Laserfiche WebLink
. . ,_ <br /> APPLICATI�rrd FOR CaNSTRUCI �ON PERMIT <br /> r"`�E"ifQfBO BASIC: PINE PLAN everett <br /> �, ,.�� , e <br /> everett <br /> BUILDING DEPARTMENT <br /> p5g.gg�p / TO BE COMPLETED IN INK•—PLEASE PRINT <br /> DEMOLITION It�f COiiABINATION C�BUILDING CLII�ECHANICAL I iPCUMBING i i SIGN <br /> UWNER 1MILAD01E55 LIIY ZIP PIIONE <br /> SELECT HOMi:S � INC. 237 ELM STREET, EVERETT, WA 98203 206 258-1503 <br /> ILNANT MAll0.U0RE55 CITY 21P PIqNE <br /> n�1CMITECT OR DESiGNEP �M0.ADORESS LITY ZIP PIIOf.c <br /> GENEfULCONTRACT(Mi MAIL�ODRESS CITY Zlp p�OqE SL�ic��6F{�11ARD� <br /> SELECT HOMES, INC. 237 ELM STREET, EVERETT, WA 98203 206-258-1503 <br /> Mecw�rr�c�ucowrw�cron wu��ooaess cin zw PIqNE LICENSE� <br /> YLWIBWGGUNTMGT011 MAILAOUpE55 CITV LP PllplE LICENSEI <br /> CIASSOF WORK <br /> { ' EW ❑ ADDITION L] ALTERATION ❑ REPAIR ❑ DEAAOLITION O WOODSTOVFJFRPL INSERT I�I BUILDING RELOCATION <br /> IENANT IMPROVEMENT Oli NiTERIDR PEMODEL ONLY CpIGCT PEPSGN MID PIIpE ND. <br /> cor�ra�cTri+�ceorwauc: RANDY CLARK 258-1503 <br /> DESCNIBE WOfi(NID Sp1ME FOOTAGE WVOWED <br /> esidenc GARY KLICK 339-0555 <br /> PAorosEouseoFeuaoK+c I MEREBV CEHTIFY TMAT I HAVE READ AND E%AMINED THIS <br /> s i ne]e f ami l� res ide AP?LICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �Eauoe ni�ionarnorennis�awnee�owoq�n�cNpoupeor�s� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> `oT— �°�" o� NOT. THE GRANTING OF A PERMIT DOES NOT PRE$UME TO GIVE <br /> '` AUTHORITV TO VIOLATE OR CANCEL THE PROVISION:� OF ANY <br /> �RNN e S � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OH THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> -- APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTAACTORS lAW 1827 RCW AND 296.200 WAC. <br /> `�'"sEi°T'"" �'s�"'"�13�°K.ENT �,Tt <br /> NNo�r.reooRe�Jss� xby: �D � l �J <br /> '�``✓ IST GI7Y INESBIICENSEIq i1NDBUSMk55NMlk <br /> PLUMBINfi YE(�IA►yCAL <br /> NO. TYPE OF FIXTUNE OR REM FEE NO. TYPE OF EWIPMIENT FEE <br /> WATER CLOSET(TOILET) � A/C–MiNDLG UNITS–H.P. <br /> BATMTUB ' 1 FORCED AIR SYSTEMS--B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) � UNIT HEATERS–B.T.U. M <br /> SHQWER � 1 CLOTHES DRVERS <br /> KITCMEN SINK 8 DISP ; VENTILATION FAN ' <br /> DISMWASHEH � j RAI:GE HOOD <br /> UUNDRV TRAV � 1 WATER HEATER <br /> CLOTHES WASHER � WOpp STOYE <br /> URINAL • ' 1 METAL FIREPLACE 8 CHIMVEY <br /> DRINKING FWNTAIN i FIREPIACE INSERT ; <br /> FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS ; GAS pIpING � <br /> - ROOF DRAINS–RAINLEADERS � EXHAUST FAN <br /> SINK(SEHVICE–BAR,ETC.) ' � <br /> i ' <br /> � <br /> � <br /> � <br /> i <br /> SUB TOTAL S ; SUB TOTAL S <br /> PERMIT S � PERMIT E <br /> TOTAL FEE S ' TOTAL FEE E <br /> 1110NTSETBhCK REM$ETg�CK SIDE$E7g�ILK p�/y�C11EG(H�ygE� FEE HECE1PTIq �+� <br /> � � 5� vo��,p j�� �'���v� <br /> u�zor� l07 AqE� v�c�u�� SITE FEES VALUATION FEE <br /> '2' ZZ LLfYES ❑ NO ���.��� <br /> IYPFOiCOMST./LLIOWA&E IYffOfCONSI./iC71W <br /> occuwcr wnow[uw¢irn �t� �C <br /> Tl-N 3 �uweiNc ' <br /> ;�i[Ey o�F B�oS.f ,t No.OF STonIES BASEMENT � / MECHANICAL <br /> 3Y'Z SF GAR CI YES f�NO <br /> OCCUPANCYLOAD FIflESPflNKLERS�fl�E MGKJITIWIT�TION �� � ' N /� ' <br /> I.I YES IH'NO 'Z� � <br /> STATE BUILDING SURCWIRGE ( � <br /> (iEASON FO(i SPHWNLEflS <br /> STATEENERGYSURCMARGE ; <br /> APPLICATIONACC BY P1ANS�PPIqVEUBV CITY OF EVEHEiT PU9LIC WORKS �� <br /> J � LOCAL S11LES ' <br /> iz 93 TAX CODE IS 3105 TOT�I 7 Q � <br />