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. APPLICATt"�N FOR CONSTRUC"lON PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PIEASE PRINT <br /> BASIC PLAN: CEDAR (CITY NO. �OO ) � <br /> HEATING SYSTEM: �GAS O ELECTRIC U— <br /> BUILDING DEPAF:1 MENT � <br /> 259-8810 <br /> i I DEMOUTION IXI COMBINATION ❑ BUILDING ❑MECHANICAL I I PLUMBING I i SIGN <br /> �IKNER MAR/�DDRE55 CITY Z�P PtqNE <br /> SELECT HOMES INC. 237 ELM ST EVERETT WA 98203 258-1503 <br /> iEIWIT WILADONESS GTY 21P PNONE <br /> NHCHIiELTOfIDE51GNFN �Uw�WRE55 :IiY 21P PlIONE <br /> f.ENEfULCONTMCIOR AUIL�UDRESS CITY ZIP PIIONE SI�IELICENSC� --"' <br /> SELECT HOMES, INC. 237 ELM ST EVEItETT WA 98203 258-1503 SELECHI110KN <br /> MEGHNIICKCONiflACTOIi WLAD�REu CITY ZIP P11p1E ST�TEIIGENSE� <br /> PLUAIBINGCONTP�C70R MAKIIDORE55 CITY ZIP PIIONE SI�p11(:INSI � --� '�� � <br /> [ONIRACT PPICE OF WOHIt <br /> 40000 <br /> OESGRIBE WOMc�WO SOU�RE FOOI�GG IM�OIVED CqNUCT PERSON�NO VHp1E NO <br /> SFR RANDY CLARK 258-1503 <br /> I HEREBV CERTIFY THAT I HAVL' READ AND EXAMINED THIS <br /> PROPOSED IlSE OF BUKOWC APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> SFR PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �EGALDES�CNpIPTIONOFPHOPEPTY�SHOWNBElOW04ATiACMTWOCOPIES� WORK WILL BE COMPLETED WITH WHEIHER SPECIFIED HEREIN OR <br /> �oT—�— eiaK � HANABROOK DIV q _ NOT. THE GRANTING OF A PERMI7 DOES NOT PRESUME TO GIVE <br /> AUTHOHITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTNEfl STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTHUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITFI THE STATE <br /> VARCEI TN{LU.NUMBEfl (�`Q�Jj(��`70{�$� �Z] ND 296.200 WAC. <br /> SEI,ECT H <br /> GONSTHULTqN IONI LENOEN.ADOfIESS,TELEPHONE NUMBER <br /> b _r�zl ~93 <br /> PROJECT ADDRESS �°w'�'"'E u+n <br /> T ✓ �,,.w��s�kF�� <br /> PLUMBING ����� <br /> NO. TYPE OF FIX7URE OR REM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � NC—AMNDLG UNITS—H.P. ___._ _ <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. _�_ _ <br /> LAVATORV(WASH BASIN) � UNIT HEATERS--B.T.U. M � <br /> --�-- <br /> SMOW[R � CLOTHES DRYERS __ __ <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN � <br /> T_.__ <br /> DISHWASHER � RANGE HOOD _____ ._ � <br /> LAUNORYTRAV ; WATER MEATER _�___._ <br /> CLOTHES WASHER � WOOD STOVE <br /> URINAL ' METAL FIREP!ACE(WOOD BURNINGI _ �� _ <br /> ORINKING FOUNTAIN i FIREPUCE INSERT __, � . <br /> _._.'___ _.�. <br /> fLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS � GAS PIPING <br /> ROOF DRAINS—RAINLEADERS � -EXHAUST FAN _ <br /> SINN(SF.RVICE—BAfl,ETC.1 ; � <br /> � <br /> ' — -- <br /> i n ��) : <br /> � <br /> SUB TOTAL S � SUB TOTAI t <br /> PERMIT E � PERMIT 3 <br /> � TOTAL FEE S ' TOTAL Ff:E S —�— <br /> FOR OfFICE USE ONLY: <br /> INON75E7tlAGN HIIJ1SLItl�C1( SIOESETB�CN PlAMC1ELItNUMtlEfl fEC 1141;1i{'IN() <br /> 20' 20 ' S ' /5'�� 3r qaaCo <br /> nv tor� iot�uu wc_�w�rte FEES VALUATION FEE <br /> .�L Cf YES ❑ NO BUILDMIG �JZ � SC.� _� <br /> IYP!IX CM51 NO OF SiORiES ¢Nru[� �q a oMFuiuYn �—'- <br /> �—�J — `"�3 r�u►�eiric �',� <br /> SIZE OF tlLUGs� I�IPC SPHIN�LLEflS flE0'D 9/�SEMENT / � <br /> �� fl YES � MECFUWIC�L <br /> 5� GArt U —1-- <br /> OLCUPAHCY LOA� fIHE AI�NM NG00 HEqMi LIMITATION ADDITIONAL PUN CHECN — <br /> ���� � � � � D ; <br /> ,-- <br /> STATG BUIIDING SUHCH�RGE <br /> M1N(EBY PUNSAPPROVEDBY CITVOFEVEflETT PUBUCWORKS � � <br /> J�� LOCAL SALES <br /> o.TE�/�o yg TAX CODE IS 3105 TOTIIL �� ;J <br />