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�. -- <br />APPLICATIVN FOE; CONSTRUCI rON PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />IIASIC PLAN: POPLAR (CITY N0. 108) _ <br />I HEATING SYSTEM: XX.iAS U ELECTRIC U — I <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION xxCOMBINATION I I BUILDING <br />O::I�LP • I.URADDRF55 CITV <br />SELECT ElOMES, INC. 237 ELM ST, EVERETT, WA <br />iCNPNI AIA�lAU0RE55 CIiV <br />ANCNiI[CTORUCSII'�NfR MA�LADDR[$S <br />�l MECHANICAL I 1 PLUMBING <br />21P PNONE <br />9821;3 206 258-1503 <br />ZiP PNON[ <br />aTr zm <br />I i SIGN <br />GIIH[RMCONiRdC10R MAIL�DIlRLSS .�IY ZIP PHONE SIAiEIICENSE• <br />$FTF(`T N(1MF$y TN�' 777 FT� CTt F��FRRT� n—QaZA� %�F+ %SA-1 Sf12 Srj,E'(�yl],�(i�j <br />t11G1AWCALf.ONtHAC1uN MAl1.ADDRk55 CIiY 21P PMONE SL�TELICFNSF� <br />�LUM�INGGONiRAC10H MPIIADDRE55 GiV 21P PHONE SiF7hLiCENSE� <br />CUNTRACi PRIGG Of WONn <br />4.D�OD___ __—_'— _— —_—____—"_ <br />I n� �CIIIflL WOIVN �NI� tiUUAIIP �(H �I�Gf: IlIVOI VI U CCNfPCI PENSON ANO PMONf. NO <br />CONSTRUCT 1250 SQ FT SPR __ RANDY CLARK 258-1503 <br />rnoroseo usr or nunoir+c <br />l[G4L DESGRiPLUN OF 1'ROPf N1 Y i 51�OWN UEIOW Op AI iAGN f W0 GUPIC 5� <br />io�—� ni�xn o� <br />PANQl1A%IU NIIMULN <br />IO�N <br />�f151� �U� <br />)Eq AUDR[55. iELEP110NE NUM9FR <br />�L ' <br />• � ���� <br />�E OF FIXTURE OR ITEM FEE <br />WAI�[R CLOSEI <br />�ATHTUB <br />LAVATORYIWA: <br />KITCHFN SINH R DISP <br />L __— __ _— <br />oisriwnsH�ia <br />I.AUNDRY 1 HAY <br />. .1 -. -CI (11111 ti WA1;l i1 R � �—_ <br />UIIINAI. ___ <br />DRINKING FOUP'IAIN <br />FLOOR DR�IN <br />13ACKPLOW PREVFNTFRS <br />ROOF URAINS—RAINL[ACE <br />SINK �SFFVICE—BAR ETC.1 <br />— suo rorn� s <br />PENMIT $ <br />� TOTAIFEE $ <br />FUR OFFICE USE ONLY: <br />1 HJRI SI 1 HM h 111 �II SI I OACF <br />1 � <br />��- I�tAl11A <br />r,Sl IUNC <br />�.��,;��,.Z �.,�,?�„33 <br />�-/,! 1 <br />•,�tl u1 fflln: 11HI til'HINrcII11UIilUn <br />pCCIIPANCV I041� <br />r��n5or�� <br />i ii�t r.� n�na ��[n u <br />:;(IINf,N ' <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMItJED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER ST.4TE OR LOCAL LAW REGULATING CONSTFUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEf; OF THIS PROPERTY TO PERFORM THE WORK FOR WIiICH <br />APPLI:ATION IS MAOE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SELECT HOD9E , INC. <br />5����•����5 Z6�9 � <br />1 �11 <br />A!C—NHNDLG UNITS—HP. <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS . <br />VENTILATION FAN � <br />__ _�— _ <br />PANGEHOOD ___ __ <br />� WATER HEATEH � <br />___ __._______ _-__ ___—___ �____. <br />WOOD STOVE <br />� METAL FIHEPLACE (WOOD UUHNWGI _ ___ _ _ _ <br />FIREPLACEINSER7 <br />HEAT PUMP <br />GAS PIPING <br />� 2 EXHhUST FAN . _,_ <br />VACANT S11F. <br />YFS NO <br />,;.,.,I ,, ,, ,.���,,,,,,,���, <br />Q=3 L,�-I- <br />If�StMl Nt <br />YES % <br />ountiiuv I rinrr,nrruuvium� I CITYOFEVERETT <br />�f �' LOCAL SALES <br />°",� ��Z?�13 TAx CORFJIS'9A41f� <br />)TAL S <br />f 5 <br />FEE 5 <br />PLANCII[CNNUMUER / I l.�t � � I ^"��% �L / <br />���7a�i �" ! � J <br />f3UIWING _ _ _ <br />PLUMIIW�__ _ <br />M[CHANICAL <br />ADDITIONAL PLAN CHECK <br />OTHER <br />STATE BUIL�ING SURCHARGE <br />PU[3LIC WOFKS <br />TO7AIL <br />_ ��1; �BZ y'a ; Oc� <br />_1�;3 � ao <br />- -- _�o i o0 <br />�� <br />—_—__—�il.� ��(� <br />� <br />- lrlr �/ ; �" <br />