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pPPLIC�1Tlr`N FOR CONSTRUC"'ON PERMIT �✓� <br /> � TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BASIC: HOL (City No. Z•U2• ) <br /> �HEATING SYSTEM; GAS U E�ECTRIG U ______ I <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> I DEMOLITION I�XCOMBINATION I I BUILDING I I MECHANICAL i i PLUMUIkC i � SIGN <br /> uWNEH ......" _—M�0.ADUIUSS C17Y 21P P110N1_— <br /> �`^�^fT HOMFS� INC 237 ELM ST EVERETT WA 98203 258-1503 <br /> iEIUNT MMLADDRE55 CITV 21P PIqNE <br /> �N' MITECTOf10[SIfiNEH MMLI�DDRE55 CITY IIP P110NE <br /> GENERN CON7HI1CTOf1 M�R�ODRESS QfV Z�O P�� 51���`C�N�� <br /> enrcrm �{OMES INC 237 ELb1 ST EVGRETT WA 98203 258-1503 SCLECHI110KN <br /> 1AECMM/1CKCONTPACTOf1 MAIL1100RESS pTY 21P PHOME S7�TElICEN�Et <br /> VLUMBkIGCONTRACTOR WLLADDflE55 CI7Y 21P PNONE SIAIkIICENSE� <br /> I;ONTRACI PIi10E Of MH)RN ' <br /> 40��0 <br /> OESCPIBE M/ORK AND SOUIINE FOOTAGE WVOIVED CON1�C7 PERSON N!0 P110NE NO <br /> 258-1503 __ <br /> � HEREBV CERTIFV THAT I HAVE READ AND El(AMINED THIS <br /> vnaro�o use oF euwoir�c APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl <br /> �p A PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �IGALDESCRIPiKN10FPBOPENTY�SIqWNBELOWIXi�TT�CH7YA7COPIES) WOFiK WILL BE COMF'LETED WITH WMETHER SPECIFIED HEREIN OR <br /> 1�J Hanabrook D1V N NOT. THE GRANTINCa OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior—,.1-7— wocK � ' AUTHORITY TO VIOLATE OR CANCEL THE PROVISiONS OF ANY <br /> � OTHER SUTE OR LOCAL LAW REGUTATING CONSTRUCiION OR TH@ <br /> PERFOHMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BY THF <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORN FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> MARCEL T�%ID.NUA1BEfl CONTRACTORS UW 1827 RCW AND 2%200 WAC. <br /> Selec Ho es, INc. <br /> CONSTRUCTION tONI LFNDEP.ADDRE55.TElEP110NE IIUAIBER <br /> � �L►-93 <br /> PROJECT ADDRESS ,/ °"" <br /> 5 � tT t [meusnEssikcr�sew — <br /> PLUMBING ����� <br /> Np. TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � NC—A/FINDLG UNITS—H.P. <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. `_ <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M � <br /> — — --�-- <br /> SHOWER � � CLOTHESDRVERS __ �_ <br /> j KITCHCN SINK 8 DISP ; VENTILATION FAN ' . <br /> —T-' <br /> 1 DISHWASHER � RANGEHOOD __ _____ <br /> LAUNDRY TRAY ; WATER HEATER _ _ ; <br /> CLOTHES WASHER i WOO�STOVE <br /> URINAL METAL FIREPIACE(WOOD BURNING) _ _3�� <br /> DRINKING FOUNTAIN i FIREPLACE INSERT __ _ _ _ . <br /> � FLOOR ORAIN � MEAT PUMP _ _ _ _ _ <br /> BACKFLOW PfiEVENTERS � GAS PIPING __ _ <br /> ROOF DRAINS—RAINLEADERS � GXHAUST FAN _ <br /> SINK(SERVICE—BAR,ETC.) ; _ <br /> ' -- — <br /> � <br /> • � <br /> SUB TOTAL S ' SUB TOTAL S <br /> PERMIT S � PERMIT $ <br /> � TOTALFEE S ' TOTALFEE $ <br /> FOR OFFICE USE ONLY: <br /> INON15E7B�CM NkAN5k7B/�Clt SIDESE7B/�M. PIARCMEGItNUMBER FEE NEC PINO <br /> �' ' S �/i3 iG' D �aaLe <br /> use LOIAREA v�c isrte FEES VALUATION FEE <br /> -Z //S� �ves n r,o e�auirrc 5��6BG— -�,159'�'�D <br /> IY%qCONSI ��SIUHIf.5 iccurxMh �ntlU�tuNqWii — <br /> � �x� � pLUMBING i <br /> SIZEOFOLOG FlflESPNWNLEN5NE0'0 B�SEAIENT MECHANICAL 9(J ' <br /> � s s F cw I�o n res �o ; — <br /> uCCUPANCYItuU FlN[�UHUNco'o HEIGNTLMIT�ION ADDITIONALPLANCHECK _ r- <br /> �� �� N� -- D • <br /> ,���So„�� —'�J� <br /> STATE BUILOING SURCII�RGE � <br /> iN1AhE tlY PLRNSAI'I'NOVED tlY CITV OF EVERCI I PUBUC WOFKS <br /> J I�' LOCAL SALES � � <br /> ,,,,,F � 3 TA1(CODE IS 3105 T0T11L <br />