Laserfiche WebLink
r <br /> APPLICATION FOR CON$TRUCTION P�RMIT <br /> :l�r F lulglY4n L'V PI BI l I <br /> LIIYOF � <br /> ��� everett <br /> 6UILDING DEPARTMENT <br /> H p�g.gg�Q TO BE GOMPLETEp�N INK-PLEASE PRINT <br /> ay y � � DEMOLI710N i i COMBINATION xx BUILDING X14 MECHANICAL XXPLUMBING i i SIGN <br /> t'� �Nrv1:N MAII�ODNE55 CItY 21P PIqNE <br /> N � "� <br /> H H �elnrt ��nm�s inn. ��7 Flm St�yyrett WA 9A203-1921 206 258-1503 <br /> �y� Ikn/J�f ` MULMONE55 CIiY IIP p�1pry[ <br /> � �x ` <br /> �y � nuOh`ICJ �ESIGNEFl AUiI��OHE55 CIT1' ZIP %qryE <br /> �O � .I'rv(MLC0111PACIOp IMILAOpf1E55 G17�' ZIP PNONE IIGEN5E1 <br /> O H d _:'elect HomPc Tn �7 lm S v r t WA 98203-1921 SGLECHI110KN <br /> � �� i!LUUHiGKCONIMCIOP MAILADOHC55 CITY 21P PIiO!{E IICENSEI <br /> G]� C] � <br /> �-�j y� i�iuM11M1C CONIR/�CiOli MAII�ODPESS L�Ty TM PIIOryE IICENSE I � <br /> C� <br /> H H unssoFwonn I <br /> g�N � NLW I.I ADDITION I.I ALTERATION ❑ REPAIR ❑ DEMOLITION I_1 WOODSTOVE/FRPL INSERT L 1 BUILDING RELOCATION <br /> ndy ❑.nAHiiMPNOVEMLNIORWILfINNiOCMWHpuY Cp1iACTpEN50NAryDP�%N1EH0. <br /> r,.y <br /> w� ��Mnuavi+�ceofwo���: and Clar::. 258-1503 or 396-1320 I <br /> �,i.:a�me wonnu+o wuu�e roouce wvaven I <br /> HOCyi� <br /> ��i�oinseous�caounumc ' � I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS � <br /> - ' ' APPUCATION AND KNOW THE ShME TO DE TRUE AND CORRECT.ALL i <br /> ��icn�oc mvtwnorrr+orc r�S�wwHE1ElOWonenrGnFWqGOPiES� PROVISIONSOFLAWSANDOflDINANCESGOVEpNINGTHISTYPEOF � <br /> . WORK WILL BE COMPLETED WITH WHETH[R SPECIFIED HEflEIN OR i <br /> �o� o�ocn oF Ri A9awr, NOT. THE GRANTING OP A PERMIT DOES NOT PNESUME TO GWE <br /> D1V15iOf1 1 , AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTHUCTION ON 7HE <br /> � - �/�- PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BY THE <br /> , ; ���, OWNEq OF THIS PROPERTY TO PERFORM TNE WORK FOFi WHICH <br /> � , APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTqACTORS LAW 1827 RCW AND 296200 WAC. I <br /> SN'JN7UHEOFCqtlML10flOP�U1MOpR[OAGINI OME I <br /> SELECT HOMES, INC. I <br /> ���accreuuncss '1 q— 1-� �BY-� C��. 3•�3-9� I <br /> CO y y� — � St VQ S� MPIIC/JIt5C1TYUU5WE5 ICtNSEN0.W00U5M1551UML '� <br /> ' 1 PLUMBING ' ' MECHANICAL � I <br /> ' � NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE I <br /> � 3 WATER CLOS6i(TOILET) � _ A/C—A/HNDLG UNITS—H.P. I <br /> � 1 OA7HTU� S� ; — 1 FORCEOAIRSYSTEMS—B.T.U. M E.A. � � <br /> f 1 j LA\'AIORV�WASHBASIN) $'�— UNITHEATERS—N.LU. M � <br /> '_' 2 _ SHOWER /L� '— 1 CLOTHES DRYERS —'-- I <br /> 1 KI7CHEN SINK 8 DISP (` ;— 1 VENTILATION FAN <br /> '�1 1 OISHWASHER �— 1 RANGE HOOD �— � <br /> LAUNDRYTflAY ��1 WATER HEATEfl <br /> 1 ' _� CLOTHES WASHER •� i� WOOD S70VF � <br /> � <br /> UFiINAL ' 1 METAL FIREPIACE 8 CHIMNEY �_ <br /> � DRINKING FOUNTAIN � � - FIREPLAC[INSEFiT <br /> '-; — FLOOR DRAIN HEAT PUMP — I <br /> DACKFLOWPNEVENTERS —Q GASP�PING <br /> _ fi00F URAINS—RAINLEADERS � EXHAUST FAN - �� <br /> '�' _ SINK�SERVICE—DAq.ETC.� � , — I <br /> 'f = ' ��.�. ,�. �a-.r::_1/� .�,G� —_ <br /> � <br /> � <br /> — __ <br /> '�� SUU TOTAL 5 ;— SUO TOL _ s j�) � �I <br /> �' PERMIT S � PEflM1T S <br /> TOTALFEE S ' TOTALFEG f �— <br /> ii�(N�iSkIWG( qlMS[IOM:It S�DLSEIWLI( p1AlIG11[CNNUY q FEE� C�� iti/C[IPiNp I <br /> ` / ''` / C ��� ( /�� � (� ��� <br /> nczcx+e iaru�u vecnr�rSiiE FEE$ VALUATION FEE <br /> ✓�� �— }(7'YES ❑ NO OUi4DING � u'� , <br /> ��r�aaxs�uiowwic n�caconsi�ctuu ox�.`n waum�wcw�c G7� E�(S _ lS� i� <br /> _ y cxwr ( PLUMUING / i <br /> ' �[;r w.� <br /> .Vf O!U�U(i NO.OF S101Uf5 OhSLMENT <br /> l 757 Sf f M[CNANICnL . <br /> 5 Gqrt 2 ❑ YES J�WO yU _���' <br /> .ccuvu�crioeo vinE,apnrciEasFleoo newrrtuwirerion OTMER <br /> /�( I.i YES p1 NO --� �- <br /> SiAEdWI�WUSUHCIWiGE _ ;��. I <br /> �,insor.vatsri�rtmi[ns ./� . <br /> STATE kl/EW.iv SUHCMNiGk — — ---.. .. _. � .. .- I <br /> „�+�uc����ncc nr w�ws.,:,+.�.coer CITY OF EVEflET� ��r,�yy� . ' <br /> �J f{ 2 . LOCAISAIES >.> •oo I <br /> 6/t 7AX COOE tS]105 tou� l , <br />