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� � APPLICATI('"V FOR CONSTRUC�N PE�iMIT � <br /> TO BE COMPLETED IN BUCK INK—PLEASE PRINT �'" • <br /> BASIC: HOL (City No. Z02 ) <br /> HEATING SYSTEM: GAS 0 ELECTRIC U -- -- I <br /> BUILDING DEPARTMENT <br /> 259•8810 <br /> I DEMOLITION I�XCOMBINATION I I BUILOING I I MECHANICAL i i PLUMBlNG i : SIGN <br /> -- <br /> _ "'_'.____ ... QTT ZiP P1qNl <br /> WHLN ING"y, E M ST EVERETT WA 98203 258-1503 <br /> SF.i.F .� H(]MF�, <br /> lE1WiT AUIIADDRESS CITY 21P PHONE <br /> 4HCN11[C7 qi DESIGNFf1 MML�UDRE55 ' ��ry zw P�E � <br /> GENGR�LCONTR�CIOF M�kA00RE5S CITY ZIP VNONE SI�IEIICENSB� <br /> S � HOMES INC. 237 ELF] ST EVERETT WA 98203 258 P�03 SEL s AHI E sOKN <br /> IAECMANICKCONIR�CTOR MAILADDRESS <br /> MLUMBINGCONiH�LiOH 1MILAOORE55 CI1V 21P PNONE SIRIkIICLN$EI <br /> CONTR�C7 PR10E OF WONK <br /> 40000 <br /> 1)ESCRIBEWORI(�NDSOU�NEFOOT�GEINVOIVED - LONTAGTPEPSONANDPIqNENO <br /> 258-1503 ___ <br /> 1 MEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> r�+oroieo use oF ew�oinc APPLICATION AND KNOW THE SAME TO BE TRUE AND CORHECI All. <br /> SFR PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OV <br /> i.GGKUESGHIPIqNOI Yf��RqfY�5110WNBELOWOf1ATTACM7WOCOPIES) WORK WILL BE COMPIETED WITH WHETHER SPECIFIED HEHEIN OH <br /> Hanabrook D1V y NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �ut�� — �uaK � - AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR IOCAL LP.W REGULATING CONSIRUCTION UH 111C <br /> . PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOR12ED BY THE <br /> OWNER OF THIS PROPERTY TO PEHFORM T�1E WORK FOR WHICH <br /> APPLICATION IS MADE aND I COMPL�f WITH THE STATE <br /> PAPCEL TAX ID.NUMBEN CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> Selec Ho es, INc. <br /> CONSTflUCT10NLOMlI[NDEP.ADDRESS.TElEP110NENUMBER � L ���� ^ � <br /> �� <br /> PflOJECTADDRESS ����� . . <br /> ' � nrreuswcssikc�w <br /> PLUMBING MECXANICAL � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� � A/C-NHNDLG UNITS-H.P. _ <br /> BATHTUB ; FORCEDAIRSYSTEMS-B.T.U. M EA. ___ � <br /> LAVATORY(WASH BASIN) � UNIT HEAiERS-B.T.U. M _ __ _ __ _ __ <br /> SHOWER ' CLOTMESDRYERS _ <br /> 1 KITCHEN SINK 8 DISP i VENTILATION FAN � <br /> _—�__. <br /> 1 DISHWASHER � RANGc HOOD ---_-- _-,_ -_-- ;- <br /> LAUNDRYTRAY � WATER HEATER _ _ _ _ _ � _ <br /> CLOTH[S WASHER � WOOD STOVE __ <br /> URINAL ' METAL FIREPLACE(WOOD BURNING� (Z�__ <br /> DRINKMG FOUNTAIN � FIREPLACE INSERT ___ ___ _ _ ___ � . <br /> � <br /> FLOOR URAIN � HEAT PUMP _ ___ _ ____ __._. <br /> BACKFI;JWPREVEMERS i GASPIPING ____._ _ . _ _ . <br /> ROOF DriAINS-RAINLEADERS � EXHAUST FAN _ _ <br /> SINK(SEFVICE-BAR,ETQ) � y <br /> O� <br /> ' --- -- -- <br /> , - - - <br /> ' � -- - <br /> �- <br /> - � <br /> SUBTOTAL S i SUBTOTAL E <br /> PERMIT S � PERAIIT E <br /> TOTAL F:E S TOTAL FEE f <br /> FOR OFFICE USE ONLY: <br /> �HON75E7BACi N[�RSE76ACN � SIDESET&1CK/ PIANCME � fl FEE RECEIPitq <br /> / � <br /> ux zone iot nncn v�cu+�r tte FEES VALUATION FEE <br /> JZ r7� � FYVES ❑ NO BuaoMlc ��JL! �• <br /> ,/ ' <br /> I YPL q COM51 ��51 Willl5 uy�v1pw�p[� �O O oYnurGuoif , <br /> I 1` ���� <br /> , Siz��SFY' FINESPflINItIEPSPEOD �'�SEYENT � �C���K /)��- <br /> q3' � J ❑ ves ``=, <br /> IXCUPN1CVlWU fW1NNWf1(OU IICKl1Il UTI()1 ��iION�LPLANCHECI( __�_ _ <br /> .�� � / OiMEfl �pJfJ �� �`"�/ <br /> BUSdi <br /> SUiEBUMDWCSUFiCW.RGE � z) <br /> iH1IJtEDY �N+s�vc� e e. CITYOFEVERkTT wei�cw«res 1; — <br /> LOCAI S11�ES <br /> ,�,u �o Z� ? TAII CODE IS 31�5 ror�► L�J�J� <br />