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� � APPLICATIr`N FOR CONSTRUC'' ON PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLFASE PRINT <br /> BASIC PLAN: CEDAR (CITS' NO. /OO ) <br /> BUILDING DEPARTMENT HEATING�YSTEM: �GAS U El i:CTRIC O _____ _ I <br /> 259-8810 � <br /> � I OEMOLITION 4xl COMBINATION ❑ BUILDING L I MEC riANICAL I i PLtYM81NG I i SIGN <br /> UWNEH WGIWDRE55 CITY ZIP pMpNE - <br /> SELECT HOMES� INC. 237 ELM .`�T EVERETT WA 98203 258-1503 <br /> IEWWT WII�ODHE55 GTY 21P PIqNE <br /> ANCMITECTOfiDESKiNEP 4A0.AWRESS CI7Y 21P PHp/E <br /> GENEMLCONTP�CTOR WIL/�WRc55 CITV ZM PNq1E S7�TElILEN5E1 <br /> SELECT HOMES, INC. 237 ELM ST EVERETT WA 98203 258-1503 SELECH1110KN <br /> MECHNlICILLGONIHACTOP IMi�OdiE55 CITY 21P PHONE S7QELICENSE� <br /> FIUMBM6CONTRACTIXi IM0./�OI1qE55 CITV ZIP PIIONE SI�IIIIGLN5F• —'—" <br /> CONTRACT PRiCE OF WOHI( –"--- <br /> 4UU�0 <br /> UESCRBE WORK N!D SOUAflE FOOI�GE INVIX VfD CONfACT PEPSp/�ND PIqNE NO <br /> SFR RANDY CLARK 258-1503 <br /> i HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> 1'NOP05ED USE OF NUhOW6 APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> SFR PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> � LEGALOES�CRIP-T�IO1NOFPf10{'EHTV�5110WNBElOWORATLICHTWOCAPiES) WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �ot—�I— e�ocK a HANABROOK DIV q_ NOT. TME GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> p • AUTHOflITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL UW REGULATING CONSTRUCTION OR THF <br /> � PERF(KiMANCE OF CONSTRUCTION.THAT I AM AUTNORIZED 01'THE <br /> ' OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> YMGEI TM 1.0.NU4BEfl ����� � �� <br /> i C ND 296,200 WAC. <br /> � CONSTRUG710N LOAN IENDER.ADD1iE55.TELEPHONE NUMBER <br /> b : ll—iS"-�3 <br /> � PROJECT A�70ilESS� wrw.uxE � w,�i <br /> nn ws.<ss iccrsE rn <br /> � PLUM&NG YEGiApICAL <br /> . NO. TYPE OF flXTURE OR ITEM FEE NO. TYpE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � NC—MiNDLG UNITS—H.P. <br /> BATHTUB ' FORCED AIR SVSTEMS—B.T.U. M E.A. <br /> LAVATORV�WASH BASIN) � UN17 HEATER5—B.T.U. M <br /> SHOWER � ' CIOTMES ORYERS —� <br /> KITCMEN SINN 8 DISP ; VENTIUTION fAN - <br /> DISHWASHER � � RANGEMOpD ��-'� � <br /> LAUNDRYTRAV � WATER MEATER <br /> CLOTHES WASHER � WOOD STOVE <br /> URINAL � METAL FIqEPUCE(WOOD BURN�NG) <br /> _ DRINKING FOUNTAIN � FIREPLACE INSERT � <br /> FLOOfi DHAIN � HEAT PUMP —�---'- �--- � - � <br /> BACKFLOW PREVENTERS ; GAS PIPING <br /> ROOF DRAINS—RAINLEADERS � E%HAUST FAN <br /> �SINK(SERVICE—BAR,ETC.) � � — <br /> � -- <br /> � --1QIL�_ <br /> , - <br /> , <br /> �� �T <br /> SUBTOTAL t ; SUBIOTAL S <br /> PERMIT S � PERMIT s <br /> TOTALFEE S ' TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> 1'RONTSET&1CK flEM5ET8/�CN SIDESETBACN PIµGHECNNUTAIIEN FEE RECEIPTNO. <br /> O O S / �S <br /> ica IOIANU v�curTsrte FEES VALUIITION FEE <br /> —Z r r6 ❑ �Es o r,o ���� <br /> rvrtacow5t ra ston�[s uccuucr �anawussn � / �(�. <br /> - Z _3 r�uMemc b'�/; <br /> `�RE OF&OG flRE SPNWRlEqS flE0'D BASEMENT MECFIMlICAL �� <br /> I(.`� SFt �� No ❑ YES lB�NO <br /> OLCUPANCYLOAD FIREAtARMNEO'U HEIGMTLWITATqN ADD�T101ULPLANCHECI( <br /> _� �`� e»�a J � /� � <br /> flEASON � <br /> STATE BUILDING SURCHARGE <br /> �nuuceer PIANS�PPRO�YEOBY CITYOFEVEHE7T PUBLICWORKS <br /> ..� p LOCAL SALES — <br /> o.Te � 43 TAl(CODE IS 3105 roTu 72��O <br />