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' � APPLICATI,..�N FOR CONSTRUC.ION PERMIT <br /> ,r�e,.,y.,,, ev— <br /> pN� BASIC: PINE PLAN <br /> everett �� � <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> DEMOLITION I i COMBINATION ❑ BUILDING ❑MECHANICAL I I PLUMBING � SIGN <br /> OWNER MAL�DDRESS ��ry Z�p <br /> P1qNE <br /> SELECT HOMES. INC. 237 ELM STREET, EVERETT, WA 98203 206 258-1503 <br /> i�Hu�i euwwo�ss an na r�E - <br /> i�iC11IlECTOROkSItiNk1: MIIM�WNkS5 CITY IIP —�--.._ . <br /> MqNk <br /> �.'�ENE{NLCONTMLTOfl MA0.�ODflE55 GITY IIP P11011E LILENSE� <br /> SE�GT HOr'FS. INC. 237 ELM STREET, EVERETT WA 98203 206-258-1503 <br /> •.IfGNN11CKGOHtHAC10N WN�ODRF55 CITV 2W ' <br /> P��� IN:LNS!I <br /> YWNBWCCONTRACT011 MAlL�00flE55 ��ry IIP PIqNE IICENSE/ <br /> GLASS OF WqN( <br /> { EW ❑ ADDITION LI ALTERATION ❑ REPAIR ❑ DEAAOl.IT10N ❑ WOODSTOVFJFRPL INSERT I.I BUILDING RELOCATION <br /> IEIUNT IMPROVEMENf OR INTERIOR REMOOEI pILY CON{�T pEpSONµp p�p�1��p. <br /> conriucrrn�oswaa: qp RANDY CLARK 258-1503 <br /> DESLXIBE WqiN N1D$pU�RE FOOTAOE WVOLVED <br /> residenc GARY KLICK 339-0555 <br /> PROPOSEDIl5E0FBU►ONq I HEREBV CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �¢cKoe TIONOiP(iOPERTY�5�qM1BELOWIXiATTACIIFWRCOPIES) PROVISIONSOFUWSANUORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE CqAPLETED WITH WHETHER SPECIFIED HEREIN 6R <br /> �°T �°c�c °F NOT. TME GflANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> '` ^ AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> RNA e K S 'T OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OH THE <br /> PERfORMANCE OF CONSTRUCTION.THAT I AM AUTt1C)RI2ED BV T11E <br /> OYVNER OF THIS PROPERTY TO PERFORM THE WG�RK FOq WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTMCTORS UW 18.27 RCW AND 296200 WAC. <br /> GON�T�M�OFCANTRACt UT I AGENT DAIF <br /> SELEC HO , ��. <br /> x <br /> �•��aecr�n�ness s Q6 b}'• -----_�-L� :9�. _ . <br /> �r►� cirreu ss��censcw�Nonuswrasr�,�.�i <br /> VLUMBNNi YEGIAAMCAL <br /> NO. TYPE OF flXTUXE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) ' i MC—MINDLG UNITS--H.P. <br /> BATHTUB ' FORCED AIR SYSTEMS--B.T.U. M E.A. <br /> �t LAVATORY(WA611 BASIN) � UNIT MEATERS-8.1'.U. M <br /> SMOWER � � ], CLOTMESDRVERS . . <br /> KITCMEN SINK 8 DISP ; VENTIUTION FAN <br /> OISN'NASHER � � 1 RANGE HOOD <br /> UUNDRV TRAV ' 1 WATER HEATER <br /> CLOTHESWASHER i � WOODSTOVE <br /> � URINAL � 1 METAL FIREPLACE 8 CHIMNEY ' <br /> DRINKING FOUNTAIN i FIREPLACE INSERT � <br /> FLOOR DRAIN � HEAT PUMP <br /> BACKFLOW PREVENTERS ; GAS PIPING <br /> ROOF DRAINS—RAINLEADERS � E7(HAUST FAN <br /> SINK(SERVICE—BAR,ETC.) � <br /> _ ' <br /> � — <br /> , �_ <br /> � <br /> � <br /> SUB TOTAL S ; 5U8 TOTAL f /' <br /> PEFMIT S � PERMIT f <br /> TOTAL F�E S ' TOTAL FEE S <br /> iIKN1�iSkTBAG1l IIIAHSkI1NCM SIDESE1611CR pIµCHEGM R FEE Nl(.[I'INU <br /> Lv' 20' S ' �-!/3� 3 � �aa�� <br /> usezone \OT�flE� VhCWlSIiE FEES VALUATION FEE <br /> Iz- 2 it,�ies ❑ rio euiwir�c �408 <br /> irircacoxst.uiow�t trrcacoxsiac�uu am��n wona�cuwu�n :�5�i_ <br /> -i.l � J y 3 I ��BING G�i/ �— <br /> LL, _ <br /> �.itF OF BLOG NtJ.tN SIOHIES BASEMENT MECNANICII� D� . _ <br /> isYo r -r�� 2 LI VES � <br /> oCCUPANLYLOl1D FIRESPRNNLERS�R�E HEqNTLWITQION � ��� ) ��� <br /> I I YES IKNO Z � <br /> STATE BUIIDING SURCHARGE <br /> HEASONFdiSPRttMRENS � <br /> STATEENERGYSURCHARGE <br /> �PPIICATIONACC BY PUNSAPPjiOV�DBY CITY OF EVEREIT PUBLIC WOfiKS /JC� . <br /> J I� LOCALSALES `' <br /> 8 �o q TAX CODE IS 3105 �Tµ ]/l, � <br />