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wPPLICAT►.�N FOR CONS1'RUG . IONi PERMIT <br /> :�.,�e�.,,➢�&,� BASIC: D1FIPLE PLAN <br /> � �•���«�ct <br /> iiYDF �(i.. �C_ I� � <br /> everett �� +�" <br /> t3UILDING DEPARTMENT <br /> _�59�8810 TO BE COMPLETED IN IN "—PLEASE PRINT <br /> DEMOLITION i i COMBINATION l J BUILOING L i MECHANICAL PLUMBING SIGN <br /> .iNLB MAILAODNE55 CIiY ZIP PM�� <br /> SEI.SCT HOMES, INC. 237 ELM STREET, EVERETT, WA 98203 206-258-1503 <br /> IUANI I.UIL�DDRE55 CIIY ZIP Pf10NE <br /> �.�icnitECTORDESKaNEO Mn4�00PE55 Cltt ZIP PHpiE <br /> SF.T,ECHI110KN <br /> .,i.rvENALCONfMGiOR 1Ma�DDPE55 GTV 21P PNONE LIC[NSC� <br /> Sr•rECT HOPIES INC. 237 ELM STREET, EVERETT, WA 98203 7.0G-258-1503 <br /> � �� !�ICn/Ji�G�LCONTN�f.10R MnIL�PESi GITY IiP PnONE LiCENSE� <br /> � Y � �wMOiNOCONip�CTOH EULLppDPESS CIIY LP PnONE LIGENSEt <br /> �1 <br /> C N <br /> .�.� y y ..�.ssoFwonK <br /> y �H . NEW CI ADDITION f J ALTERATION I I REPAIR ❑ �EMOLITION I� WOODSTOVE/FRPL INSERT L; BUILDII:G RELOCATION <br /> Z <br /> K` Q �INAHiIMPPOVEMEMOpINiENiORNEM00ELONlY fANlACiPEF50NM10PMOMENO. <br /> O�O ,%�+rnecrrnweoFwona: p RANDY CLARK 256-1503 <br /> �{IN � .�iSCNiBEW01VKANO5IXIARCF00iAGEiYVOLVED <br /> �x '��" ' le famil residence CAF.Y KLICK 339-0555 <br /> .i�uvosm use or nuaowc <br /> [r� p� I HEREBY CERTIFY THAT I HAVE flEAD AN� E%A.AINLD THIS <br /> �3 t7 u���,+��}�++,�—p� • • pPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> .Lceiot ni.�Cs T PLIONOF�P RIY�SNOWNOELOWDRQTACNFOURCOPIES) PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> �VCj1� . r� �«K � WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRP.NTING OF A PERMIT DOES NOT PRESUM[ TO GIVE <br /> z y� v1 AUTHORITY TO VIOLATE OR CANCEL THE PFiOV1510NS OF ANY <br /> a <br /> �GI IIC1 �rlT(I� �I� � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OH THG <br /> t H y PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI2cD BV THE <br /> �y y OWNER OF THIS PROP[RTV TO PERFORM THE WOfiK FOR WHICH <br /> O N APPLICATION IS MADE AND 1 COMPLV \YITN THE STATE <br /> n d� C /' CONTRACTOflS LAW 1827 RCW AND 296200 WAC. <br /> �� � l/ CJ &(iNAIDiIEOFLONINAGLORp1AUiMONiZCDAG1111 onic <br /> HO [yi� x � 1 /� <br /> .,�o:tcr�oonEss �t �^�IYt,C�-� l �'� <br /> '.����/y � /��- / � � NPIIGWtSCIiYBUSiH LiCEHSENO.WDUUSm[SSH�MI <br /> ✓ <br /> PLUMBING MEf,HANICAL <br /> - NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OP EOUIPMENT FEE <br /> � WATEF CLOSET(TOILET) � /� NC—NHNDLG UNITS—H.P <br /> �'� � /_ � BATHTUB �7 ' FORCED AIR SVSTEMS—B.T.U. M E.A. <br /> = LAVATORY(WASHBASIN) '� UNITHEATERS—B.T.U. M <br /> �) � SHOWER � CLOTHES DRYEflS <br /> KITCHEN SINK 8 DISP � VENTILATION FAN <br /> � � 1 DISHWASMER RANGEHOOD <br /> i I 1 LAUNDRYTRAY WATER HEATER <br /> ' � CLO7HES WASHEF WOOD STOVE <br /> L <br /> URINAL METAL FIREPLACE 8 CHIMNEY t� — <br /> DRINKING FOUNTAIN i FIREPUCE INSERT <br /> I1 ' FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF ORAINS—RAINLEADERS �J E)SHAUST FAN <br /> SINK(SERVICE—BAR,tTC.) <br /> �� 1 �G = <br /> �) _ <br /> �_1�1 SUB TOTAL S � � ' SUB TOTAL E L�_ <br /> �� PERMIT S PERMIT S <br /> _ TOTALFEE S TOTALFEE E <br /> i��N115ETB�CtlO / RLMSRMLi� � SIDESETB�ILM r / plN1CN[CNMIMI` ` � fEEJ ` � NlC[I�f1p'1� ,i <br /> 2 -; � <br /> � <br /> �.i ia+< <oienE wcu:rsrte FEES VALUATION FEE �— <br /> " � �('3 G Il VES ❑ NO �ILOINc 7 .. � (' �� i <br /> ,i1acOHslulOWliBIE trP(acOM5IIt1UAl ar+�r innDw[uwcu�{ <br /> W V ��i <br /> - -ni I�- PLUMOING <br /> :I(k'oLDG NO oF STO{IIES pASEUENi MECMANICAL '�CI , <br /> !��"� SF f 2 � 17 YES L9�N0 � <br /> �_c.UVM1CYlWD pIRESPRNXLEfl511E0'D IIEMaHTIWITATqN OTHER -� ��,�L� //� � <br /> �q I 1 YES IGI�NO ��`3 � � <br /> i nsoN Fo�SPRINNlEPS STATE BUILDING SURCHARGE � <br /> STATEENERGYSUflCH�RGE <br /> �r�ice•rtwncc er IUNSePPBOV[DBY CITY OF EVEflE1T W��yyORKS /� -�J— <br /> `J�'� LOCAL SALES <br /> 11/j��'j TAXCODEIS3105 TOTAL ` � � ' _ <br /> ��� ' <br />