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�� , , <br /> �' <br /> � APP�I�:At10N �i�iR CONSTR��CTION <br /> � PERMIT <br /> � fhs Everyrssn <br /> CITV OF <br /> - � � .,'•;� �r i i4', ��Y.�• :i.: . PVPn��' <br /> - everett ,; , . � . . . � <br /> ' BUILDING DEPARTMENT <br /> 259-eet0 TO H�C��YIPLE��b iN (NK+-pLEASE PRINT <br /> ER MAILAODPE . �. CITY ZIP PMONE <br /> SELECT HOML•'S, INC. PO BOX 709 . ,� : ,.; MUfCILTEO� WA'"98275 827-8196 <br /> 7ENIINT MML�UORES9 GITY ZIP PNONE <br /> n/a <br /> �tICMITECTOR0E810NER IMI��DDRl99 �� CIiY ZIP PHONE <br /> n/a <br /> �ENEIULCONIPI1CfOR M�ILIIDONE59 . CITY ZIP PHONE UCENSE• ' r <br /> SELECT HOM�S, INC. PO BOX 708 MUKILTEO, WA 98275 927-8196SII,ECHI110�G.�+ <br /> MEGN�NICQCONTR�CTOR M�II�UDRE99 , C17Y Zlp PNONE LICENSE• <br /> . PLUMBINOCONTR�LTON MMI.AD�RE59 CITY ZIP p110NE <br /> llf,f:N.^.1� <br /> Cdl6MX!Of M/ORN — .. <br /> LT NEW ❑ A�DITION ❑ ALTER�TIUN .❑ REPAIR ❑ �EMOLI710N ❑ WOOD370VE/FaPL INSERT ❑ BUIIDINO RELOCA710N <br /> ' 7EN�N�IMPROVEMENf JR INTEAl0i1 HEMOOEL ONLY ���T pQR90N�ND PNC:lE NO. � <br /> coNm.crvn�ceoFwonK ' ' • • :'Randy Clark 348-1320/827-8196 . <br /> OE9CPIBEWORtND90UAREiOpU0E1NVOWED . . • , : �, . : GYEC� Stirn - �S-�.r����- <br /> � con� ruction of sin le famil .residen e. , <br /> vnovoseo use aF eui�oiNa I H EREBY CERTIFY THRT I HAVE READ AND EXAMINEO THIS APPLICATION n' <br /> Slfl ZC famil Y'eS].Cl2lIC2 � KNOWTHE3AME708ETRUEANDCORRECT.ALLPROVISIONSOFLAWo^P� <br /> , �ew�o¢scnian4NOFarroemv�sHowNee�owoaenecxrouncovies� OHDINANCESGOVERNINQTHIS7YPEOFWORKWILLBECOMPLETEDt^.�i <br /> � � :__,�•t,;;�', �;�WHETHERSPECIFIEDHEREINORNOLTHEGRANTIN60FAPERMITDOES�!� <br /> �� �� �F ' ' PRESUMETOGIVEAUTHORIiYTOVIOLATEORCANCfLTHEPROVISIONS� <br /> � . . ANYOTMERSTATEORLOCALLAWREOULATIN6CANSTRUCTIONORTHEPi <br /> . • �:. ,.� �,. � °ORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE OWNEP� <br /> 6C.ENNAUEN NEIbHT D . ' TM�3PHOPER7VTOPERFORMTHEWORKFORWHICHAPPLICAT�ONIS:dr� <br /> 1 •i <br /> �- �� AND�I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW n' <br /> � � � . � 288200 WAC. <br /> 81(iN�TURe O � NiRA ROR�UtHORIZEDAOENT DATE <br /> Sel t mes, Inc. <br /> x /-z�-90 <br /> ' PIqJECTAUDPE99 ' � . <br /> �2 �`,, \ 1 ANT U91 39 LICENSE NO.ANO BUSINES9 N�ME <br /> J � ��� � CI�:J.; '.�'' -;�:�-+. . . <br /> i VLUMBINO - MECHANICAL �r�gK <br /> � NO. . OF FI7f7URE OR ITEM . FEE �=:�'�•.. 'NO.� �, TYPE OF EOUIPMENT FEE <br /> � WATERCLOSET(TOILE'i) A/C—A/HNDLOUNITS—H.P. <br /> � BATHTUB � � ^ 1 . FORCED AIR SVSTEMS—B.LU. M EA . <br /> . LAVATORYIWA9HBASIN) , UNITHEATEFS—B.T.U. M <br /> � SHOWER � � c — 1 : CLOTHES DRVERS <br /> , KITCHEN 91NK6 DISP. �� 3 . VENTIIATION FAN <br /> � DI9HWASHER � � ], .RANGE HOOD <br /> � LAUNDRYTRAV _ j WATERHEATER <br /> CLOTHE9 WA9MER WOOD STOVE <br /> � URINAL - �'� 1 METALFIREPLACEBCHIMNEY <br /> � DRINKINO FOUNTAIN FIPEPLACEINSERT <br /> ' FLOOH DRAIN ' � HEAT PUMP <br /> BACKFLOW PREVENTERS .], � OAS PIPING <br /> ROOF DMIN9—RAINLEAOER$ EXHAUST FAN <br /> , SINK�SERVICE—BAR,ETC.) ' • <br /> SUB TOTAL � S SUB TOTAL E �" <br /> PERMIT S PERMIT S �' <br /> TOTALFEE S '�' � TOTQfEE E ' <br /> � PI►NIT9E7MCK PEARSETBI�LR 9DE8ET91CK RJ1Nd1ECN UMSEII �� � FEE 11lCEIRNO. i <br /> � �O i <br /> 20NE IOTAREl1 v��wtsrre - . � FEES VAlUAT10N FEE ' <br /> . n/ C4es a rio � . . <br /> `�� � ' � BUILDINO g � I <br /> TYPEOFCONJT. OGLUPANCYOPOUP NO.OFOWELLMIOUM79 <br /> ALIOW�BIEIACTUAI � �/ „ <br /> PLUMBINO <br /> , 112EOFBLDQ NOAFSTORIES B9MT. OCG10110 i-- <br /> � ❑r . � � : . MECHANICAL �� I, <br /> N <br /> NEIONTLIMIt�TION OTHER . <br /> FIRE9PRINNLERSREWIRED [7YES ONO STATEBUILDINGSURCHARGE <br /> - . STAtEENER6YSURCHARGE <br /> - AGVLIC�TION�CCBY PUN9�PPR.BY� � � <br /> � PUBLIC WORKS <br /> TOTAL � <br /> . I <br /> I <br />