Laserfiche WebLink
� �^1 <br /> � ' - APPLI�ATION FOR CONSTt�1lCTION <br /> ? t PERMIT <br /> rna evaro�een <br /> � CITV OF evrrett <br /> ; everett e <br /> BUILDING DEPARTMENT <br /> ' 259•eet0 TO BE COMPLETED IN INK— PLEASE PRINT <br /> ; <br /> .� OWNER FUIL�ODOESS CItY ZIP PIIONE <br /> � SELECT HOMES, INC. PO BOX 708 MUKILTEO� WA 96275 827-8196 <br /> TEN�NT � M�II,p00RES5 CIIV ZIP PHONE <br /> n/a <br /> ��GNITECTqHDES10NEq Meil�D��E53 ��IV ZIP p�IONE <br /> n/a <br /> � GENER�LLONTRRCTOR MRIUODRESS GTY 21P GHONE LIGENSE� <br /> � SELGCT HOM�S, INC. PO BOX 708 MUKILTEO, WA 98275 827-8196SEL�QI1110KP: , <br /> MECH�NICI1lGONiR�CTOR MRIL�ODRE55 CITY ZIP pNONE IILENSE� li <br /> � <br /> � PLUMBINOCONTRACTON M�IL��DFE55 CITY ZIP pMONE LIGENSE• <br /> Gr)L6�)S(SOFWORN � ' <br /> , L1 NEW ❑ AD�ITION ❑ ALTERATION ❑ PEPAIR ❑ DEMULITION ❑ WOOOSTOVE/FAPL INSEPT ❑ OUILDING FEIOCATION <br /> tENANT IMPROVEMENT OR INTEHIOR PEMOOEI ONLY CONUCT PERSON AN��N6•!E NO <br /> , CONTR�CTPRICEOFWORK � RclTldY CZaTk 348-1320/827-8196 <br /> DESCA�BEWONKIIN�SOU�REFOOT�GEINVOLVEO Greg Stirn <br /> , construction of single family residen e aS8-ISD 3 <br /> � �OPOSEOUSEOFBUILOING IHEREBYCEP7IFYTHATIHAVEFEADANDEaAMINEDTHISAPPLICATIONAND <br /> ' Sl�cn _L@ familv residence KNOWTHESAME70BETRUEANDCORRECT.ALLPFOVISIONSOFLAWSAND <br /> ' LE011�OESCNIPTIONOi PROPERTV�5110WN BELOW OR RIIRCN fOUN WPIE51 ORDINANCEF GOVERNING iHIS TVPE OF WORK WILL BE COMPLETED WITH <br /> � WHETHER�' %�IFIEDHEREIPIORNOLTH[GRANTINGOFAPEHMITDOESNOT <br /> PRESUME"� .iNE AUTHORI7Y TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> LOT e�oCK oF ANYOTHERS.?ATEORLOCALLAWREGULATINGCONSTRUCTIONORTHEPER� <br /> � FORMANCE UF CONSTRUCTION.THAT I AM AUTNORREO BY 7HE OWNEH OF <br /> ��N A E N E / THIS PFOPERiY TO PERFORM THE WORK FOR WHICH APPLICATION IS MA0[ <br /> � AND I COMPLV WITH THE STATE CONTRACTORS LAW 1827 RCW AND <br /> 296.200 WAC. <br /> $IONPtUN OFCO� AL10 ORRUtNONIZEORGENT �RTE <br /> ' — Se�1e H es, Inc. <br /> � � � X . �/�t. l�z�9'O <br /> ' Pi1QIECT�DDR 93 A LIC NTBCI BU UCENSENO.RNDBUSWESSNAME <br /> �J PLUMBINO MECHANICAL <br /> `�1 NO. TYPB OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> �� WATERCLOSET(TOILET) A/C—A/HNDLGUNITS—H.P. <br /> ;� 2 BATHTUB — 1 FORCED AIR SYSTEMS—&T.U. M EA <br /> 1' J� IAVATORY�WA9HBASIN) UNITHEATERS—B.T.U. M <br /> �� SHOWER — 1 CLOTHESDRYERS <br /> J KITCHEN SINKB DISP. � j VENTILATION FAN <br /> DISHWASHER 1 RANGE HOOD <br /> LAUNDRYTRAY 1 WATERHEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL 1 METAL FIREPLACE S CHIMNEY <br /> � DRINKINO FOUNTAIN FIREPLACEINSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS ], GAS PIPING <br /> . ROOFORAINS—RAINLEADERS ERHAUSTFAN '� <br /> ' SINK�SERVICE—BAR,ETC.) <br /> SUB TOTAL S � SUB TOTAL S — <br /> � PERMIi S PERM!i S <br /> TOTAL FEE S !" — 10TA1 FEE S <br /> � FpONI5ET6�CK RERRSETB�CN SIUESETBRCN VIANCNE KNUMBER FEE . NECEIPfNO. <br /> 2(� 5� 0�1'� <br /> � usezoNe `I ���"�7��� � resr9ono FEES VALUATION FEE <br /> .v� <br /> . �� BUILDING I�;,�__��l <br /> IYPEOFCONST. OGGUF�NCVURppP NO.OFDWEILINOUHlT3 <br /> - �LIOW�BIEUCTUQ / � <br /> PLUMBINCa <br /> SRE OF BLUO NO.OF STORIES� BSMC OCG LORD <br /> �� /�y,J� � ❑� MECHANICAL <br /> r» <br /> '� HEIOHTLIMITRIION OTHER � <br /> -/ � I <br /> � FIPE SPRINKLERSREOUIqSU O YES y�V STATE BU LDING SURCHARGE <br /> . STATEENERGYSURCHARGF <br /> _ AGPUCQION�CG BY VL�NS APPR.BY � .�_ <br /> � PUBUC WORKS <br /> . ��n�� TOTAL <br />