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� � APPLICAT.'lN FOR CONSfRUE�'ION PERMIT � <br /> TO BE COMPLETED IN i .�CK INK—�PLEASL PRINT <br /> . CITY OF EVEhETT BASIC NUMBER: <br /> n n <br /> HEATING SYSTEM: ❑GAS O ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION �i2 BUILDING ❑MECHANICAL ❑PLUMBING ❑ SIGN <br /> OWNEfl ����DRESS ��r �P P�E <br /> SELECT HOMES, INC. 237 ELM ST. � EVERET^� WA 98203-1921 (206) 258-1503 <br /> TENANT IMILADURE55 LITY 21P PHONE <br /> �RCHITECTORDESIGNEH M�ILMDRE55 CITV ZIP P110NE <br /> GENER/�LCONTRACTON M�ILADDflE55 Cltt ZIP VHONE Si�TEIICENSE� <br /> SELECT HOMES INC 237 ELM ST EVERETZ� WA 98203-1921 258—� 503 SBLGHT110KN _ <br /> MEGWWIGILCONTR�CTOfl MARFDDNESS CITV ZW PHONE STATELICENSE� <br /> PLUMBWGCONTMCTOR 1M0.MDRE55 CITY ZIP PHONE STATELICENSE� <br /> CONTiiACT PRICE OF WORN <br /> 400�0 <br /> OESCRIBE WORK M!U SOU�RE FOOTAGE INVOLVED fANU�CT PEfl50N NID PlIONE N0. <br /> CONSTRUCT SINGLE FAMILY RES1ilENCE • <br /> . — <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSE!�USE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> SINGLE FAMILY DWELLING PROVISIONS Of'LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �o,up¢scnip wr�oFrHoreArrlsHovmye�owon�n�cMTwocories� , WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PHESL:ME TO GIVE <br /> �or eiocK � AUTHORITY TO VIOLATE OR CANCEL THE PHOVISIONS OF ANY <br /> HANABROOK, DIVISION 4 OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OF THE <br /> � � ' PERFORMANCE OF GONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> ' OWNER OF THIS PROPEHTV TO PERfORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PAHCEL TA%I.D.NUMBER CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> , S�LECT HO � INC. <br /> �pKSTpUGTION�pAN LENDEH,/�DDflESS.TEIEPMONE NUMBER <br /> SEATTLE MORTGAGE� SEATTLE� WA Yi �1 ��4•� <br /> PRQIECT ADDRESS y�)� r �°"'��"" o��E <br /> � -� CIfYBUSWE89lKEN5EN0 <br /> PLUMBINIi � MECHANICAI <br /> Np, TYPE OF Fll(TURE OR fiEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 3 WATER CLOSET(TOILET) � Al�NHNDLG UNITS—H.P. <br /> 1 BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> UVATORY(WASH BASIN) �- �� � � UNIT HEATF_RS—B.LU. M � <br /> �T <br /> 1 SHOWER ' ' CLOTHES�RVERS <br /> KITCHEN SINK 6 DISP � � VENTIUTION FAN ' <br /> T <br /> � DISHWASHER � flANGE Ii00D <br /> LAUNDRYTRAY � ' ;� � � WATEfl HEATER <br /> CLOTHESWASHER � WOODSTOVE �_ <br /> URINAL ' METAL FIREPLACE(WOOD BUHNING) ; <br /> DRINKING FOUNTAIN � FIREPLACE INSERT �_ <br /> FLOOR DRAIN y' HEAT PUMP ' <br /> &1CKFLOW PREVENTERS i .� GAS PIPING <br /> � ROOF DRAINS—RAINLEADERS � EXHAUST FAN � <br /> �SINK(SEFlVICE—BAR,ETC.) � � <br /> � � <br /> � � <br /> _ , <br /> � . <br /> i <br /> SUBTOTAL E � SUBTOTAL f <br /> PERMIT S � PERMIT E <br /> TOTAL FEE E - ' TOTAL FEE $ <br /> FOR OFFICE USE ONLY: <br /> Fi10NTSETBACI( fiFAASETBACK SIDESE76�1C1( WANCMFCKiiJIBEfl FEE NECEIPTNO. <br /> �IcaU <br /> us�ZprE ioT�en v�cu+is�iE FEES VALUATION FEE <br /> _ Z Z CF VES o rx� 8,,,�p,r,� ( Z 3 Z � �50 <br /> irct a caxST. no.oF sroaiEs orcu�wcr w.a u�wrcuxn � � <br /> —I`� ' PLUMB�NG � l.0 <br /> I S�l Z 5 f 'Y FIRE SPflINKLERS PE09 Bti^+EMENT MECFUNICAL D � <br /> � s U ❑ YES P9 NO � <br /> � OCGUINICY IOAD FN'E MARM fiEO'D HEIGMT LIIAITATION �aT10NAL PUN CHECK i <br /> o Lb omEA �� <br /> �«, <br /> STATE BUILDIIMa SUflC1MRGE r <br /> MAI(EBY PlANSAPPROVEDBY CITYOFEVEBETT PUBLICWO{iK5 cN w <br /> u,ae J� 3 TAX COQ S 3105 ��► 7.3� 'UD <br />