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4 CITY OF EVERETT <br /> ,ONSTRUCTION <br /> 259-3810 07- PERMIT PERMIT NO. 27798 <br /> 0 DEMOLITION L}COMMINATION ❑ BUILDING ❑MECHANICAL f 1 PLUMBING ❑SIGN <br /> OWNER MAILADDRESS <br /> CITY Lr nnONE <br /> Select Homes 237 Elm St Everett 98203 258-1503 _ <br /> TENANT MAILADDRESS CITY ZIP PHONE <br /> ARCHITECT OR DESIGNER MAILADDRESS CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAILADDRESS CITY ZIP PHONE LICENSE R <br /> Owner _ <br /> MECHANICAL CCNTRACfOR VIA'LADDRESS CITY ZIP PHONE LICENSER <br /> PLUMBN,GCONTRACTOR MAILADDRESS CRY ZIP PHONE LICENSER <br /> CLASSM V10RK <br /> 0 NLW 0 ADDITION -! O ALTERATION 0 REPAIR 0 DEMOLITION 0 BUILDING RELOCATION <br /> CONTACT PERSON AND PHONE NO.IF OTHER THAN ABOVE <br /> CONTRACT PRICE OF WORK: $ <br /> DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED <br /> New SFR; 1757 SF + 524 SF Garage <br /> PROPOSED USE OF BUILDING <br /> SFR <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOURCOPIESI 10/10/91 3:0^F'M 000800499 Iii IJ <br /> LOT 11 BLOCK—OF— a HVmkly� 1-- / ` <br /> 000057645 <br /> OPT 7n tAnn W, <br /> 000007382 <br /> UOBADDRESS ------- WATFe tim 00 _ <br /> 22 - 60th P1 SE 000028453 <br /> PLUMBING MECHANICAL 1171/5 $179.00 <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUI FEE. <br /> WATER CLOSET(TOILET) 15 00 A/C-AMNDLG UNITS-H.P. <br /> BATHTUB 10 00 j FORCED AIR SYSTEMS-B.T. EA. FM-JU <br /> - 3 LAVATORY(WASH BASIN) 15 00 UNIT HEATERS-B.T.U. <br /> SHOWER <br /> 5 00 j CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP. 5 '{ VENTILATION FAN ` <br /> DISHWASHER 5 1 RANGEHOOD <br /> I A <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER 5 WOOD STOVE <br /> URINAL METAL FIREPLACE&CHIMNEY 30 00 <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> y <br /> FLOOR DRAIN MEAT PUMP <br /> BACKFLOW PREVENTERS 2 GAS PIPING 60 00 <br /> ROOF DRAINS-RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE-BAR,ETC.) <br /> SUBTOTAL S SUBTOTAL f 0 <br /> PERMIT S -- PERMIT f <br /> TOTAL FEE f TOTAL FEE f <br /> FRONT SETBACK REAR SETBACK SIDE SETBACK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> 201 20' 5' 27798 30.00 53485 <br /> USE ZONE LOTAREA VACANT SITE <br /> R-2 FEES -BUILDINGCODEFEE <br /> YES <br /> TYPE OF CONSTRUCTION ALLOWABLE TWEOFCONSTRUCTXXIACTUAL7BASEMENTI <br /> BUILDING S 67,665 495 50 <br /> V-N V-N <br /> PLUMBING 60 00 <br /> 75 OF F NO.OF STORIES <br /> 1757 SF + 524 SF MECHANICAL <br /> Garage 2 90 00 <br /> OCCUPANCY LOAD PRE SPRINKLERS REGO NA 0 YES EIIG THER <br /> REASON FOR SPRINKLERS STATE BUILDING SUROdARGE 4 50 <br /> APPLICATXN/ACC.BY PLAINS APPROVED BY CITY OF EVERETT STATE ENERGY SURCHARGE <br /> JH LOCAL SALES PUBLIC WORKS 20 00 <br /> TAX CODE IS -- — <br /> 3105 TOTAL _ 670 00 <br /> -- WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT <br /> PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN <br /> 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. ADDRESS FILE 27798 `� <br />