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i <br /> . ' APPLIC�TION FOR CONSTR�CTION <br /> ' PERMIT <br /> ; rne ewro�een <br /> CITYOF ��� 1� <br /> ; everett e <br /> ' BUILDING DEPARTMENT I <br /> � 259-8810 TO BE COMPLETED IN INK— PLEASE pRINT � <br /> OWNER M�II�ODNE55 CrtV ZIP PHONE <br /> SELECT HOMES, INC. PO BOX 708 MUKILTEO, WA 96275 827-8196 <br /> 1 TEN�NT MqL�DORE55 C�IY 21f+ PHONE <br /> n/a <br /> . �RGIIITECTORDESIONER M�IL�ODRESS CILY 21P PHONE <br /> n/a <br /> � QENEN�LCONTPRCiOH MRR�D�RE55 CIiY ZIP p110N[ LICENSE• -� <br /> SEL�CT HOM�S, INC. �PO IIOX 706 MUKILTEO� WA 96275 827-8196SELECFII110KP: <br /> , 4ECMANIC�LCONiR�CTOH MAILq�ORE55 QiY ZIP pHONE UCENSE• <br /> , PWMBINOCONTR�CTOR MRIL�OOHE55 CIIY ZiP vMONE LILENSE� � <br /> I ClilSSOiWpPK <br /> � �NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL INSERi ❑ BUILDING RELOCATION <br /> j iEN�NTIMPRpyEMENTOHINi;RIORREMOOELON�Y CONT�CTPER9pN�NDP110NF.N0 <br /> � GONTRIIGTPAICEOFWqqIC Randy C1aT'k 346-1320/6^'..r-^�'r�v` <br /> DESCRIBEWORK�NDSOU�REFOOIRGEINVOLVEO Greg Stirn �l <br /> t � �S8^/S0� <br /> .i cons ruction of sin le famil residen e <br /> 1 PFOP09EDU9EOFBl11l01NO — <br /> � I H[REBY CERTIFV THAT I HAVE READ AND EKAMINED THIS APPLICATION AND <br /> • S1I1 12 famil residence KNOW'HESAMETOBETRUEANDCORRECT.ALLPROVISIONSOFLAWoAND <br /> 1E011L UEBGPiPTION OF PqOPEPiY�9HOWN BELOW OR�Ti�CH FOUR COPIE91 ORDINANCES GOVERNING tH15 7YPE OF WORK WILL BE COMPLE7E�WI�H <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A PERMIT DOES NO7 <br /> Loi�� e�oCK or P�ESUMETOGIVEAUiHORITYTOVIOLA7EORGANGELTHEPROVISION50F <br /> �" ANY OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE PER� <br /> ' FORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE OWNER OF <br /> ��N A E HE C� THISPFiOPERTYTOPERFORMTHEWORKFORWHICHAPPLICATION15MADE <br /> , . ANO I COMPLY WITH THE STA7E CONTRACTORS LAW 1827 RCW AND <br /> , 296200 WAC. <br /> 910N�tUH OF�ONT CTO RqUt110R12ED�0ENi OAiF <br /> Se�e H s, Inc. <br /> . " /�J -Zy�9� <br /> FPOJECTAOOPE59 ' �// / <br /> � I I.� � ICANT9 I SIN LIGENSE NO�NO B/ESS NAME <br /> ' �/ <br /> _± PLUMBIN� MECHANICAL <br /> .� NO. TYPE OF FIXTUqE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> �� WATERCLOSET(TOILET) A/C—A/HNDLGUNITS—H.P. <br /> �' BATHTUB 1 FOFCED AIR SYSTEMS—&LU. M EA � <br /> �, LAVATORY(WASHBASIN� UNITHEATERS—B.TU. M � <br /> � SHOWER 1 CIOTHESDFVERS i <br /> , KITCHEN SINKB DISP. G' $ VENTILATION FAN - <br /> �i UISHWASHER �' 1 RANGEHOOD � <br /> . LAUNDRYTRAY 1 WATER HEATER �, <br /> � CLOTHES WASHER WOOD STOVE <br /> URINAL <br /> ], METAL FIREPLACE 8 CHIMNEY <br /> DRINKINO FOUNTAIN FIREPLACEINSERT <br /> -� FLOORDRAIN HEATPUMP <br /> ; BACKfLOW PREVENTERS 1 GAS PIPING <br /> : RppFDRAINS—RAINLEADERS EXHAUSTFAN <br /> • SINK(SERVICE—BAR,ETC.) <br /> SUB TOTAL S SUB TOTAL E � <br /> , PERMIT ' S PERM�T S <br /> TOTAL FEE E � TOTAL FEE E � <br /> FRONTSETBACIt PEApSEiBRGN S�OESET9 CIf PUNCNECNNUMBEN FEE pECEIPTNO. <br /> 'L�� ?�� C � $' ,'t3506 .�iasi c. i <br /> � VSEZONE lOi�pEA v�c �91TE FEES VALUA710N FEE <br /> . �.►� �� E9 ❑ NO ///]]] � <br /> ' TYPEOFCONSi OGCUPANCYpipUP NO.OFOWELLINQUNIiS BUILDING ��,.1� � '' <br /> i �IIOW�BIE/�CtUR� �� <br /> � PLUMBING � r <br /> 91ZE OF BID� NO.OF 970RIE5 B9MT. OCQ LO�D — <br /> ❑v MECHANICAL � <br /> on <br /> , NEIGHTLIMII�TION OTHEP � <br /> � FIqE BPRINNLER9 REOUIRED ❑ves ❑Ho �, STATE BUILDING SURCHARGE �O <br /> STATE ENERGY SURCHARGE <br /> : APPUC�TION��GBY PL�NS�PPP.9Y -�- <br /> . �� PUBLIC WORKS <br /> jTOTAL � •"� <br /> � <br /> i <br />