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CITY OF EVERETT <br /> p-30NSTRUCTION <br /> PERMIT PERMIT NO. 27801 <br /> 4259-8810 <br /> 0 DEMOLITION 0 COMBINATION 0 BUILDING 0 MECHANICAL I7 PLUMBING 0 SIGN <br /> OWNER MAILADDRE,S CITY ZIP PHONE <br /> Select Homps 237 Elm St Everett 98203 258-1503 <br /> TENANT MAILADDRESS CITY ZIP PHONE <br /> ARCHITECT OR DESIGNER MAILADDRESS CRY ZIP PHONE <br /> GENERALCONTRACTOR Wit ADDRESS CITY ZIP PHONE LICENSE <br /> I <br /> Owner SELECHI10KN <br /> MECHANICAL CONTRACTOR MMLADDRESS CITY ZIP PHONE LICENSEE <br /> PLUMBING CONTRACTOR MAIL ADDRESS CRY ZIP PHONE LICENSED <br /> CUSS OF WORK <br /> ❑ NEW 0 ADDITION ❑ ALTERATION ElREPAIR 0 DEMOLITION U BUILDING,RELOCATION <br /> CONTACT PERSON AND PHONE NO.IF OTHER THAN ABOVE <br /> CONTRACT PRICE OF WORK: $ j <br /> DESCRIBE WORK AND SOUARE FOOTAGE IN'OLVED <br /> SFR; 1757 SF + 524 SF Garage <br /> 1 PROPOSED USE OF BUILDING <br /> SFR <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIES) <br /> 17 Hanabrook Div. 1 10/10/91 3 05PM �OH004901'kk <br /> LOT_BLOCK_OF <br /> i <br /> 000057658 ' <br /> 000007389 <br /> JOGADORESS <br /> 128 60th P1 SE 00008460 <br /> SLWER uu <br /> PLUMBING MECHANICAL — <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. 1 TYPE OF EGL$ rpal FEE <br /> WATER CLOSET(TOILET) AJC-AMNDLG UNITS-H.P - <br /> BATHTUB FORCED AIR SYSTEMS-BS. EA. <br /> 3 <br /> LAVATORY(WASH BASIN) 15 00 UNIT HEATERS-B.T.U. <br /> 1 SHOWER 5 00 1 CLOTHESDRYERf R SRCH 14.30 <br /> I 1 KITCHEN SINK A DISP. 5 QQ 2 VENTILATION FAN u vn,in <br /> + 1 DISHWASHER_ 5 00 1 RANGE HOOD 171,41717t, <br /> LAUNDRY TRAY 1 WATER HEATER I <br /> 1 CLOTHES WASHER 5 on WOOD STOVE <br /> URINAL METAL FIREPLACE 6 CHIMNEY 30 QQI <br /> I DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS 2 GAS PIPING _ <br /> ROOF DRAINS-nAINLEADERS EXHAUSTFAN <br /> 1 <br /> SINK(SERVICE-BAR,ETC) <br /> Housing Unit 1-7-nnn 9F An an <br /> SUB TOTAL 6!_100 SUB t90 iOO <br /> PERMIT f PERMIT sl - - <br /> TOTALFEE f60 100 TOTAL FEE f I GO on <br /> FRONI SETBACK REAR SETBACK SIDE SETBACK PLAN CHECK NUMBER FEE RECEIPT NO. j <br /> 20' 20' 5 27801 30.00 53485 <br /> USEZONE LOTAREA VACANT SITEBUILDING CODE FEE _ <br /> R-2 res ❑No FEES VALUATION <br /> TYPE OF CONSTRUCTION AIlONABUE TYPE OF CONSTRUCTION ACTUAL MW I I NO OF DWELLING LIMITS BUILDING 67,665 495 TQ <br /> V-N V-N R-3 1 PLUMBING 60 00 <br /> 1WF BLDG5 NO OF STORIES BASEMENT <br /> SF + Ga=age 1 2 OYES ANO MECHANICAL 90 00 <br /> OCCUPANCY LOAD FIRE SPRINKLERS REOD HEIGHT LIMITATION OTHER <br /> NA ❑ves No 28' <br /> r REASON FOR SPRINKLERS STATE BUILDING SURCHARGE 4 50 <br /> [ STATE ENERGY SURCHARGE <br /> APPLICATION ACC BY PLANS APPROVED BY CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS zo 00 <br /> I JH TAX CODE IS TOTAL 670 00 <br /> ( 3105 <br /> WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> 4 <br /> ) <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WI I I IIN 2 7801 <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />