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APPLlCATIOIvi FOR CON$TRUC'�Inl� P�RMIT <br /> ���•«�« <br /> u„�r-.w0,oun . . . � <br /> UIVU! <br /> everett <br /> [3UILDING DEPARTMEN7 TO BE COMPLE'fED IN INK—P��ASE PRIMT <br /> 2�9-8010 <br /> DEMOLITION I I COMBINATION xx BUILDING Y.Y.MECHANICAL XXPLUMBING i ; SIGN <br /> uf.blH MPitAUUlil55 COV ZIP P�qNE <br /> _,�� �� c r z7 F�m S Everett WA 98203-1921 206 25fi-1503 <br /> p�,q�� NMi AUOBL55 CITY ZIP YuONE <br /> id�Gu11LC10f10[SKJ+[N � I ,.U4MUIIL55 C1�7 21P YIIONE <br /> L <br /> yC�r+ <br /> ��� r,(bER/A CONIfl�C10H MAa I�DIICSS GITY IiP P��DNE IiCEl6E� <br /> yy _������-�i��,� � rr,� 2"�7 F�m St. Everett. WA 9f3203-1921 SELECHI110KN <br /> A`.b5 uILrNNiCMC(N�iNeC10R MAL�WIIL55 GIiY ZIP PuOyE LILENSE� <br /> >yy <br /> I�UM�WGCdIINI�C100 MAILADDfI[65 �ITY ZIP YMONE l�Gft1Y� <br /> y ��-+ <br /> � y� �.�.ssawnnK <br /> � H� ' NEW I.I ADDITION I I ALTERATION U REPAIR � DEMOLITION ❑ WOOOSTOV6FRPL INSERT L 1 BUILDING RELOCATION <br /> C/�M ��ryAryl IMYIIOV[MLNI OIIINIEPIDR RFMOD[l pUY GONfAGT pEfI50N AND MIONE NO. <br /> y 2:3 ��nt�uctrn�ceorwonn: and Clark 258-1503 Or 3A8-1320 <br /> ti� Qy� i,cscnroc worix nno souu+[�wt�cE wvavto <br /> __CO <br /> H �g ��uo�v�s[ouscaowwinc � � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED iHIS <br /> �" n • • APPLICATION hND KNOW THE SAME TO BE TRUE AND GORqECT.ALL <br /> ~ PROVISIONS OF LAWS AND ORDINANCES GOVERNING TIII�TYPE OF <br /> '7.' H i.CGALDE� H�PIqNOFPPOPC YISIIOWIiUCIOWOqATTACMFWNCOPIES) <br /> r y z �i � 9 o�ocK p� , . WORK WILL BE COMPLETED WITH WMETHER SPECIFI[D HEREIN OR <br /> NOT. TME GRANTING OF A PERMIT DOES IvOT PRESUME TO GIVE <br /> p yy D1V1S10R 1 . AUTHOflITV TO VIOLATE OR CANCEL THE PflOVISIONS OF ANY <br /> p H OTHER STATE OP LOCAL LAW R@GULATING CGNSTRUGTION OH THE <br /> O t1� /,. .. • � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZEO BV 1HE <br /> 1 7 OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICM <br /> � �Cr-'7 l � ' � ' �, " APPUCATION IS MADE ANU I COMPLY WITH TNE STATE <br /> y 0 y � CONTHACTORS LAW iB27 RCW hND 296.00 WAC. ',, <br /> 5�uiuryEOFeontw�croeon�uinoi�ireo�cin� o�re � <br /> � SELECT HOMES, INC. I <br /> i910d1'1 ADDII[55 <br /> X IIY: -Ytu�e�-, l_Xb�— 3 r 13-'j�--- I <br /> (y1-� 9 ' 1 Sf. O�Z SE ���w+�scnruus�Hes �K�Nsenou�ouusinessr+�� <br /> PLUMBING ' MECHANICAL <br /> 110. TYPE OF FIXTUfiE OR!TEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � ar, <br /> � ' 3 WATER CLOSLT(TOILET) A/C-NHNDLG 11NITS-H.P. <br /> '^� 1 13AiH1 U� 1 FORCED AIH SYSTEMS-B.T.U. M E.A. <br /> 3 LAVATORY(WASH BASIN) UNIT HEATERS-B.T.U. M <br /> .�. 2 SI10W[R � 1 CLOTHES DRYERS <br /> ! � 1 KITCII[N SINK 8 DISP i � 1 VENTILATION FAN <br /> � 1 OISHWASII@R � 1 RANGENOOD <br /> LAUNDRYTRAY 1 WATER NEA7ER <br /> _�_ CLOTHES WASHER i WOODSiOVE <br /> "�' '� URINAL ' 1 MLTAL FIREPLACE 8 CHIMNEY ? ,� _ <br /> ORINKING FOUNTAIN � �� FIflEPLACE INSERT <br /> � � _ PLOOR DNAIN HEAT PUMP <br /> ,e„�� I OACKFLOWF'RLVENTERS -Q GASPIPING <br /> NOOF DRAINS-FiAINLEADERS EXHAUST FA1J <br /> SINK(SERVICE-BAR,ETC.) <br /> f �� � �� <br /> � <br /> � � <br /> .,�I� SUBTUTAL S SUBTOTAL 5 4✓ ' -- <br /> f'ERMIT S PERMIT S <br /> TOTALfEE S ' TOTALFEE 5 �— <br /> •. �r��A�ISIIW.CN IIlMSL10hCN SIDESLIWCN plAry41ECKNU fkE �) fiLCEU'Ilq I <br /> ' 20� Zo• s' - ti ;�/ �,30 i 32 3 ' <br /> �sc zun-c�.�.Y wt N�u v�c��w,/+t s�te FEE$ y�VALUATION FEE I <br /> 6`i�' �Z ���)C�� ln r ES ❑ NO BUi4DING T� .:;.^�-. <br /> ���i UI GUn:t utUw�btt Irir a[uN51 ACIu�L utnawcr W o wrWyc Wlf � l ��_�� <br /> cww <br /> ' ' fL•3 PIUMBING /..�� iOG <br /> =•— <br /> .i!!U ULUG �W Of$IOpILS U�SLMENT i <br /> ��5� Sft MECHANICAL <br /> cz.. St GA Z LI YES 4Q N0 _iv � ✓d <br /> .::�uvenerioeo rmesN��nKio�sneoo ��c�euruunnrwn OTMER <br /> 1 I Y[S 6QN0 2 1� STAIEBUI\ONNiSUNCfWiGE <br /> ,anwNfanSPRrt�elutS _._'_ __'_.ti.. �Sd.. <br /> SutE Enuar sirrc�w� <br /> ,"'""�",��"`°°� """•""•'•`u"� CITY OF EVERETT wwc v�vew — -- ---- .__ <br /> Jt.j- � LOCAISALES � �'`' t <br /> 6 i TA7(COOEIS�105 lcur / ,�, i ,,, � <br /> , <br />