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. � APPLICA':� ��N FOR CONSTRUC"'lC�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE VRINT �� <br /> BASIC PLAN: CEDAR ' CITY NO. �OD� <br /> BUILDING DEPARTMENT HEATING SYSTEM: �GAS Q ELECTHIC O <br /> r � .. <br /> 259-8810 <br /> I 1 [1EA�IOLITION IXI COMBINATION ❑ BUILDING ❑MECHANICAL I 1 PLUMBING I I SIGN <br /> OVME:i IMIL�OOPE55 CITY Ip p110flE <br /> SELECT HOMES, INC. 237 ELM ST EVERETT WA 98203 258-1503 <br /> TEWWT MAILADORESS qry Zp pNp� <br /> AqCINTECTpIDE51GNER GAILADOpESS GTV Tlp p�ql�E <br /> GENEILLLCONTMCT[M MAR�DpqE$$ Clry 2W PIIONE ST�TELICENSE� <br /> SELECT HOMES, INC. 237 ELM ST EVERETT WA 98203 258-1503 SELECH1110KN <br /> NECMMIICK CONiRACTOR MAR ADpqE$$ CITY � ZIP PIfOHE STATE IICENSE� <br /> PLW/BINOCANTMCTdI MI1R�pp11E85 CIIY Zlp ?11p1E S1�7klICMSE• <br /> CONTIUCT P111GE OF W01Yc — <br /> 4���� <br /> DESCR18E NVRI(NIO SOUMiE FOOT�C#INVOLVED Op�T�CT PEq5q1 Nq PIIp1E NO. <br /> SFR RANDY CLARK 258-1503 <br /> I HEREBY CERTIFV THA1 I HAVE READ AND EXAMINED THIS <br /> riavoseo use ac euronc APPLICATION AND KNOW TME SAME TO BE TflUE AND CORRECT.ALL <br /> SFR � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE rv <br /> �eaKoesc�OFPROPEflTY�511pWHBEIpWpq�TTACMIWOCOVES) Wpql(y�ryLL BE COMPLETED WITH WHETHER SPECIFIED HEREIN .�' <br /> �oT g�pGc � HANABROOK DT�/ q� NOt THE GRANTING OF A PERMIT DOES NOT PRESUME TO Glc . <br /> � AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTMER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TNE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY TME <br /> :)YVNER OF TMIS PROPERTY TO PEflFORM THE WORK FOR WHICH <br /> NMCE�7A%��NU4BEp APPLICATION IS MADE AND I COMPLY WITH THE STA?E <br /> ����j �9 ��ND 29620p WAC. <br /> CONSTRUCTqN LOAN LENDER.ADDRESS,TEIEPIqNE NUYBEfl <br /> anaEcr�ooness .,� I �� I S�9 3 <br /> wr[ <br /> GT/MISNEStICFWEW � — <br /> ���0�� �C��� <br /> NO. TYPE OF flI(TUHE OII ITEM FEE N0. TYPE OF EOWPMENT FEE <br /> � WATER CLOSET(TOILET) � N�AMNDL6 UNITS—FI.P. <br /> Z� �THT� ' FOqCED AIR SYSTEMS—B.T.U. M E.A. <br /> �, LAVATORY(WASN BASIN) � UNIT MEATERS—B.T.U. M <br /> � SNOWER � CLOTMESDRVERS � <br /> � KITCHEN SINK 8 DISP - ; VENTIUTION FAN � <br /> , DISMWASHER � q��Epppp r-- <br /> UUNORV TRAV ; WATER MEATER <br /> CLOTHESWASHER � WOOpSTOVE ' <br /> URINAL ' METAL FIqEPLACE(WOOD BURNING) <br /> _ CRWKING FOUNTAIN � FlREPLACE INSERT � � <br /> FLOOR DRAIN � HEAT PUMP <br /> BACKFLOWPREVENTERS ; �p�p��, <br /> qOOF DqAINS—RAINLEADEHS � E%HIIUST FAN <br /> �SINK(SERVICE—BAR,ETQ) ; <br /> � <br /> ' D� <br /> , <br /> � <br /> � <br /> SUB TOTAL S ; SUB TOTnL S O' <br /> PERMIT S � PERMIT f ; <br /> TOTALFEE S ' TOTALFEE S � <br /> FOFi OFFICE USE ONIY: f`' , � � <br /> FlIONT SE�/ pEM$ETB�CI(/ SIOE SE7MCN / (� FEE RECEIPT N0. <br /> Gui' / Dd' <br /> us[2po� LOTAHE� . VN;NRSITE FEES VALUIITON FEE <br /> /�- '� ❑ 1'ES ❑ NO BUILDIN6 �/ 6�/Gi _�._ <br /> IYPFOfCONSf NOOFSTpiIES accuxitl .uw�EUMI/In <br /> —N Z / ��.a�� <br /> 51ZF.OyF BIOG 1�1{1E SPN1N14Efl5 REO'0 BhSEMENT � � MECHMIICAL /�6 �— <br /> /53� S fGAR O U VES C9"NO '7 _ <br /> OCCUPANCY L D FlNE�LARM RE00 MEIGMT LIMITAT ADDITIONAL PUN CMECK �' 'YI ��� <br /> N ,a /�l0 2$�� `�`� <br /> HEesor� OT11EH /i �C�)_ <br /> (/ <br /> STIITE BUILDING SURCHAPGE � � <br /> iNiA1cE BY P�MIS APrnp��er CITY OF EVEREIT pug��yYpqKg 2D� � <br /> �.I LOCAL SALES <br /> o�re �� �� g� TAX CODE IS 9105 mTu � � �_ <br /> v <br />