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CITY OF EVERETT <br /> rr ^ONSTRUCTION <br /> PERMIT PERMIT NO. ? 7RU2 <br /> 259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAILADDRE5F CRY zip PHONE <br /> _ Select Homes 237 Elm St Everett 98203 258-1503 _ <br /> TENANT MAILADDRESS CRY ZIP PHONE <br /> ARCHITECT OR DESIGNER MNL ADDRESS PITY ZIP PHONE <br /> GENERAL CONTRACTOR MAILADDRESS CITY ZIP PHONE 0006FL A <br /> Owner SELECIII10KN <br /> MECHANICAL CONTRACTOR MAILADDRESS CITY ZIP PHONE LICENSEE <br /> mF-3 RH <br /> PLUMBING CONTRACTOR MAILADDRESS CITY ZIP PHONf LICENSE- <br /> 3 <br /> x <br /> CLASS of WORK <br /> 9 H co ❑ hEW U ADDITION ❑ALTE.TATION ❑ REPAIR ❑ DEMOLITION T] BUILDING RELOCATION <br /> HI CONTACT PERSON AND PHONE NO IF OTHER THAN ABOVE <br /> K O CONTRACT PRICE OF WORK. $ <br /> yx DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br /> "V HH'O New SFR; 1244 Sr + 462 SF Garage <br /> yz 7f� Ala sdC- <br /> 0 5 <br /> a�/J'�p _ <br /> ,.3 tv PROPOSED USE OF BUILDING <br /> ty SFR <br /> OFFCOQ LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES, <br /> yzHy LOT 6 BLOCK�-OF Hanabrook Div. 1 <br /> t" H lTq•! <br /> H H3 <br /> 8 `o <br /> H <br /> C] d Cn <br /> lDB AfKJRE55 <br /> Goth P1 SE <br /> HyHCA <br /> N PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AC-A'HNOLG UNITS-H P <br /> 1 BATHTUB 5 00 1 FORCED AIR SYSTEMS-0T.L MEA <br /> LAVATORY(WASH BASIN) 10 00 UNIT HEATERS-BTU M <br /> SHOWER 5 00 1 CLOTHES DRYERS <br /> KITCHEN SINK A DISP 5 00 2 VENTILATION FAN <br /> , DISHWASHER 5 00 1 RANGE HOOD <br /> C LAUNDRY TRAY 1 WATER HEATER <br /> CLOTHES WASHER 5 00 WOOD STOVE <br /> v URINAL 1 METAL FIREPLACE A CHIMNEY 30 00 <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOWPREVENTERS 2 GAS PIPING <br /> ROOF DRAINS-RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE-BAR.ETC) <br /> Ilouain unit 1-2,000 SF GO 00 <br /> _= SUB TOTAL T;I 45 00 SUB TOTAL f 90 00 <br /> PERMIT t - PERMIT t - -- <br /> TOTAL FEE f 4 OO TOTAL FEE fgo 00 <br /> FRONT SETBACK RLAR SETBACK SID'St IIGCK PLATT CHECK NUMBER FEE HE:CFB'T NO <br /> 20' 20' 5' 27802 30.00 53465 <br /> USE ZONE Lor 7rzA vnurp suFFEES L IN ce FEE <br /> ��� _ rEs ❑rm <br /> TYPEOFCONSTINEDE:&IMARE TME W CONSTAXTONACIVH °scan Ig6rlMiLt' VI Ic BUILDING $ (r4 782 4B2 DD <br /> L, R- 1 PLUMBING 45 00 <br /> POW <br /> + 862 SF NO O,STORIES IES DYES MENT O <br /> 4 FF Lj MECHANICAL 90 0O <br /> OCCUPANCY LOAD F-At51'R!NKLCRS RI:OD HEIGIH LIM!UTKIN OTHER <br /> NA ❑rfs @FID 29' <br /> REASON FOR SPRINKLERS STATE BUILDING SUnOHARGE 4 50 <br /> STATE ENERGY SURCHARGE <br /> APPLK;ATIONACC BY PL.ANSAPPROVEDBY CITY OF EVERETT <br /> LOCAL SALES C WORKS 20 00 <br /> Jti TAX CODE IS <br /> 3105 TOTAL 641 50 <br /> WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 27802 <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. ADDRESS FII E <br />