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APPLICAT►�N FOR CONSTRIlC . dON PERMIT <br /> � , ,, ,•„�•„•�� <br /> .�,.c,e,9�,M� IIASIC: CG7'TONLv00D /j/1 ' �� /-�'"� � <br /> everett `'�a�- ��`� <br /> ItUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> .'ti9-8810 <br /> DEMOLITION i i COMBINATION �.-1 BUILDING CI MECHANICAL i PLUMBING SIGN <br /> :.td.li uA!:�DDHE55 CIiV ZIP PHONI <br /> SliLECT I90h1G5, INC. 237 ELM ST[iBET, EVERETT, WA 98203 206 258-1503 <br /> .r✓.ql Mei�e00RE55 CIiY 21P PMONE <br /> .�..�nILGtIX10[SIGNER MM��OOfIF55 ��T� Z�P P�E <br /> .i�+ENALCOHTMClOf1 MAR�DORE55 CITY ZiP PMONE L�GENSE� <br /> SELECT FIOPIES, INC. 237 ELM STREET, EVERETT, �VA 98203 206-258-1503 SELECHIl10hN <br /> � �� rr�CNeH�LKCONTflAC10R IMR�OORE55 ' GT. IIP PIqNE �IGEHSE� <br /> Y H "u411iNGCGHiNACiOP M�ILADDRE55 GTY LP P110NE IIGEN5E1 <br /> A4" �H <br /> .�y y y iaSSOFWORK <br /> y �H ::XNEW I_l ADDITION l-1 ALTERATION f J REPAIH ❑ DEMOLITION �1 WOODSTOV6FRPLINSERT [�I BUILDINGRELOCATION <br /> Ffiy� ��.N�N1iMPflOVEMENLOFlINtE11iOFPCMODELONLY Gp1TACiVEN50NANDPf10HEN0. <br /> O S O ,;�+rar.crrn�cFOFwonK: <br /> 40000 �� � �� .� � �+NDY CLARK 258-1503 <br /> �H � ,��>�NroEKOiKAND50UAPEF001�GEINV0.VED <br /> � z� CONS'PRUCTION OI' SINGLE rAMILY RESIDENCE GARY KLICK 339-0555 <br /> �,.� o �r,ovosmuscaowio�r�c I HEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> � N C7 S INGLE FAMILY RGS IDENCE APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALl <br /> .iGn�D[SLRiPL10NOFPNOPER1Y�5110WN0ELOW011�R�CMFWRLOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> H C+] <br /> g . WORK WILL BE COMPLETED WITH WHETHER SPEGFIED FIEREIN OR <br /> �. p ,;i 7�� e�ocK � NOT. THE GRANTING OF A PERMIT DOES NOT PflESUME TO GIVE <br /> z y � I � AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> > OTHER ST�TE OR IOCAL LAW REGULATING CONS7RUCTION OH TH[ <br /> [� x v PERFORMANCE OF CONSTRUCTION.TMAT I AM AUTHORIZED Bv TME <br /> �"� y OWNER OF THIS PROPERTV TO PEfiFORM THE WORK FOH WHICH <br /> gy _ APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> H <br /> p Cy q� /' CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> CC � S l_� 2 �.) SM.NATUREOFCOMiP4LiDRORI�UiNOHi2[OAGEnI Dnl[ <br /> 3CC'7 � - 'SELECT HOMES, INC. <br /> s �7 <br /> HOvi x � � �� / / <br /> ��,o�ccreooaess Uy: �f!I, 1.,�.F.'Lf� _ -- <br /> ` ` � ' _ V�_ ) � � AM4CIJITSCITYBU61NE65. CENSEHO�1NODUSiNfesHr.Mt <br /> �' ') <br /> PLUMBING YECHANICAL <br /> NO. TYPE OF FIXTUNE OR ITEM FEE NO. TVPE OF E�UIPMENT FEE <br /> � 1 �'�'pTERCLOSET(101LET) �7� A/C—A/HNOLGUNITS--H.P. <br /> � �_ � 1 BATHTUB )' FORGED AIR SVSTEMS—B.T.U. M E.A._ i <br /> = 1 LAVATORY(WASN BASIN) � UNIT HEATER�B.T.U. M <br /> SHOWER ' CLOTHESDRVERS T- <br /> 1 KITCHEN SINK 8 DISP � i VENTILATION FAN <br /> � �� 1 DISHWASHER � RANGEHOOD <br /> i I_ 1 LAUN�RY 7RA� ; WATER HEATER _ <br /> 1 CLOTHES W�SNER 7 i WOOD STOVE <br /> URINAL IAETAL FIREPLACE 8 CHIMNEY ��' — <br /> DRINKING FOUNTAIN FIREPIACE INSERT � <br /> I_, 1 FLGOR DRAIN �— <br /> HEATPUMP <br /> BACKFLOW PREVENTEflS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS E%HAUST FAN <br /> SINK(S[RVICE—BAH.ETC.) <br /> �� <br /> __ — � <br /> � <br /> —r— <br /> � <br /> �1` SUB TOTAL S ! f; SUI:TG7Ai. S � ' <br /> '� PERMIT S PERMIT f <br /> TOTAL FEE S TOTAL FEE $ <br /> .i„�rvISEtU/.CIt� J i1GR5ETB�CN � S�DE6ET�f 1 PIANCNEC�UYBE � FE� ;� �C�' R[LEi�NO <br /> Z �; < < < � vl�?, <br /> �a zoe1E V� LOT�NU VACNlTSITE FEES VALUATION FEE <br /> r^ I-1 YES Cl NO gpILDING ;� �'�i k� 1 � e_ <br /> �i'I Uf[ON51.�IIOWABIf IYP[Of CON51.ACIIIAI aruvuti uo n Mi��un1 <br /> � PLUMBING <br /> -� 3 I <br /> .i(LOGBIDQ. Np.OFSiO{IIES BASEYENT MECHANICAL L�� � <br /> '_i��° s c�n ( ❑ YES ��o <br /> � �/� <br /> ��.CUPANCYlOAO RPESPRNrcLEH5flC00 NEMaMTLiMIL�TION J �'�T�A— �� ,� /(.' � <br /> ��/a I 1 VES L�NO � � <br /> STATE BUILDING SURCHARGE L�' � <br /> ��i nSON FOfi SPRINNLERS <br /> STATEENERGVSURCHARGE <br /> ��'�41CAilOH ACC BY PUNS PPflOY[DtlY CITY OF EVERE7T PUBLIC WORN$ nr � <br /> Jf�+ LOCALSALES <br /> .¢ �./r 1 TAl(COOE IS 3105 Tou� �j"! � ?�j <br /> L'�.I'J .�-�f�LL��I' L'L'G�C1�L�A9ZG7�%�Y f�LL)1��_ <br /> J � <br />