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CITY OF EVERETT <br /> --�;ONSTRUCTION <br /> PERMIT PERMIT NO. 27804 <br /> 259-8810 <br /> D DEMOLITION D COMBINATION D BUILDING D MECHANICAL D PLUMBING D SIGN <br /> OWNFR MAIL ADDRESS CITY iF' PHONE <br /> Select Homes 237 Elm St Everett 98203 258-1503 _ <br /> TENANT MAIL ADDRESS CITY 1m PHONE <br /> ARCHITEC`OR DESIGNER MAIL ADDRESS CITY 1w PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CRY ZIP PHONE I.ICENSE6 <br /> Owner SELECHI10KN <br /> MECHANICAL CONTRACTOR MAILADDRESS CITY ZIP PHONE LICENSER <br /> PLUMBING CONTPACTOR MAIL ADDRESS CITY ZIv PHONE LICENSER <br /> CLASS OF WORK <br /> D NEW C ADDITION O ALTERATION D REPAIR D DEMOLITION D BUILDING RELOCATION <br /> CONTACT PERSON AND PHONE NO IF OTR[R I IIAN ADOV E <br /> S <br /> CONTRACT PRICE OF WORK'. $ _ —_-- <br /> DESCRIBE WORK AND EO 'HE IDOTAGE NVOI VID <br /> New SFR; 1244 SF + 462 SF Garaqe <br /> 7 <br /> PROPOSED USE OF BUILDING <br /> SFR - <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIES) <br /> LOT 'X BLOCK_OF Hanahrook Div. 1 <br /> JOBADDRESS <br /> 20 - GOth P1 SE <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OH ITEM _ FEENO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) 00 AIC-AMNDLG UNITS-H.P. <br /> 1 g OATHTUB _ 00 1 FORCED AIR SYSTEMS-B.T.U. MEA. <br /> 2 X LAVATORY(WASH BASIN) lo kk 00 UNIT HEATERS-B 7 U M <br /> 1 SHOWER _ 5 00 1 CLOTHES DRYERS _ <br /> j 1 KITCHEN SINK A DISP 5 00 2 VENTILATION FAN _ <br /> 1 DISHWASHER 5 00 1 RANGE HOOD <br /> LAUNDRY TRAY 1 WATER HEATER <br /> 1 CLOTHES WASHER 5 00 WOOD STOVE <br /> URINAL __ 1 METAL FIREPLACE A CHIMNEY 30 00 <br /> DRINKING FOUNTAIN __ FIREPLACF INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS <br /> — — GAS PIPING <br /> _ROOF DRAINS-RAINLEADERS - EXHAUSTFAN <br /> SINK(SERVICE-RAR.ETC.) <br /> Housing unit 1-2,000 SF 60 00- <br /> SUBTOTAL S 45 00 SUB 70TAL s 90 00 <br /> PERMIT s - - PERMIT $ - - _ <br /> TOTAL FEE A A I00 TOTAL FEE S 90 00 <br /> FRONT SETBACK REAR SETOACK SIDE SETBACK PLAN CHECK NUMBER FEE RECEIPT NO <br /> 20' 20' 5' 21XRZ 27804 30.00 53485 <br /> USE ZONE LOTAREA VACANT SITE FEES UILDINOC UE FEE <br /> R-2 s 0 N A <br /> ME OF CONSTRUCTION MILDWABLE TYPEOFCONSTRUC LpN ALTUAI oc�wYxpcY NO OF DMElUN0 LNf5 BUILDING - $ 64782 4H2 DD <br /> V-N V-N R-.1 1 PLUMBING 45.00 XBN 00 <br /> SIZE OF B G 452 $F NO OF STORIES BASEMENT <br /> 1244 S <br /> O YES XZ'No MECHANICAL 90 00 <br /> GarageOCCUPANCY LOAD FIRE SPRINKLERS RED'D HEIGHT LIMRATION OTHER <br /> NA ❑Yss IMMO 28' <br /> REASON FOR SPRINKLERS STATE BUILDING SURCHARCIE 50 <br /> STATE ENERGY SURCHARGE - <br /> APPUCATIONACC.BY PLANS APPROVED BY CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS 20 00 <br /> JH TAX CODE ISTOTAL 641.50 ASIX SID <br /> _ <br /> 3105 <br /> WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN 27804 <br /> v / <br /> 180 DAYS OR CEASES FOR MORE THAN 100 DAYS. AITDRFSS FILE <br />