � <br /> UFiINAL j METAL FIREPLACE 8 CHIMNEYi�.��� �,.�i��.� 3O OO <br /> DRINKING FOUNiAIN FIREPLACE INSERT ���, r, ���� <br /> FIOOR CRAIiJ HEAT PUMP "���^ "" <br /> BACKFL6W PREVENTERS GAS PIPING � ��V �,�,.� , <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN V� ����� <br /> SINK(SERVICE—BAR,ETC.) � " '�� <br /> �ii ��re.�� <br /> __ SUB TOTAL s 55 00 sue roTA:4�, �:��f.�`: 54 00 <br /> PEflMiT S PERMIT"�':� ."""S•�� <br /> TOTALFEE S SS OO TOTALFEE S S9 OO <br /> rBONT5ET6aGK REaFSETBnC✓. SIDESETBnCK PLANCHECKNUMBER FEE RECEIPTNO. <br /> 20 20 3 c 20 ecmt 89/22885 Basic <br /> U°EZONE LOT�iIEA VACANTSIIe <br /> R-1 8911 C*vES ❑ No FEES e�iqoiNctooe FEE <br /> rrv�orconsrnucrmxauowaeie rvr�oFcoNs�aucrior+acruni ag;,o��� xo.oFoiv�iur;cu�+irs BUILDING 5 70 875.00 509 �fl 00 <br /> V—N V—N R-3 1 PLUMBING 55 00 <br /> 512EOFOLpG NO.OFSTORIES b45[IA[NT <br /> ].�55 +932 GAR 1 C�1'ES ❑ NO MECHANIC�L $q �O <br /> OCCUPqNCYLOAO FIRESPPINNIERSPCO'D MEIGHTLIlAIiATION QTHER <br /> N A ❑ vEs � No 28 <br /> fiEA50NFOR5PRINKLERS STATEBUILDIN35URCHARGE 4 SO <br /> STATEENERGVSURCHARGE <br /> APPLICATIONACC.BV PLANSAPPROVEDEfV CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> TAX CODE IS 70TAL ^ <br /> M'��t' J'ij' 3105 642 50 <br /> WHEN PROPEflLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHfN � �j �i ^ <br /> ADDRESS FILE � J � <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. -- <br />