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, APRLICATION FOR CQNSTRUCTION PERMIT � <br /> TO BE COMPLETEO IN BLACK INK—PLEASE PRINT <br /> BASIC PLAN: MAPLE (CITY N0. 10 1 ) <br /> HEATING SYSTEM: �GAS O ELECTRIC ❑ <br /> BUILDING DEPARTMENT ,.t.� <br /> 259•8H10 <br /> I ] DEMOLITION Op COMBINATION ❑ BUILDING ❑MECHkN \L ❑PLUMBING t_I SIGN <br /> OWNER YA0.�DOfiESS CITY ' 2M PIqNE <br /> SELECT HOMES, INC. 237 ELM ST EVERETT 98203 258-150: <br /> TENANT M.._.�JOPE55 CITY ZW %qNE <br /> NICMIfECTORDESIGHEN MMIIADDNE55 CIII� � LP ' PIIONE <br /> GENEIIKCONTMCTq1 IMIlI100f1E$$ (',!ry 21P PIIONF STATELICENSEI <br /> SELECT HOMES, INC. 237 ELM ST ENERETT 98203 258-1503 SELECHI110KN <br /> MEGMANICKGOMTMCTdi W1LMqtEFifi C�ry Zp %q11E SUTEIICENSE� <br /> PLUYBMCONTpAC70f1 W1R�pq�E$$ CITV LP %IOIIE STATELICENSE� <br /> CONTMCT PRiCE OF Wowc � . <br /> 40000 <br /> DESCRIBE W01K ANO S WARE FOOTMiE WVOWED CONTACT PE1160N AND PIIOME 1q. <br /> FR � Rand Clark 258-1503 <br /> I/YI I,�I.C�� �" rI� .G1/J/ JOA/f� � HEREBY CERTIFY TIiAT 1 HAVE REA� AND EXAMINED THIS <br /> ' °������ APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> PROVISION:OF LAWS AND ORDINANCES GOVERNIN(3 THIS TYPE OF <br /> LEMLDE6CHIPTqNOFPHOPENTV�SIqWNBELOWORATTAC111YpCOPIEfi) WORK WILL BE COAIPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ior� eiocu a HANABROOR DIV� H �� �NOL THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTMORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> . OTHER STATE OR LOCAL UW REGULATING CONSTRUCTION OR 7HE <br /> _ PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOR¢ED BY THE <br /> OWNER OF TMIS PROPERTV TO PEHFORM THE WORK FOR WHICH <br /> PApCElTNc1.D.IMMABEp APPLICATLIpO{N�g IS M�gA�DE AND I COMPLY WITH TME STATE <br /> C��T H�5�7�CfALAND 296200 WAC. <br /> NC <br /> CONSTNIICTqN�pWIENDER.ADORE5S.1E1EP110NEN1MABEfl " � <br /> PHOJECTADDRESS I-1 Y.�� – <br /> S 7) � r �/�G(/ . w�E ._.. <br /> nrv r�ss icuw�w. <br /> PLUMBING yEp�µ • <br /> NO. TYPE OF FlIfTURE OR ITEN FEE � NO. TYPE OF EOUIPMENT FEE <br /> 3 WATER CL0.SET(TOILEn • � - A�C–AMNDL6 UNIT�H.P. <br /> 2 BATHTUB ' FORCED AIR SYSTEM�B.T.U. M E.A. <br /> 3 LAVATORY(WASH BASIN) ' • , �` UNR HEATERS--9.T.U. M <br /> 1 SMOWER � CLOTMES DRYERS <br /> 1 KITCHEN SINK 6 DISP � i VENTIUTION FAN � <br /> 1 DISMWASHER i q��F F{ppp � '�— <br /> � LAUNDRY TRAY ; WATER Mi:ATER <br /> 1 CLOTHES WASHER � i � • WOOp STWIE ; <br /> �R� ' METAL FIREPLACE(WOOD BURNING) � <br /> DRINKING FOUNTAIN � � - - FIREPLACE II�ISERT ; <br /> FLOOR DiiAIN � ' NEAT PUMP- T— <br /> BACKCLOW PREVENTERS ; 1 (�p�p�, � <br /> ROOF DRAINS–RAINLEADERS � � EXHAUST FAN , <br /> SINK(SERVICE–BAR,ETC.) � , <br /> � ; <br /> � — <br /> � r � <br /> � <br /> _ SUB TOTAL f ; SUB TOTAL S <br /> _ PERMIT { � PERMIT s <br /> _ TOTALFEE S ' TOTALFEE S � <br /> FOR OFFlCE USE ONLY: <br /> FHONTSE761CK REMSET6ILN SIOEBE � IIAMC/ECIIN�lER FEE RECEWIND. <br /> / / <br /> �� a�� v�cwri&re FEE$ VALUAiION fEE <br /> � �Z O YES ❑ Np �p� � <br /> IYI40iCd6I. NO.OFSTONES � iluoPw�uiurlf _— .i_ <br /> PLUTABIPI6 <br /> i <br /> SIZE OF BLOG. FMIE SPRRMlLERS RE00 B/�SEYENT ��µ � <br /> o res o ra ' __ <br /> OGGUPANCYLWD FM1EMAiWqEOD IIEINA�TLWT� MDRION�LPLANCHECN � <br /> pE� `�� OTHER ' <br /> �— <br /> BTAiE BUILONJG SURCINRGE <br /> �r+Tuceer w�s�Hoveoar �ITYOFEVERETT pueucwp�Ks ' <br /> IOCALSALES ' <br /> wie TAl(CODE IS�105 ��► ; <br />