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APPLICATION FOR �QN$TRU�TIQN R�&�WII'lf <br /> �,.�,�,y,��„ � ����«« <br /> �'�,Y�� � <br /> everett <br /> [3UILDING DEPARTMENT <br /> �-7 C �+ 259-8d10 TO 9E COMPLETEp IN INK—P4�ASE PflINT ���. <br /> �i [n DEAtOUTION I I COMBINATIpN xx BUILDING Xx MECHANICAL �fxPLUMBING � � SIGN <br /> �O � x ��vi�u� --- � unaeoo���ss qrr nv Prwr�e � --- <br /> � y � ��tPrt Ii�m�s^ inr_ 937 Rlm St. f:ye7'ptt, WA 98203-1921 206 258-1503 <br /> �LNnryl �LLADOfl65S CIiY SIP PIIONE <br /> y t�-+ <br /> K y � ni�c�uiecr.�,;��umnci� �ti�o0ric5s aTv ziN PIIONE <br /> � H H ouicnu ccwvuc�oq N �DRE�5 CITY I�P PIIONC LiCB1>C� <br /> �y. � Srlort Ilomes rn . 37 F.lm S . �yerett. [JA _ 98203-1921 SL'LECI3I110FN <br /> Q r.•.(GNH�f.uCONifl�ClOfl 1M0.AUDRFSS C11Y .If... PfNryE L�GLNSCI <br /> H t7 <br /> OH <br /> H � � ��iuIAGWGCONtMGIOfl IMLL�ODflkSS CI(Y � ZIP VI�ONE LICCNSCI <br /> �i]V ('] <br /> ~ C1A550f WORN <br /> zH <br /> � �7 z ,�ti NEW 1_I ADDITION I J ALTERATION ❑ RGPAIR ❑ DCMOLITION �� WDODSTOVFJFflPL IN3[RT L1 DUILDINGRELOCATION i <br /> H1� ILN�NIWYqOYEM[NIOqWikiliOlifl[MWELONIY CANi/�CipCfl;ONNlOYIqNENO. <br /> gyH �antrucrrr�kcorwonn: nd Clark 258-1503 OY 396-1320 � <br /> O t57 !n u�snunc wonn nno saunnc rauuce mvav�o � <br /> � "+ r ._rnnctrnrf ainglr� . ' . . II <br /> ��.'�ovoSLo u5[OF BURUING <br /> y � y I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINEO TNIS <br /> �� APPIICAT10N AND NNOW TI1E SAfAE TO BE TRUE AND CORRECT.ALL <br /> �icn�oesfli---t PrwnoFarnorc Y�SIqWNIIELOWOflATf�LHfOUqGOP1E5� PROVISIONSOFLAWSANOOR�INANCESGOVERNIN3THISTYPEOF I <br /> �m �I Z uiotrc op � WOqK WILL BE COMPLETED WITH WHETNER SPEGFIED HEHEIN OR j <br /> �i rlgawn NOL THE GRANTING OF A PERMIT DOES NOT F9�SUME TO GIVE ' <br /> D1V1510ri 1 . AUTHORITY TO VIOLATE OR CANCEL THE PROV�JiO�:� OFl�NY <br /> _ OTHER STATE OR LOCAL LAW RC-GULATING CONSTH..�TION OH TNE <br /> • PERFORMANCE OF CONSTHUCTION.THAT I AM AUTHURIZED OY THE <br /> lj� _11� — i���� �7 CWNEIi OF THIS PflOPERTY TO PERFORM THE WOflK FOR WHiCH <br /> f� APPLICATION IS MAD[ AND I COMPLY WITH TI1E SThTE <br /> CONTRACTORS LAW 10.27 RCW AND 2962UD WAC. <br /> SIG(NID(�EpFGpNTf1AC70HORAl17MOp¢EOAGlN7 MiE <br /> SELfiCT HOMES, INC. <br /> �-i�o:ecr�o��Ess x BY:� l_� +-�� )` 13 �9,o I <br /> . <br /> �)���� , - /��-, i �) ��f. APPIILAHfSCIIYBUSiNE IIGEHSENO/JIDIID5i11L59NpME I <br /> i'�� PLUMBING ' ' MECHANICAL � <br /> NO. TVPE OF FIXTURE Ofi ITEM FEE NO. TVPE OF E�tIIPMENT FEE <br /> � , 3 WATER CLOSET�iOILET) /�� A/C-A/HNDLG IINITS-H.P. � <br /> � , 1 k3ATHTUB �-� ; 1 FORCED AIR SYSTGMS-B.T.II. M E.A. —�-- � <br /> I3 LAVATORY(WASH�ASIN) /�ji UNIT HEATEFlS-�.T.U. M i <br /> � <br /> '=' z SHOWER / , � 1 CLOTHES DRYERS I <br /> 1 KITCHEN SINK 8 DISP .�j; � Q- VENTILATION FAN <br /> 1 D;SHWASM[R 'i � 1 RANGE HOOD <br /> � LAUNDHY TRAY ' �1 �'�'ATER HEATER <br /> _� CLOTNESWASHLR -i� i WOODSTOVL <br /> I �� _ URINAL ' 1 METAL FIREPLAC[8 CHIMNEY '(� � I <br /> DRINHINCa FOUNTAW � FIRFPLACh INSEHT <br /> _ FLOOR DRAIN � HEAT PUMP �— I <br /> �ACKFLOW PREVENTERS ; -4 GAS PIPING <br /> v,�� ROOF DRAINS-RAINLEADGFS EXHAUST FAN <br /> SINK�SERVICE-UAR,ETC.� <br /> — ' � 7i 1� :-'/LC< i,2�i '_ <br /> ,�"+► — <br /> I _ SU[1TOlAL $ -�l ' SUOTOTAL ; �j���� � <br /> PERMIT S PEflM1T s ' <br /> I ��I. TOTAL PEE S TOTAL FEE y --� <br /> � ���artu�wcK ncnnseiuncK s�uksctweK PlN/G1EGIIHUMtll11 rcc ncc�mr <br /> � � c. �.� -,,,;-.� :�� '����.--- G,,�'>� <br /> a[zoN[ �oTu�en vnCenTSqE FEES VALUATION FEE <br /> r - Z� i G '1(.. l I YES ❑ NO ,. . � <br /> UUI401NG �����c�-� � i, ' <br /> irr�amNst.ulowwlt �vr[wcox5�.nclwd ��✓'�++� �uauntuqcwns l> >•) ; ,'( �, <br /> .�� LxuuP <br /> �.� ('.��M1� PlUM01NG <br /> ' <br /> .'E OF ULW. !:O OF SiONIES pASCMLIIf � <br /> �7�57 + MFcnANICAI i I i`� � <br /> : � �•;��. i'� ❑ YC-S Y] NO .(.C. � .� <br /> 6LUPANCYLOAO fIHE5PI1NnlE115HE00 M81GflILIMIIAllp1 OTMER <br /> ���� I 1 YES 'k3 NO � � S1AlEBWlUWG5UHC1WiGE �/ � <br /> n1 Bbo�l fo115PPoNMLEtIs' [f <br /> _�`--4.._�:....... <br /> STATE ENEFIGY SufiGWiG! <br /> ��i'I�IIChIrtW AGC tlY iw.s.nw.�.tour �ITY Of EVEflE� y��y�ry • . - <br /> � � �. IOCAL SAIES ' � <br /> �.� I�- J/✓l TAX COUE lS]105 i0u� <br />