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xx`3[0-IH <br />tT7 C+1 � <br />AOxH <br />C F+ <br />�xyxy En <br />yY� <br />t 0 <br />y <br />OHO 0 <br />H It <br />oC4H <br />xx CnH <br />h70 <br />y C7 <br />z C'. <br />I g <br />no <br />H <br />9Z H <br />t y z <br />I-1 y <br />CO 1714 <br />y 0 EA <br />Qoft <br />"ft Awa, <br />' f1 ft <br />theEk "Weft "ONSTRUCTION <br />CITY OF <br />everett PERMIT PERMIT NO. _ 23350 <br />259-8810 <br />C DEMOLITION ❑ COMBINATION x BUILDING :. MECHANICAL ❑ PLUMBING 0 SIGN <br />rW n, MAIL MDHESs nP PHM.E <br />William P. Graber P.O. Box 660 Everett 98206 2.8-3533 <br />.�...... MAIL ADDRESS CITY ZiR PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE A <br />Owner <br />CITY <br />ZIP <br />PHONE <br />UCf.NSV <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />DP <br />PHONE <br />LICENSE <br />Uiv <br />Pl'JMDINGCONTBACTOR <br />NAIL AODRESS <br />21 ASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION <br />CONTRACT PRICE OF WORK S 3500.00 <br />DESCRIHE WORK AND SOUMIE FOOTAGE INVOIVCO <br />house move and new foundation <br />I' REPAIR ❑ DEMOLITION Q BUILDING RELOCATION <br />CONTACT PERSON AND R10NE NO If OTHER THAN ABOVE <br />ITOPOSEI) IIE I ' IIW LUINC. <br />Single fmaily residence _ <br />I FOAL DISCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIC> <br />I"- BLOCK- OF <br />See Attached <br />If IP AI!Illlf `:'i <br />SEWER 430.W <br />2130 11btn St. bL <br />PLUMBING <br />MECHANICAL 1171-5 $650.00 <br />FEE <br />NO. <br />TYPE OF EO1*091INIM <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />AC-A'HNCEGITS-LO(i 463. <br />WATf.fl CLOSET (TOILET) <br />FORCED AIR SYSTEMS - USriO{M EA $4. <br />BATHTUB <br />UNIT HEATERS - BTU WWIM t20. <br />LAVATORY (WASH BASINI <br />CLOTHES DRYERS N00006W <br />SHOWER <br />KITCHEN SINK I DISP <br />VENTILATION FAN WATER MM. <br />RANGE HOOD ClECR $1747. <br />DISHWASHER <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />METAL FIREPLACES CHIMNEY <br />URINAL <br />FIREPLACE INSERT <br />DRINKING FOUNTAIN <br />P.COR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVCNTERS <br />OAS PIPING <br />ROOF DRAINS- RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE - BAR. ETC) <br />SUBTOTAL f <br />SUS TOTAL I <br />PERMIT f <br />PERMIT <br />I <br />TOTALFEE 1 <br />TOTAL iEE <br />1 <br />FRONT SETBACK <br />REAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />89/23350 <br />40.95 <br />26650 <br />20 <br />2 <br />ONE ZONE <br />LOT AREA VACANT <br />SITE <br />FEES <br />BUILDING Co., <br />FEE <br />R-1 <br />VES ❑ NO <br />BUILDING <br />f 5 <br />63 <br />- <br />TYPE DF EOtSTAUCTOK ALLDI II <br />OPE A CONST"IIDN ACIRAI <br />A, �,�' <br />M. d ONllllMf lPNtS <br />V-N <br />- <br />- <br />PLUMBING <br />SIZE OF at DO NO OF STORIES BASEMENT <br />1636 + 514 ❑ YES We <br />MECHANICAL <br />OCCUPANCY LOAD FIRE SPRINKLERS REDD HEIGHT I. IMITATION <br />OTHER <br />❑ YES Q NO 28 <br />STATE BUILDING SURCHARGE <br />REASON i011 SPRINKLERS <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />ELANSAPPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />PUBLIC WORKS <br />TOTAL <br />I <br />87 <br />0 <br />S.H. <br />J.R. <br />TAX CODE IS <br />_ <br />3105 <br />WHEN PROPE1ILY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE <br />180 DAYS OR CEASES FOR MOR!' THAN 180 DAYS. <br />23350 <br />