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� � , <br /> APPLIC�...;ION FOR CONSTR4.��.TION <br /> a �h,E�B,��Be� � PERMIT <br /> CITY OF <br /> ; everett � , �.��.��.� <br /> BUILDING DEPARTMENT � � <br /> ' 259•B810 TO BE COMPLETED IN INK— PLEASE PRINT <br /> � OWNER MRIL�ODRE55 CItY <br /> SELECT HOMES, INC. PO BOX 708 MUKILTEO, WA 9gz�5 �HONE 827-8196 <br /> TENINT MMl A��RESS ��Ty I <br /> IIP PHONE --.. <br /> n/a <br /> MiCNITECTOP0E51pNEP MMl�00Rpgg GiY <br /> ' Z�P PHONE ��� <br /> n/a <br /> OENER�LCONTqI1�tOR M�II,ADDqE55 ���� Z�� <br /> PMONE LILENSC • <br /> SEL�CT HOMGS, INC. PO BOX 708 MUKILTEO, WA 98275 827-61965II,ECHIltp�,� i <br /> MECMFNIC�LCONiR��IOR MqIADOPE55 � CITY — <br /> Z�� �HONE ' <br /> LICiNSf � <br /> PWMBINOCONiRA�TOF M�IL��ORE59 CIIV - <br /> ZIP i'HONE - <br /> Llf.[Ntif • <br /> � C,�4,4y490FNqqK <br /> CT-NEW ❑ ADDITION ❑ ALTERATION ❑ PEPAIR ❑ OEMOU710N �] WOOOSTOVE/FRPL INSER7 ❑ BUILDINO AELQCqTION <br /> , tEN�NiIMPHOVEMENiORINIERIORREMOOELONLY CONI�CTGER90N�NOt—Ii-ONENO — -- <br /> yNTR�CiPpICEOFWppK F.andy Clark 348-1320/827-8136 <br /> f'ESCRIBEWpp��Np9pUAREFOOi�dE1NV0�VEp Greq Stlrn - '-' <br /> constzuction oP sin le famil residen e �5"�-/Sa3 <br /> . moroseo use ov euamNo <br /> � I HEREBYCERTIFV THAT I HAVE REA�AND E7(AMINED THIS APPUCATION r <br /> � S1flq.F: familv T081d2110E � NNOWTHE9AME7pBETRUEAN000i7AECT.ALIPROVI510NSOFLAW3i <br /> LEO�L OESCPIV",��h 7f Ppp,PERtt�9HOWN BEIOW OR p1AGHlOURCOf^IEB� ORDINANCES aOVEFNING THIS TVPE OF WO'7K WILL BE COMPLe7ED v <br /> �/ WHETHER SPECIFIED HEREIN OR NO7.THE GRANTING OFA PERMI7 DOF ti� <br /> lOr_J� eLocK or PFESUME TO O�VE AUTHORITv TO VIOLATE 07 CANCEL THE PROVISInN� <br /> ANV OTHEF STATE OR LOCAL LAW qEGULATING CONSTRUCiION OF TH E i <br /> G�NHA EN HEIGNi' p�V �� FORMANCEOFCONSTRUCTIONTHATIAMAUTHORIZEDBYTHEOWNf-I <br /> THIS PROPERTYTO PERFORM THE WORK FOR WHICHAPPLICATION IS�s� <br /> �. - AND I COMPLV WITH THE STATE CONTRACTORS LAW 1827 RCW � <br /> . ' ' 288.200 WAC. <br /> SIOHAtUR OFCONiRACI RORqUtHOR12F.0AGENi OAiE <br /> Se�.ec H es, Inc. <br /> x l ZS 9a <br /> PRQ'6CiADDPE55 � � <br /> (� .� �� � LIC� TS T BUS N ' L� ENSE NO.RND BUS�NE'u5 NRME � <br /> � J <br /> ' PLUMBINO MECHANICAL <br /> � NO. TYPE OF FIXTLqE OR ITEM fEE NO. TYPE OF EOU!F'niENT <br /> FEE <br /> �i WATERCLOSET(TCIILET) - A/C-A/HNDLGUNITS-�H.P. <br /> I BATHTUB - 1 FORCEO AIR SYSTEMS-B.T.U. M EA <br /> � IAVATORVryYASH 9ASIN) - UNIT HEATEHS-B.T.U. M <br /> '� SHOWER 1 CLOTHESDRVERS <br /> ? KITCHEN 91NK 8 DISP. - 3 VENTILATION FAN -- <br /> ' DISHWA3HER - - <br /> i 1 FANGEHOO� <br /> . LAUNDRYTRAY <br /> CLOTHES WASHER .L WATER HEATER <br /> WOOD STOVE <br /> URINAL 1 METAL FIREPLACE 8 CHiMNEV <br /> ORINKINp FOUNTAIN FIREPIACE INSEFT � <br /> ' FLOOR DFAIN ��� HEAT PUMP - <br /> BACKFLOW PREVENTERS ], OAS PIPING - � <br /> � R'OOF DRAINS-RAINLEADERS EXHAUST FAN � <br /> � Slr!K�SERVICE-BAR,ETG) � . <br /> � SUBTOTAL S - SUBTOTAI S <br /> ' � PERMIT S PEFMIT 5 <br /> . TOTAL FEE E TOTAL FEE E <br /> �. FqONT9Et86CK' RE�NSEIWCk � SIDE9ETq�CR PIANCN CKNUMBER F ' pELE1PTN0. <br /> � � ' $R �i89 <br /> usez ior� ee vee rsire FEES VAWATION FEE <br /> ' � I �/� ES ❑NO <br /> ' 7YFEOFCON9T. OCfUPANCYpqOUP NO.OFD.YELLINOUNIT9 BUILDING �. �U <br /> ; µ�pWABLEJ�CTUQ � — <br /> PLUMBINO �G� /�1 <br /> B2E OF BLOQ N0.Oi 4tORIES B9MT. OCC ID�O - �l L�� <br /> � °Y MECHANICAL /�-��'^) /����yy'/^) <br /> ❑ N � —----l�-`�V <br /> � HEiaHi i iTarTpori OTHER —� /1. I �J <br /> ' 28 ° o( / <br /> FlpE9PRINN�Eq9HEWIRED ❑YE9 ❑NO � � � <br /> . BTATE BUILDING SURCHARGE �� <br /> � � STATE ENERGY SURCHARGE � <br /> I <br /> � APP�ILRIONACGBY PL�NSAPPR.BY � <br /> . /Jj�,L PUBLIC WORKS � ', <br /> y,� <br /> _ Tor�� � � <br /> i <br /> . .,..., . ,. . <br /> � .... .� .. . . �. . .. . . . . <br /> . . _.. .. . . . . . ._. �t'. <br />