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DEVELOPMENT ERMIT PERMIT No. <br /> CITY OF EVERETT PERWAIT SERVICES 3174.0 <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 -- FAQ 2`r257-8857 _ <br /> Nlluilding []Mechanical [�Plurnbing []Gradng [_}Other <br /> Site Address 3106 Shore Ave Everett 98203 <br /> Property Tax Acct #I 00 5717 008 001 00* Legal Descriptlon <br /> Applicant Information ContractDr Information <br /> owner. Lino Jose A/Sherril ; Name: Deck Crafters <br /> ddress: 3106 ShoreAmeAddress: 10:3C 164th St SW <br /> Everett Wa._98203 Lynnwood,WA 98037 <br /> hone: 425 267-9290 Phone: 425-741.3553 <br /> pplicant Name: Deck Crafters License No._ DECKC-010B6 <br /> Applicant Phone: 425-741-3553 Explratlon- 11/16/2002 <br /> BUILDING INFORMATION <br /> Zoning: 0calpancy: Type of Construcllon: B . Sq.Ft.: Storiels <br /> PLUMBING unts amount MECHANICAL! unts amounV GRADING amount <br /> Water closets ( D) Gas Piping ( 0) Number Yards: <br /> t3alhtubs ( 0) Earthquake Valve ( 0 ) TOT DING <br /> Showers ( 0) Forcod Air Furnace (0 ) <br /> Lavatories ( 0) Dos I10141bisri leaier <br /> ( 0 )-1110 5 ARA- PI=RNIIT REQUIRED FOR: <br /> Sinks ( 0) Fireplace <br /> Dishwashera ( 0) Flood 0 <br /> Elec, Water Healer ( D) Dryer0 i <br /> Wzc. Drains ( 0) eust Fan <br /> Hose Bibs ( 0) C ktop � q) <br /> other ( 0 ) r <br /> Basic Fee n Ch <br /> Basic e <br /> TOTAL PLUMBING V.00 T C <br /> VALUATION 190 3. A S7 N FEE NOTES; <br /> PERMIT FEE 26 0 D A ES8 FEE Deck <br /> PLANCWECK FEE $yR.G%00A IMPACT FEE <br /> PLUMBING FEEFFIC IMPACT FEE <br /> 1,+9ECHANICAL FEE $0.00 WA STATE SURCHARGE <br /> ENERGY REVIEWl1NSP OTHER FEES <br /> GRADING FEE I 170TALFEES- <br /> STORM REVIEW <br /> SCHOOL ADMIN FEELESS FEES PAID !1,p_Qp <br /> SCHOOL IMPACT E AMOUNT DUE- $430.95 <br /> THIS PER 9prg AFI F PSD WORK 15 STARTED,OP IF WORK iS SUSPENDED,BEYOND A PERIOD OF 100 DAYS(UBC 106AA) <br /> f 1mar r undor p fr o!perfury the lnlarmaWon him[tied by me iz lore and coMecl rc Hie best of my knowledge and krrther lho(J em nalliorfred by 1110 <br /> otimar <br /> 011 <br /> !Nre a frwemlrvr(o perform The rAwk rbrWjfctm pormfr awkalfon IS monde.!rur'her egos to Jaye harmless Jho City ormativr�sUe as fo any Cahn <br /> O r><7 exPensns,nnrf nNemeys'loos Mciwred in h7vesUgalion,Ind datansa of rurJ)cAahyi)"Irldr may bo mndu by any poraon,fn AA#rrg Ula <br /> urrm-brvp and..wall npa(nsf 11te Cfty of IvawensUe bel nn(y wtwm such c19Jm arJsus our of 91©rallFncc artho.Cily,including Ila officora and employaas, upon <br /> I/)&acux y o of/on o ed fhv Crb'as pert of this appUcallon <br /> IG URE: [] Agent Owner DATE: <br /> r IL-n [7v. ----------- <br /> - DATE: - '7. ?'C'.� <br />