Laserfiche WebLink
- - � APPLICATI'"1�1 FOR CONSTRUC'"ON PERMIY �✓� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BASIC: HOL (City No. ?-02- ) <br /> - -- I <br /> BUILDING DEPARTMENT HEATING SYSTEM: GAS O ELECTRIC U _____ _ __ <br /> 259-8810 <br /> I DEMOLITION I,.�XCOMBINATION I I BUILDING I I MECHANICAL I i PLUMBING i � SIGN <br /> UWNIN MRIL�OUNf.55 CITY 21P PMONE —_�-'--"— _—_"'���"-"� <br /> SF.T••T:CT HOMF.S, INC. 237 ELM ST EVERETT. WA 98203 258-1503 <br /> IENRNT WILADDPESS CITY 21P Pl1pNE <br /> AHCHITEGT Ofl DESIGNEA M�IL ADDRES$ CITV ZIP PNONE <br /> 4ENEMlCONTPACTOR AU0.�DDRESS CITY 2W P110NE S7RELICENSE• <br /> SELECT HOMES, INC. 237 EL61 ST EVERETT, WP 98203 258-1503 SELECHI110KN <br /> IAF.CMNIIGLL Gp11RACTOH 4An/�DDRESS CITY 21P P1qNE StAIE LICENSE 1 <br /> VLUMBWG LONTMCTOfl IMY ADDNE55 CITV ZIP PHONE S7A7F uCENSE� <br /> GONiH�CI PII�CE(8'WUfiN <br /> 40000 <br /> �ESGPIBE WOfiN ANO SWIJiE fOOT�GE INVOIVED CONTACT PERSON AND P110NE NO <br /> dy 258-1503 __ _ <br /> I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> r•norosEo use a eu►ow+c ' APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. A1 I. <br /> SFR PROVISIONS Of LAWS AND ORDINANCES GOVERNI�u THIS TYP6 OF <br /> il'G�LOESCflIPfKH/0FYN0YENTY�SNOWNBELOWDR�TT�GHTWOCOPIES� WORKWILLBECOMPLETEDWITHWHETHERSPEpFIEDHEREINOR <br /> Hanabrook Div N NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> i°i—� — Bi°�K °F - AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPEflTV TO PERFORM THE WORK FOR WHICN <br /> YARCEITA%IU.NUMBER APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACT S W 1827 RCW AND 296.200 WAC. <br /> Sele mes, INc. <br /> f ONSTflUCTION lWN IENDEH.ADUHESS.TELEPlIONE NUMBFR <br /> / � <br /> PNOJECT ADDRESS • �+�f <br /> �St tm eus�rtss icrns[ro � <br /> PIUMBING MECf1ANICAL <br /> NO. TYPE OF fl%TURE OR ITEIA FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � NC-NHNDLG UNITS-H.P. <br /> BATHTUB ' FORCED AIR SYSTEMS-B.T.U. M E.A. i_ <br /> LAVATORY(WASH BASIN) � UNIT HEATER�B.LU. M <br /> SHOWER ' � CLOTNES DRYERS <br /> 1 KITCHEN SINK 8 OIS� � ; VENTILATION FAN ' <br /> DISHWASHER � RANGE HOOD -� <br /> UUNDHY TRAY ; WATER HEATEH __ ___ _ _ _ _ ��. <br /> CLOTMES WASHER � WOOD STOVE <br /> ; URINAL ' METAL FIREPLACE(WOOD BURNING) 3O� <br /> DRINKMG F(HINIAIN � FIREPUCE INSEHT <br /> '._ _._._ ._._.___-- __—. ; <br /> FLWN UIiAIN � NEAT PUMP <br /> . BACKFLOW AREVENTERS ; GAS PIPING � � <br /> ' ROOF ORAINS-RAINLEADERS � EXMAUST FAN � <br /> SINK(SERVICE-BAR.ETC.) � � <br /> _ '— - <br /> � <br /> � ' <br /> ' - � <br /> � <br /> � <br /> SUB TOTAL S � ; SUB TOTAL f <br /> PERMIT = � PEHMIT S <br /> TOTALFEE S ' TOTALFEE y —�- <br /> FOR OFFICE USE ONLY: �� <br /> 1fiONI5E76�CN Hk�HSETOAf.N S'AESETB�CI( PIANCHE NNUMBER FEE HEL[IpTNO � <br /> � 1 �Q � 5 1 � a 1 ��l ���j.�,:7 <br /> osE zowe l0T APCEA VACNIJ�iie FEES VALUATION FEE <br /> 2 ✓v�`� ��" "-S n � BUILDING <br /> 54 666 `� <br /> IYPk Of CpISi NO OF STOPo[5 a¢uwMtt lo n prfuwG141t L 1� <br /> _ _ ` PLUMBING /�� <br /> t <br /> S12E BL FINE SPNINKlEPS flE09 BASEMENT <br /> (�3� 3 + Ll YES �� MECMANICAL � � <br /> 4 S 4Aa �ll� <br /> OCCU'�V'GYLOAO FIHEAI�HMBEOD MEMaMTLWITATION ADDITIJN�IPIANCHECK <br /> 0 26 ' �,�- .mN /d � - <br /> uLAfiUN — —__�- <br /> STATE BUILDING SURCYMpGE L !')(/ <br /> mllutEBY RAKSMP110VEDBY CITY OF EYEflETT PUBLIC WOfiKS n � <br /> J � IOCALSALES � <br /> INIF I��j1��3 TA)(CODE IS 3a05 iora► ,L�7;��J <br />