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C�1 C�1 � <br />��x <br />q H <br />> H (n <br />C <br />y H <br />fC C] <br />tirria <br />'TJ H '�J <br />V1 H <br />C � � � <br />H C1 <br />OH <br />�^�g <br />M, V �q <br />9Ht�] <br />t-� z <br />HH <br />g�' <br />H <br />C] t7 [n <br />�e�r <br />zyvi <br />HOrn <br />' <br />e <br />CITY OF EVERETT <br />;f�iVSTRUCTION <br />PERMIT PeRMirNo. 27G�1 <br />259-8810 <br />❑ DEMOLITIO�I %]CCOMBINATION X� BUIL�ING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER IAAP,ADDRESS GITY 21P PHONE <br />Helen G. Beeston PO Box 217 Everett, WA 98206 259-9181 339-2111 <br />TEIIPNT MAILADDRE55 GIiY ZIP PNONE <br />Robert Beeston 3004 - 18th St Everett 98201 339-2111 <br />ARCNIiECTORpE51GNEF IAAILF�DRE55 CITV ZIP PHONE <br />GENERALCONTRAGiOfi MAiLAC�fiESS GRY ZiP PMONE LICENSEv <br />LTD Const. (Tim Powler) 5121 Dover Everett, WA 98203 347-8970 LTDC0164hfA <br />fAECHANIGPLCONTFRLTOR 1!AI�AOORE55 CITY ZiP PNONE LICENSEM <br />LONTRqCTOR <br />cuss oF woarc <br />❑ NEW xj�{A�DITION <br />CONTRACT PRICE OF WORK: S <br />MAILApDRE55 <br />❑ ALTERATION <br />CITY 21P PHO::[ UCLNS[ u <br />❑ REPAIR ❑ DEMOLITION <br />WMACT PEFlSON AN� PM0�1E NO. iF OTHE <br />Tim L'owlex 347-8970 <br />❑ BUILDINCa RELOCATION <br />OESCRIBEYlJRK�NOSOUAREFOOTA6[INVOLVF� <br />Bedroom addition - 156sf �., - �,. �.��.a �F+��� � � <br />/ <br />PPOPOSED USE OF DUILDING ��BAB� I 6�� <br />E'�LUG �84.15 <br />Sinqle family residence i't"���8.28 <br />LEGALDESCRIPiIONOFAROPEFiY�SHJLYOELOWORFTfACHFOURCOPlES) I'�GCH VZS.00 <br />�or 6 BLOCK OG7 pF Victory Addn to Everett �SY�� �� <br />C�iECI; s? 23.65 <br />�o�aooa_ss <br />3 � �4 - � 8 ❑ �L <br />PLUMBING <br />NO. TVPE OF FIXTURE UR ITEM <br />1 WATERCLOSET(TOILET) <br />1 BATHTUB <br />1 LAVATORV(WASHBASIN) <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUN�RVTRAV <br />CLOTHES WASHEF <br />FLOOP �RAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS - Rl11NLEADERS <br />SINK �SERVICE - BAR, ETC.) <br />SUBTOTAL <br />PERM1IIT <br />TOTAL FEE <br />FRONTS[T�ACK REnR 5[I�ACK <br />20'-18th St. 20' <br />USEZON[ LOTAREA <br />g-y 4650sf <br />S¢E C= �LDG. <br />FiRE SPRRJKLERS RE�'O <br />❑ vEs Q`{, +o <br />PoR SPRI4NL[PS <br />MECHANICAL <br />:E N0. TYPE OF EOUIPMENT FEE <br />S OO %dC-M-IN�LGUNITS-H.P. <br />S 00 FORCEDFIRSYSTEMS-B.T.U. MEA. <br />5 OO UNITHEATERS-B.TU. M <br />1 CLOTHESDRYERS <br />], VEf�TILATION PA� <br />RANGEHOOD <br />WATEfl HEATER <br />S 00 WOOOSTOVE <br />METAI FIFEPLACE 8 CHI�dNEY <br />FIREPLACE INSERT <br />HEAT PU1.1P <br />G�S PIPING <br />E%HAUSTFAN <br />ZO 00 SUOTOTAL S 1 <br />PERRIIT 5 <br />51 2010 <br />SI�E SETOnCK <br />'�' /10' -hlaple <br />VACANTSrt[ <br />❑ YES �0 <br />occuo>i¢r I�0 O�CVlELL�I:J <br />cno�n <br />' �_ <br />pASBdENT <br />❑ Y[S XC�' NO <br />❑E�G4i LIMRqiION <br />9a� <br />'LAN CHECK NU1dBER <br />91/27621 <br />FEES <br />BUILDING 90.00 less <br />PWMBING <br />MECHANICAL <br />OTHER <br />STATE 9UILOING SURCHARGE <br />STATEENERGVSURCHARGE <br />TOTALFEE 5 � <br />FEERSB.SO* RECEIPTNO. <br />pd 69.35) 53387 <br />em�ort+ccooe FEE <br />VALUATION <br />S 6 750.00 84 15 <br />20 00 <br />15 00 <br />nvFucnncnnccev r�ar�snaanoveoav CITYOFEVERETi <br />LOCAL SALES PUBLIC WORKS <br />� TAX CODE IS TOTAL 123 65 <br />3105 <br />— WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br />�LcJE L <br />PERMITS EXPIRC IF WORh IS NOT COMIdEI����:FD \^!I�i-hIIN <br />180 DAYS OR CEASES POFl MOHE THAN � 80 i��;'�;'.;. <br />� <br />J <br />