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APPLICATI'7N FOR CONSTRUC ION PERMIT <br /> TO BE COMPLETEO IN BLACK INK—PLEASE ppO�IT � <br /> SASIC PLAN: CEDAR (CITY NO. /OO ) <br /> BUILDING DEPARTMENT HEATING SYSTEM: �� U ELECTRIC lJ I <br /> 259-8810 <br /> i 1 DEMOLITION y�l COMBINATION 17 BUILDINp I-I MECHANICAL <br /> UWNEH �„��,�Eu I I PLUMBING I I SIGN <br /> CITV Zp PHd/E <br /> S�LECT HOMES INC. 237 ELM ST EVERETT WA 98203 258-1503 <br /> IEWWT Wil�pp{1E55 � <br /> GTY z�p �E <br /> AHCMITECTORpE51RNEp WLLApORE55 <br /> cm Zw �a� <br /> GENERKCp�TqACTpp y��pp�E� <br /> SELECT HOMES. INC. 237 ELM ST EVERETT WA 98203 258-1503 � sureir,�r�� - <br /> Mecwwrxconrruciai �,�� SELECHI110KN <br /> an Zp � <br /> ST�TE IiCENSE■ <br /> VLUMBINOCQNTMCT(�q W4LADDIIESS CITY <br /> =p P�qNE SI�IL lKFNS!� <br /> CONTMCT VR1LE OF WJfY( <br /> 40000 — <br /> UESCHIBE WpRN Altl$p��{�FppT�C{Nryp�VED <br /> OONTACT PEPSON N1D PNOpE NO <br /> SFR RANDY CLARK 258-1503 <br /> nnoroseou^�oFeurowc 1 HEREBV CERTIFY THAT I HAVE READ AND E%AMINEO THIS <br /> SF R APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECi.ALL <br /> tEWL]ESCryp�qrypFpRppEqTY PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THiS TVPE OF <br /> � � ��������n�M�O�°�5j WORK WILL BE COMpIETED WITH WHETHER SPECIFIED HEREIN OR <br /> ioT—"�=_ �� ov BSNBBROOK DIV q_ NOT. THE GRANTING OF A PERMIT DOES NO7 PRESUME 70 GIVE <br /> AUTNORITY TO VIOLATE OR CANCEL THE PqOVIS10NS OF ANY <br /> OTHER STATE OR LOCAL UW REGULATING CONSTRUCTION OR THE <br /> . PERFORMI�I�ICE OF CONSTqUCTION.THAT I AM AUTHORIZED BY THE � <br /> OWNER OF TMIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> '�, ""�t7������p APPUCATION IS MADE AND I COMPIV WITH THE STATE <br /> �. GONSTRUCTqNIQW IENDER.ADDpESS.TclEP110NE NUW9ER �+��� �����ND 2g5.2pp WAC. <br /> � PROJECTADDHESS ✓ b t � —R_Tj <br /> ��. PL11110�T� � � �,u� <br /> wn <br /> GT'�119Nf SS�ICEM9E�q <br /> �• TYPE OF flXTURE OR ITEM ���AL <br /> WATER CLOSET(TOILET) . � �' T���E��MENT <br /> , FEE <br /> BATHTUB �-A�HN�LG UNITS-H.P. <br /> ��� UVATORY(WASH BASIN) � FOfiCED AIR SYSTEMS-B.LU. M E.A. �- <br /> SHOWER ' UNITMEATER�-B.T.U. M <br /> KITCHEN SINK 8 DISP - , ���THES DRVERS ---- � <br /> DISHWASHER . ' VENTtLAT10N FAN — - <br /> LAUNDHYTRAY � HANGEHOpp --� -� <br /> CLOTHES WASHER ' WATEq HEATER � - � � <br /> UflINAL ' WOOD STOvE - . <br /> DRINKING FOUNTAIN �_ METAL FIREPUCE(WOOD BURNING� <br /> p��p��A�N � FIREPUCE INSERT -- <br /> BACKFLOW pqEVENTEflS � MEAT PUMP - ---� --- <br /> ROOF ORAINS-RAINLEADERS ' GAS PIPING <br /> SINIC(SERVICE-BAR,ETC.) � EXHAUST FAN -- — <br /> � _ <br /> � <br /> � <br /> � <br /> � <br /> � <br /> � <br /> SUB TO7AL : � <br /> PERMIT : � SUB TOTAL s <br /> TOTALFEE S 1 PERMIT s <br /> � <br /> FOR OFfICE USE ONLY: TOTA�FEE f <br /> IRp/TSE'^BACK' flEM5ET6�CN' ' PlANC11EG(NUNBEN FEE <br /> Gsr 51DESETB/iCK <br /> (•V r�� • S > J HECEIPT/q _/ <br /> „� �� ,�„N.�� �,�,���s�,E —��� 3� �� ,-i <br /> -Z 992 L�'fYES � �,p FEES VALUATION � FEE <br /> irrfacaar raasron�s ��0� 2 38 (� <br /> UfcuvMcr �D a ulYFui�wlf �O/ ._" <br /> . �—� � , ���a <br /> 'IIEOFBLp� fINESPqWI0.EqSp(pp <br /> IH^I SP'f' �1SEMENT <br /> na A/U ❑ ves �iao '''ec"""�c'`� <br /> JCCII�MNCYlOAD FIflEK�RMREOD HEIGMiIWi�T10N ADDIT�ON�LPUNCHECK -- <br /> ,E�sa, N� �$� orn�A — <br /> SiATE&11lDING SUqCHARGE ��` <br /> rvUeE BY %MPpO,yED BY CITY OF EVEpE1T �J <br /> J � LOCAL SALES ���5 <br /> aiE TAX CODE IS 3105 Tm�► � ' <br /> O 12 93 <br /> 7 :J� <br />