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�� 1 APPLICATI�JN FOR CONSTRUC � ION PERMIT <br />rnnE.rerp.sen IIASIC: COTTONWOOD <br />GTY OF <br />everett <br />13UILDING DEPARTMENT <br />'�59•BBiU TO BE COMPLETED IN INK—PLEASE PRINT <br />DEMOLITION I I COMBINATION lJ BUILDING CJ MECHANICAL �� PLUMBING <br />SSLGCT IIOMES, INC �N237 ELM STREET, �EVERETT, WA 98203 206E 258-1503 <br />11 N�Ht MAII AODRESS CITY ZIP P.�ONE <br />n11CNIlECf OR O451G/1EH <br />PMON[ <br />everett <br />e <br />SIGN <br />G[NEPN Cp1TMG70R MML ADDRE55 qT' 21P PIqNE LICENSE � <br />SELECT HODSES, INC. 237 ELM STRE�T, EVERETT, WA 98203 206-258-1503 SELECfiI110KN <br />MEGMNIICALCp1TPI�CTOR IMLLMORESS , G1Y 2W PMOf1E uCENSE� <br />W0./�DOFIESS <br />G7V 21P PMONE IICENSE� <br />CUSS OF WORI( <br />kXXNEW I-.I ADDITION [ I ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVEIFRPLINSERT Cl BU�LDINGRELOCATION <br />f ClUNT WPflUVEMENT ON INiEPIOR PEMODEL ONIY CAMiAGi VERSd/ AND PIIONE NO. <br />canrw�crrn�oFwa�: 90000 RANDY CLARK 258-1503 <br />UESCPIOE WOR1c ANO SOUARE FOOTAGE INVOWED <br />CONSTRUCTION OF SINGLG PAMILY RESIDENCE <br />��norosEo use a euaox�c <br />SINGLE FAMILY RESIDENCE <br />t[Cv�L DESCRIPTqN OF PpOPEPTY �SMOMRI BELOW OH ATTAGH Fqlfl CAPIES) <br />�UT_L BIOCN OF . <br />M[)DPE55 J� N 1 � <br />7n/� i �Y�� //r:/ � <br />CLOSET <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHC�:NASHER <br />URINAL <br />ORINNING FOUNTAIN <br />FLOOR ORAIN <br />BACKfLOW PREVENTERS <br />ROOF DRAINS—RAINLEADERS <br />I 1 u M I':I I �IUIh <br />W <br />� ni ta�� <br />Z <br />1�1'1 OI CUNSI N IUWAW I <br />_� <br />�.�:ra nioc <br />J <br />��USON fOH SPRMnlCHS <br />nrrucei�ncc nr <br />SUBTOTAL <br />PERMIT f <br />TOTALFEE S <br />111 �I1:.1 IIMt:F SIIA SISIW�I;M <br />� ✓�1 <br />WI M14� VACNlT SRE <br />nir a un�st �ciuN <br />�-N <br />ra or s�a�res <br />L I <br />f IRE SPPNNL[RS 1�0 <br />IIYES IiNO <br />P1AN5 �Pq{K\VEO PY <br />�'(YES I1 NO <br />ucur.xcr runw�ui�cw�s <br />.3 ► <br />B�SEMENI <br />I I YES I ,✓NO <br />HEx;11T �M11T�TION <br />w� <br />CITY OF EVERETT <br />LOCALSAIES <br />TAX CODE IS 3105 <br />GARY KLICK 339-0555 <br />I HEREBY CERTIFY TNAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE CaRANiING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS t)f ANV <br />OTHER STATE OR LOCAL LAW REGULAfING CONSIHUCIION UH IHr <br />PERfORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV 7Ht <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />Slf•N�7UHEOiCONiRAGTORORAI:�MON17kO�GENT U�TE <br />SELECT HOMES, 7'4C. <br />X bY � � � �L2� �. � �� � <br />�lPLICNITS ITYBl151NE LICENSENONI�BUS�NESSNAME <br />FORCEDAIRSVSTEMS—B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTIUTION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAI FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />&1ILOING <br />PUIMBING <br />MECNRNICRI <br />OTHER <br />ST�7E BUIIDING SURCFfARGE <br />STATEENERGYSURCMARGE <br />PUBLIC WO{iN5 <br />TOTAL <br />FEE <br />SUBTOTAL 5 _�2C�— <br />PERMIT f <br />TOTALFEE $ —~ <br />111 1�1�.U1'�fh� _ .� <br />VALUATION I FEE <br />� <br />� <br />