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. � . AP�PLICATIr"'TI l�OR �ONB�I�U�:'�`ON PeRMIT �✓� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BASIC: HOL (City No. ?_UZ ) --� <br /> HEATING SYSTEM: GA6 C.1 ELECTRIC U <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> 1 DEMOLITION t�XCOMBINATION I I BUILDING I I MECHANICAL i i PLUMBING i i SIGN <br /> UWNlR MML�WNE55 GITY 21P P110NE <br /> evrFCT HOMF�_TNC 237 ELM ST EVERETT WA 96203 258-1503 <br /> IENNiT M�ILPUDIlE55 CITY IIP P�E <br /> ANCMI7ECTOBUESIGNEf1 M�IlAU0RES5 ��Tr z�N PNONE <br /> �iENENAlLON1NAClOfl MAIIADDNESS pTY ZIP PlqN[ SUILUCLNSC� ���_� <br /> SEIrCT HOMES INC. 237 GLhi S"' GVERETT WA 98203 258-1503 SELECHI110KN _ <br /> I�ICnAN'CKClN11PAC1UH 1MIlADIIRl5S CIfY ZIP YINNt !II�Ik1iCLN51• <br /> VWMBWGCd1TMpOfl M�IL�ODRESS GIiY 2i7 PMONE SlnikIIGIINSE• <br /> �(XiIN�G 1 191H:1.t%VI�NIN <br /> 4�U00 <br /> OESCHIBE VfORN�ND SOtURE FOOI..GE INVIXVEO CONTACT PERSON NID PMONE NO <br /> 258-1503 __ <br /> I HEREBV CERTIFY THAT I HAVE FlEAD AND EXAMINED THtS <br /> �Horoseo use oF euuoinc ' APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALl <br /> SFR PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �lG�L0E5CNIPfWNOFVfl01'FfITY�SHOMMBkLOWOfl�TT/�CHTWOLOPffS) WORK WILL BE COMPLETED WITH WHETHER SPEGFIED HEHEW OH <br /> /- Hanabrook D1V � NOT. THE GRANTING OF A PEflMIT DOES NOT PRESUME 70 GNE <br /> ioi—,.-((l oiocK oF ' AUTHORITV TO VIOLATE OR CANCEL THE PROV�SIONS OF ANY <br /> OTHER STATE OR IOCAI LAW HEGULATING CONSTRUCTION OR THE <br /> PERFOflMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEI TAN 1 U.NUMBEfl CONTRACTORS LAW 1827 RC W AND 296200 WAC. <br /> Sele t omes, INc. <br /> fONSTRULTIONIOI�NIGNDEH.�WRESS.TELEPNONEt1UMBER 'I �� <br /> PROJECTADDRESS ,/ ����� . - <br /> (�r cirv euvrtss iKcrrsc ro <br /> PLUMBING MECMANICAL � <br /> NO. TYPE OF FIXTURE OR REM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEI) � NC—MHNDLG UNITS—H.P. �___ <br /> BATH1�f IB ' FORCEO AIR SYSTEMS—B.T.U. M E.A �___ <br /> LAVATOF'!(WASH BASIN� � UNIT HEATERS—B.LU. M � <br /> —•-- <br /> SHOWER � � CLOTHESDRYERS __ _ <br /> 1 KITGHEN SINKlL UISP i VENTILATION FAN __ __ � <br /> —_,__' ' <br /> 1 DISHWASNER � RANGEHOOD ______1_. <br /> I.AUNDRV TRAV ; WATER HEATER _ _ , _ � _ <br /> _� CLOTMES WASMER i WOOD STOVE � � <br /> UHINAL ' ( MEUL FIREPLACE(WOOD BURNING) _ 3(Z`___ <br /> DRINKING FOUNTAIN i FIREPIACE INSERT _ ___ __ _ ___ � <br /> FLOOR DHAIN � HEAT PUMP ____ _ __ <br /> BACKFLOW PREYENTEflS ; GAS PIPING <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN <br /> _ <br /> SINK(SERVICE—BAR,ETC.) ; <br /> � <br /> . � <br /> � <br /> � <br /> SUB TOTAI S �� � SUB TOTAL S _ <br /> PERMIT S PERMIT E <br /> TOTAI.FEE S ' TOTAL FEE f <br /> FOR OFFICE USE ONLY: <br /> �IIONI Sk1pACN IILIJ15C11NCM 5i0E SElOAGN PUNCHECNNUMOkfl FEE i���C4'1 NO��^ <br /> 20 ' 20 ' s ' ;z,�'3 � 7 ,/��;.,. <br /> us[ione iot nne� v�cu+ysrte FEES VALUATION FEE <br /> a -z 5�5� IN�YES ❑ No euaomc $��GgG _—_J�_L;�iO <br /> IYP[01[UNSI ��SlOfll[S �[curvxt� MO q DMI�uiGUWIt -- <br /> ��''"p1° ( PLUMBING __ _._L�:__ <br /> -���J---- ---1— — •3 <br /> 'i![UPBLDG IInlSP111Wl1Efl511E0'D B�SENEN7 � MECHANICAL <br /> 'J J 33 SF t4 0 ❑ vEs 6'NO <br /> cecUPu�cY wo FiNE euwwla�REOn nE�cMi LwlTelaN �DDITIOtUL PLAN CHECK � <br /> _�J� /�� _ Z�, OTMER �N D � <br /> i�cnson — ,/ � <br /> SiATE BULLDMM.SURCHARGE _� "�D <br /> iriii,Kcuv RANSAYPNOVEUBY CITYOFEYENETT w�e��cwoAKs 20 � � <br /> J � LOCAL SALES <br /> wae �n Z e�3 TAX CODE IS 3105 *aTw — <br />