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. APPLICATIr'N FOR CONSTRUCT'ON PERMIT �✓� � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BASIC: HOL (City No. Z�' �- ) <br /> BUILDING DEPARTMENT HEA7ING SYSTEM: GAS ❑ELECTRIC (] � _ J <br /> 259-8810 <br /> i DEMOUTION IxxCOMBINATION I I BUILDING I I MECHANICAL i I PLUMBING i � SIGN <br /> -- — ----- <br /> ��wrar� MM/�UW1155 an zn• -- .- _-_ - . .-.- - . . . . . . <br /> PHONL . ... - <br /> SFt.FCm HOMFS INC- 237 ELM ST EVERETT WA 98203 258 1503 <br /> 11 NANI MMl ADUNFtiS CITY IIP P110NE ---'- . . <br /> nNCHiIkCIONULSN:Ntl1 M�IL/�U�VIE55 GITV ZIP P110NE —�—'---- -� . <br /> GfNEflAICONTNrCIOH MMI�DDflESS LITY ZIP a�E SlettllClN;if.� --'� -- -� <br /> SELECT IIOMES, INC. 237 GLM ST EVERETT WA 98203 258-1503 SELECH1110KN <br /> �AI'CIWIIGKCONIHACIUN MAp�UUlihS] GTY 21P YIpNF —..-- "qIM11N:IN::I � ---" <br /> YLUM9WGCq1iR�CTOfl AU0.AUORESS CITY 21P PIIONE S1RIFUCGNSE� <br /> CONTRAC7 PRI..E OF WORK —"- <br /> 40�0� <br /> IlESCqIBE WIXIK�NO SOUAPE FOOT�GE INVO�VEO CONT1ICT PEfl50N�lID PIIONf NO <br /> 258-1503 <br /> I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THiti <br /> �Noros¢ouse oF auunmc APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT nLL <br /> SFR PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE Of <br /> �i:c:anescniPraNaNrwrenrrisuownee�owonetrecHTwocories� WORK WILL BE COMPLETED WITH WH[THER SPECIFIED HEREIN ON <br /> Hanabrook D1V y NOT. THE GRANTING OF A PERMIT DOES NOT PqESUME i0 G�VE <br /> ' I.OI—� INOLN pF _ <br /> � AUTMORITV TO VIOLATE OR CANCEL THE PHOVISIONS OF ANY <br /> � _ OTHER STATE OR LOCqL LAW REGULATING CONSTRUCTION OR TNf <br /> ; PERFOHMANCE OF CONSTRUCTION. THAT 1 AM AUiMOH1Z[D BY THF <br /> � OWNER OF THIS PROPERTY TO PEqFORM THE WORK FOR WHICH <br /> �' �'AHCELTAXID.NUMBEq APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> ' CONTRACTORS UW 1827 RCW AND 296200 WAC. <br /> Select Homes, INc. <br /> f fUNSTRUCTqNLU�NIFNDEfl.ADD{1ESS,TELEPRONEIIUMBEP <br /> PR0.IECT ADURESS ��t ' " -� ��-�-- �'y-�9�� <br /> S�1D [s � __ ,M,� --_-- <br /> rn�eus.�ss�ciwu r.o <br /> PLUMBING YECHANICAL <br /> . NO. TYPE OF fl7ITURE Ofl REM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEfi CL0.SET(TOILET) � NC—NHNDLG UNITS—H.P. <br /> � BATHTUB ' FORCEDAIRSYSTEMS—B.T.U. M E.A <br /> �� LAVATORY(WASH BASIN) i UNIT HEATERS--B.T.U. M —'— <br /> � SHOWEH � CLOTNES DRYERS —�� <br /> i j KITCHEN SINK 8 DISP - ; VENTIUTION FAN <br /> DISHWASHER � HANGE HOOD �� � ' <br /> UUNDRY TRAY ' WATER HEATER -- <br /> CLOTNES WASHER � WOOD STOVE � � � � � <br /> URINAL � METAL FIREPLACE(WOOD BURNING) 3 _ <br /> DHINKING FOUNTAIN � FlHEPUCE INSERT � <br /> FLOOR DHAIN � HEAT PUMP � � � <br /> BACKfLOW PREVENTEFS ; GAS PIPING - � � • <br /> ROOF DFlAIN�RAINLEADERS � E%HAUST FAN <br /> SINK(SERVICE—BAR,ETQ) � — <br /> i <br /> '--- <br /> � - <br /> ' ' -- — <br /> � — — <br /> , — — i— <br /> _ SUB TOTAL S � ; SUB IOTAL $ ( <br /> __ PERMIT f � PEfiMIT f <br /> _ , TOTALFEE f ' TO�AIf-FE E --�� <br /> FOR OFfICE USE ONLY: <br /> INONi$E�; 11[�flSFiB�C; SIDESETB�CI(� PIµCHEG NQUMBER LEE-�� 11fGF.IPINO <br /> - --- -�z-'C- 5 ✓� � '�;'i <br /> �� �'� <br /> "'' r �«�n���n vec,wr srte FEES VALUATION FEE <br /> 'Z SO7 S Gl YES f-1 NO BUILDING � 6 .�J ' `J�� <br /> IYPkpfCON51 NO.OFSTORIES oc�uwn[r rdnpynuYG�lt <br /> '/J �3 PLUMBING <br /> SIIF OF&OG FlO[SPHINKLEB5 pE0'D BASENENt � � <br /> II 3 SSF �o CI YES [�jp MECHANIGIL — �;— <br /> uCCUPu+cY ionu rnu��iu�M Neov HEiGHf la�rtAiqq ADDITIONAL PLAN CHECK <br /> �a � ZB ' OTHER N /y �— <br /> in.esOH .._____ _.—�(/_i— � <br /> STATE BUILDING SURCHAHGE <br /> �N1ANCtlY PUNSAPPIIO EOBY CITYOFEVEREIT PUBLICWORKS <br /> ��' LOCALSALES ;_ <br /> """' / S 93 TA)I COOE IS 3105 rou► ;� <br />