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the EtwWwt, <br />CITY OF <br />I� everett <br />259-8810 <br />YHtHA <br />K A <br />H <br />O xo <br />'Tl HIV <br />xNH <br />E+i O <br />O H <br />CA <br />HH <br />H <br />n�y <br />1-3 (A <br />H O FA <br />C')NSTRUCTION <br />PERMIT <br />PERMIT NO. _ 26524 <br />❑ DEMOLITION YXJ COMBINATION a BUILDING <br />❑ MECHANICAL <br />❑ PLUMBING <br />O SIGN <br />I " <br />OWNER MAIL ADORES, <br />CITY <br />ZIP <br />PHONE <br />Smith 1527 - 73rd St <br />Everett <br />98203 <br />348-3466 <br />Philip <br />TENANT MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />rARCHITECT <br />OR DESIGNER MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />it <br />GENERAL CONTRACTOR MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE. <br />Tri M Woodworks PO Sox 581 Snoqualmie <br />98065 888-3945 <br />TRIMNL137NV <br />MECHANICAL CONTRACTOR MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE. <br />CUSS OF WORK <br />❑ NEW ADDITION ❑ ALTERATION <br />❑ REPAIR ❑ DEMOLITION <br />❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO IF OTHER <br />THAN ABOVE <br />CONTRACT PRICE OF WORK S <br />Philip Smith 348-3466 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Add 2-story addition <br />PROPOSED USE OF BUILDING <br />Single family residence <br />LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH FOUR COPIES) 03/14/91 10'51RM W M#6D45 U0 <br />Lot 12 BLOCK 1 OF Park City Addn to Beverly Park - <br />000026524 <br />FLBG SM.00 <br />00 <br />JOB ADDRESS PLN CH $38.02 <br />1527 - 73rd St SE <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET ITOILETI <br />I n <br />A,C -- A hNOLG UNITS - It <br />BATHTUB <br />FORCED AIR SYTEMS - B T U M EA <br />2 <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS - B T U M <br />,R <br />CLOTHES DRYERS <br />KITCHEN SINK A DISP <br />2 <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />1 <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />.� <br />URINAL <br />METAL FIREPLACE b CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />OAS PIPING <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />S'NK ISERVICE - BAR. ETC I <br />rs <br />at <br />SUBTOTAL S <br />35 <br />TOO <br />SUBTOTAL fis <br />nf) <br />PERMIT F <br />TOTALFEE { <br />35 <br />PERMIT f <br />TOTALFEE T <br />OO <br />FRONT SETBACK <br />20T <br />REAR5ETOACK ',IDCSETBACK <br />20' <br />5' <br />MAN CHECK NUMBER <br />91/26524 <br />FEE 260.57* <br />Pd 222.95) <br />RECEIPT NO <br />45718 <br />USE SOME <br />R-1 <br />tot AREA vAr.:gI <br />10,5008E <br />BIIE <br />nYES AD <br />FEES <br />BHILDINGODDE <br />VALUATION <br />FEE <br />BUILDING <br />S 4 <br />ITYEBIBMTRIICIMA110AANL <br />IYRO <br />1 <br />PLUMBING <br />SIZE OF FILM <br />1060sf addn <br />_ <br />NG OF STORIES BASEMENT <br />2 <br />❑ YES XX NO <br />MECHANICAL <br />15 <br />00 <br />OCCUPANCY LOAF FIRE SPRINKLERS REOG HEIGHT UMItAIION <br />n/a ❑ YES D1AO 28' <br />PEAWA FOR SPRINKLEns <br />OTHER*Add1 pian the <br />k <br />38 <br />02 <br />STATE BUILDING SURCHARGE <br />Q <br />5 <br />STATE ENERGY SURCHARGE <br />APPLICATIONACC BY <br />PLANSAPPROVEDBY <br />_ <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />494 <br />02 <br />WHEN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILL <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />26524 x <br />