Laserfiche WebLink
APPLICATI'�N FOR CONSiRUC""10N PERMIT <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BASIC: HOLIyY (City No. 7U2� ) <br />BUILDING DEPARTMENT I HEATING SYSTEM: �GAS U ELECTRIC U .� <br />259-8810 „ <br />I DEMOLITION I�IxCOMBINATION I l BUILDING I I MECHANICAL i PLUMBING i i SIC <br />— -- — - - — <br />nwNl l� ranil nDUn1:5 CITr 7�P r�KINI <br />�Fror�p upMF�� TN(� 237 ELM ST EVERETT, WA 98203 258-1503 _ <br />1lNI,NI MR'.LApORE55 GTY 21P PIqNE <br />MAi� AD�RE55 <br />PHONE <br />,CNEflAICONTRRGIOR MMLRODRE55 CIiY ZiP PIqNL StqLUCENSC.� <br />SELECT HOMES INC 237 ELP1 ST EVGRETT. WA 98203 256-1503 SELfiCNI110KN _ <br />lifGUNICMCONiR�C10F M�ILAOOflE55 GITY ZIP �11011F SUTEUC[NS[� <br />�'tUMOiNGCONiRPGtOR MMLADDRE55 <br />(-ONiRRCi PRICC Of YlO11N <br />aouoo <br />1 i[ Sf.RiF1G WONK �ND SOU4RE FDO7�GE INVOIVED <br />�'1I111Nltil lllltil fN IIIIIIIIINIi <br />SPR <br />i 1 Gnl DLSCR�PIION OI� POOPL IIIY ISIIOWN UEIOW OR �TT�GH <br />,.,� __1 — ���,�K aF <br />Han< <br />i'nRC[L TR%10 NUMBEIi <br />�CAISLNUCLIONLOANL[NDER.ADDNESS.iEIEPMONEINMBER <br />WA'. ER CLOSET (TOIL� <br />OA'i HTUB <br />LAVATORY�WASH BA: <br />SHq�VER <br />KITCHEN SINK 8 DISP <br />DISHK'ASHER <br />URINAL <br />�RINKWG FOUNTAIN <br />F LUOI I UHAIN.. . .-. <br />BACHFIOW PREVENI <br />FOR OFFICE USE ONLY: <br />� NONI SEIDRCN REAR: <br />IISL IONE <br />—� <br />1\IY OfCON$I <br />�vi or m� <br />�}�t SF * <br />'458 GA0. <br />OGCUPMlCYl0�0 <br />I�IA;:ON S <br />� <br />w InnL !1v <br />CITY 21P PIIOH[ 51411 1H:11NSC • <br />Div 3 <br />SUB TOTAI E <br />PERMIT S <br />TOTALFEE S <br />sioe sete�ac <br />_ � c% <br />ior �n��� <br />3 <br />NO.OF S70HIES <br />FIRE SPPItMtLERS REO D <br />No <br />FM[ NRRM RCOL <br />No <br />� _c�+{� <br />ranr+s a�r �oYED OY <br />� d <br />on�r%_�i. �O <br />CONUCT VERSON ANO P110NF. NO <br />1 HEREBV GERTIFY THAT I HAVf fil:Al) AND E%AMWft� T. <br />APPLICATION AND HNOW THE SAML TO BE 1RUF .1ND COPHFCI <br />PROVISIONS OF LAWS AND ORDINANCES GOV[RN�NG THIS TYPL <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIEO HEREIN <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO G <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS Of P <br />OTHER STATE OF LOCAL lAW REGULATING CONSTRUCTION OR 1 <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV 7 <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WH <br />APPLICATION IS MADE AND I COMPLV WITH THE ST! <br />CONTRACTORS AW 18. RCW AND 296.200 WAC. <br />Select ome , INc. <br />SqNdunr . � Ui��. <br />L1�Y�Nl$Mf$$ICFN$! Mj <br />TYPE 6F EOUIPMENT I FEE <br />M E.0. � , <br />UNIT HEATERS—B.T.U. M <br />CLOTHES ORVERS <br />RANGE HOOD <br />WATER HEATER _ _ _ __ � <br />. _ .___...1--__ ..� <br />HEA1 PUMP —�—._ .. <br />GASPIPING --��—��- —�— --- � , <br />Lk'�'ES � NO BUiLDiNG <br />IICNW.MC1 Iq q pYlfllllCUlli6 <br />�p13 I PLUMBING <br />B�SEMEdT MECHANICAL <br />f_l YES L9' J�O <br />HEiGNT uMii�iq � ADDITIONA� PLAN Cl/ECN <br />�� STATE BUILDING SUPCHAfiG@ <br />CITY OF EVERETT PUBLIC WORNS <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />� <br />SUB TOTAL $ <br />PERMIT E <br />TOTAL FEE S <br />� <br />