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. . APPLICAT�N FOR CONSTRUC . ION PERMIT �� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> BASIC PLAN: CEDAR (CITY NO. ��� 1 <br /> BUILDING DEPARTMENT HEATING SYSTEM: �GAS Cl ELECTRIC l.)_ —_— I <br /> 259•8810 <br /> I DEMOLITION IXI COMBINATION 1-1 BUILDING I I MECHANICAL i i PLUMBING i i SIGN <br /> UWNER MAILADDRESS CITY IIP P110NE <br /> SELECT HOMES, INC. 237 ELM ST EVERETT WA 98203 258-1503 <br /> IEN�VII MAILADDRE55 GTY ZIP P110NE <br /> ANLNITEGTqiDL51GNE11 IA4N�DDRESS Gr z�P PNONE <br /> f.ENEMLCONTRM:IOR IS\14Wf1ESS GTV 2W P110HE SI�iELK:ENSE� <br /> SELECT HOMES , �_NC. 237 ELM ST EVERETT WA 96203 258-1503 SELECHI110KN <br /> MCCNNIICKCONIfUCTOR IAMI�DORE$S GITY ZIP P110NE `:IAILIiCFNSL� <br /> IYUMOMGCONTfl�L70H IM0.�WBESS GITY 2W PIKN�L --•.In11 �x.IN:n � --... . � <br /> CONIfUCT PNIGE OF WOR1t '"_—"._ <br /> 40000 _. _ <br /> ��t>ca�et wa�n..wi sw�nr�ouuct iHvavio CONT�LT PEPSd1 ANO P1qpE NO <br /> SFR RANDY CLARK 258-1503 <br /> I HEREBY CERTIFV THAT I HAVE REAO ANU El(AMINED THIS <br /> riwrosen use a�uwwwu APPLICATION AND KNOW TME SAME TO BE TFUE AND CORRECT.ALL <br /> SFR PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS TYPE OF <br /> IEGN.0E5CYWf10NOfPHOPERTY�SIqWNBEIOWOflATT/iCMiWOCAPIES) WORK WILL BE COMPLETEO WITH WHETHER SPECIFIEO HEREIN OR <br /> ��T�J� �� � HANA�ROOK DIV �I_ �T. TME GRANTING OP A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTMER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE Of CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM TNE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLV WITH THE STATE <br /> �•�RCE�liVc I D MIMBEN Cp�ip��ip LAM �g 27 e�y�pND 296200 WAC. <br /> 5 LE T ONll S�� IN(:.� <br /> CONSTNUCTION LWM IEN�EH,IIDOHESS,TEtEPHONE NUMBFR <br /> b : /a �l�t3 <br /> PROJECT ADDIiESS w"""^E ' °"" <br /> ssLl Isr- Dr Gt� � ������s,�,�� - <br /> p��ygyM NECNANICIIL <br /> NO. TVPE OF FIXTURE OR ITEM fEE NO. TrPE OF EWNPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—AMNDLG UNITS—H.P. <br /> BATHTUB ' FORCED AIR SYSTEMS—B.TU. M E.A. —��— � <br /> 1— <br /> UVATOqY(WASH BASIN) � UNIT HEATERS—B.T.U. M ; <br /> ---- ----.,.._... <br /> SHOWER ' CLOTMES DRYEHS � <br /> � KITCHEN SINK 8 DISP ; VENTILA?ION FAN <br /> ---- —_....__ _ • _. <br /> —'—i — . <br /> DISHWASHER � HANGE HOOD <br /> LAUNORYTRAY ; WATER MEATER . ; <br /> CLOTH[5 WASHER � WOOD STOVE <br /> URINAL ' METAL FIREPLACE(WOOD BUFiNING� J�_ <br /> DRINKING FOUNTAIN � FIREPUCE INSEFT ; <br /> — — --r--- <br /> FLOOR DRAIN � HEAT PUMP _ _ <br /> BACKFLOW PREVENTERS ; GAS PIPING <br /> `— <br /> HOOf DRAINS—HAINLFAUERS � E%HAUST FAN _ <br /> � SINK(SEFVICE—BAfl,eTC.) � <br /> _ <br /> � <br /> � <br /> � <br /> � <br /> SUB TOTAL f ; SUB TOTAL S <br /> PERMIT S � PERMIT 1 <br /> TOTALFEE S ' TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> �NONiSETBhCN N[ARSEIBpCN SIDESETB/iCK PlANC11ECKl1^lN�ABEN fEE .� HECEWifq , . <br /> ' o� 2D � S� �d �, "�� r,�s�l^ <br /> i�yzorE �o�uu� V�CANI511E FEES VALU�TION FEE <br /> .2 p i�res ❑ rio sui�owc 381 <br /> �rP[Of COMSI Iq.Of S70RIE� iuwwc� �o a owullcur�s ____ <br /> �_� ' I PLUA{BNIC <br /> SRE Of Bl �3 FYiE SPHW1tlEfl5 flEOD B�SE4FNT � �C��� <br /> IK�fs� A� �,10 I I YES fR�NO -- ---�`--- <br /> •,,��up�wcy�p�,p f WE NI11W NEO'O ��7�rYuiqM �DqilONl1L PLMICNECK ' <br /> p. 2a� on�a J� /Oi <br /> ,E,s«� <br /> SThTE BIMIDINC SURCIMRGE � � <br /> ��i�uceer �u��ww�vEunr CITrOFEYERETi weucwoacs ' — <br /> IOCAC SAIEE <br /> a� ;j��93 uxcooe�s�� ,�.� 7/ 7 ��- <br />