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^. .. <br /> . � APPLICATI�rN FOR CONSTRUC'r �ON PERMIT <br /> e�ver�•tl <br /> "�E�'B�a�" BASIC: PINE PLAN / O�l' � <br /> CITY OF <br /> everett <br /> BUILDING DEPARTMENT ' <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> DEMOLITION I i COMBINATION I I BUILDING I I MECHANICAL � � PLUMBING SIGN <br /> OWNEfl MAILADDHESS GITY ZIP PMONE <br /> SELECT HOMES�_INC 237 ELM STREET EVERETT, WA 98203 2U6 258-1503 <br /> ❑NMII MAIi.l1U0RE55 CITV 2iP PIqNE <br /> M�Cllil[GIOROESN3Nk11 NALL�UDNE55 GTY ZIP Plk]Nk —'------"'� <br /> C c`T 41+L1 T 1 1 lliC N <br /> i1ENERKGON7MCTOfl UAILADOPESS L�1Y IIP PNd1E uCEN5E1 <br /> _�� '""iOMES INC 237 ELM STREET EVERETT WA 98203 206-258-1503 <br /> U[CHNIiCKCONIflAC10N M�RADIIHESS piV ZIP PMONE IICFN�EI <br /> PWMBMGCONTMCTOfl M�iUDORE55 qTY 21P PHONE IICEN5E1 <br /> CL�SS OF WORI( <br /> { EW CI ADDITION I I ALTERATION I7 REPAIR ❑ DEMOLITION ❑ WOODSTOVEIFRPLINSERT I I BUILDINGRELO(:ATION <br /> I ENN/T YFNOVEMENT OP W TER10R 11EMOOEL p/lY CONT/�CT VEHSON IWO PIIOIIE/q. <br /> corirw�crvnKeovwau�: RANDY CLARK 258-1503 <br /> UESCNIBE WOfllt IV1D SOU�RE FOOT/GE INVOIVED <br /> rons � 1 residenc GARY KLICK 339-0555 <br /> �-i�ovosEouscoFeunoinc I HEREBV CERTIFV THAT I HAVE READ AND EItAMINeD THIS <br /> APPLICATION AND KNOW THE SAME TO BE THUE AND CORRECT.ALL <br /> LEGILLDESCNIPTIONOFPROPERTY�SIK)M/NBELOWOHATfAGHFWRCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHIS7YPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ioi�_ BiocK o� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ,1 ,` p AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS Of� ANY <br /> NRNA D�GI��K , I) � S � 4 OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION ON 7HL= <br /> - PERFORMANCE OF CONSTRUCTION.THA1 I AM AUTHORIZED BV 7H[ <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOH WHICH <br /> APPLICAfION IS MADE AND I COMPLY WITH THE STATF. <br /> CONTRACTORS LAW 1827 RCW AND 296.200 Y;AC. <br /> SqN�TUREOFCONIMCTOROR Ui I l MLLNI 1)�l! <br /> SELECT HO Sr, • <br /> x <br /> i'ROIECT�DORE55 by' — �'� '_��-- - <br /> //D r � A►KILIJITSC VBU ESSLICENSENO�MDOUSiN1]SN�MI <br /> _, <br /> PLUMBING YECHANICAL <br /> NO. TYPE OF FII(TURE OH ITEM FEE !!O. TYPE OF EOUIPMENT FEE <br /> WATER GLOSET(TOILET) � AIC—AMNDLG UNITS—H.P. <br /> _� BATHTUB ' 1 FORCEDAIRSYSTEMS—b.T.U. M E.A. <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M ; <br /> --�— <br /> SMOWER ' 1 CLOTHES DRYERS � <br /> KITCHEN SINK 8 DISP i VENTIUTION FAN ' <br /> DISHWASHER 1 RANGE HOOD �-- <br /> LAUNDRY TRAV ; 1 WATER HEATER _ <br /> CLOTHESWASHER � WOODSTOVE <br /> URINAL ' 1 METAL FIREPLACE 8 CHIMNEY r <br /> DRINKING fOUNTAIN i FIREPUCE INSERT ' <br /> FIOOR DRAIN HEAT PUMP <br /> —�— <br /> BACXFLOW PHEVENTERS ; GAS PIPING <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN <br /> SINK(SERVICE—dAR,ETC.) ; <br /> � <br /> � <br /> � <br /> , ----- ------ -- <br /> � <br /> �— -- <br /> SUBTOTAL S � ; SUBTOTAL f �' <br /> PERMIT S � PERMIT t <br /> TOTALFEE f ' TOTALFEE R <br /> i���IHISLIIM�R IILMISkIWCN SIOESEI&1CIt RANCNFCNNUMBER iEE I�Il:l�1�INU <br /> 20' 20' S � yl�f��y 3� a��< <br /> ��:,i �e2 ime��en vecu�t�se 17 NO �IL�INGFEES VALUATI� FEE <br /> �E �' $ .SSY ' _ <br /> 1�140fCON5I.AllOW+',��. I�PEOFCONSiKIUAI �outr YouowLL���wit <br /> ' PLUMBINCa <br /> �n'S�ocs,� + raarsi�o1n�s OASEMENT ���� MECHANICAL <br /> SG2 3F r+MT [� f_1 YES L7N0 � <br /> GCCUPANCVI AD FIpESPPNItIERS�R�E 'D NE1GMTlM11TATI0N OTMER Ci � <br /> A I I YES ✓NO ZS � <br /> STATE BUILDING SURCHARGE ���' <br /> I�E�SON FOR SPflINNlEHS <br /> STATEENERGYSURCMApGE <br /> A�'PIiCAT10N�CC0Y PldNSAPPpOV[D9Y CITYOFEVERETT �JBLICWORN$ n <br /> J�� LOCAL SIILES <br /> Pj/io 9 s TA)(COOE IS 3105 TOTAL /� ;5 � <br />