5617 10TH DR W 2016-01-01 MF Import

�� ,(j�l�/C. /d / �GI�E.e 3 .0 _✓c � APPLI�ATIOtv FO1� CON�TRUCTIVId! PE�MIT t CITY OF EVERETT• BUILDING DIVISION � 3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 CI DEMOLITiON fytl COMBINATION lit BUILDING kl MECHANICAL k"I PLUMBING fl SIGN PROJECT ADDRESS ' � � /1" � :j�� /? /O /�r �(i' v i owr+En rnnanuoness arv zir rnowe GP��-t ur„�_s T., n�_12Q11�� Ave. lV #A-201 �verett� 4JA 9$�04 206f513-9006 7EN�N7 MAILA��qE55 CIIY 21{' f'IIONE — ABCHI7GCTOfiUESIGNFR MNLAUORE55 GIIY ZIP PH01JF: — rF.NER�LCONIRt.C70R MAILFO�IIGSS GIIY 7.IP PII�H[ SIAfEUCENSE� �1��t I3�.5, rnc.. 1�811 Rt-h ..v W k�- 01__Ev��ett, vlA 9e2f1�2o_6/s1�-qon� srrrr-rr�inuni MecunwicnicoNinncion r,mn.no�nFss cm ziv rnome SIA7ELICENSG� , � ��, � PLUMORJGCONIpACIOR MAILA�DPE55 r�ry ZIP PNONE STA7E LICENSF� � i:�V,'';a`. i- '��i;(�','� CONIMCTPNCEOFWOf1K II ,t ' ' `` gq� HEATING SYSTEM: y�GAS ❑ ELECTRIC ❑ * n � SC�WORK AND SOVME fOOiAGE INVOLVEO CUNI�CI PERSONANO PIIpNE NO. " '' � Construction of one single £ami'y residence d Clark 20G 513- i :�''' �I � �° 3everly King 206/513-9006 "( �� I HEFEBY CERTIFY THAT I HAVE READ �ND EXAMINED THIS f� �"( � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORPECT.ALL Pf10POSEDUSE OF OUILOINa PROVISIONS OF IAWS AND OFDINAhCES GOVERNING THIS TYPE OF I+ ��,.,��,..' S1R le famil dwellin WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR I' '< �eca�oescnirtioNOFpnoaEntt�si{owNee�owonnnncHiwocoaies� NOT. THE GRANiING OF A PERMIT DOES NOT PRESUME TO G�VE ioT �9 n�ocK or AUTHOR!TY TO VIOLATE OR CANCEL THE PROVISION OF ANY ' � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE � Merrill Creek Gardens D1V. 1 PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE OWMER OF THIS PROPERTY TO PERFOAM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH TNE STATE PARCELTAX I.D.NUMBER CONTRACTORS LAW 1827 qCW AND 296200 WAC. Select }lanes, Inc. CONST(lUCiION LOAN LENOER,�O�PE55.TELEPHONE NUMOER B .� � G SIGHAil1f1E �� p� / /�� CITY UUSINESS UCENSE 110. PLUMBING M17ECHANICAL NQ. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF FIXTURE OR ITEM FEE 3 WATER CLOSET(TOILET) � A/C—NHNDLG UNITS—H.P. i BATHTUB ' 1 FORCED AIR SYSTEMS—B.T.U. M E.A. ' i 3 LAVATORY(WASY BASIN) i FiEAT PUMP -T— m SHOVJER � UNIT HEATERS—B.T.U. M � 1 KITCHEN SINK 8 DISP � 1 CLOTHES DRYERS � 1 DISHWASHER � VE�JTILPTION FAN T— LAUNDRY TRNY ; 1 i'�4NGE HOOD � i 1 CLOTHES WASHER —I— 1 W,\TER HEATER -i— URINAL ' VJOOD STOVE �— DRINKING FOUIJTAIN i METAL FIREPLACE(WOOD BURNING) ; FLnOR DRAIN � FIREPLACE INSEFT(WOOD BURNING) �- BACKFLOVJ PREVENTERS ; GAS FIREPLACE '— � SINK(SERVICE—BAR, ETC.) --i-- GAS RANGE r- ' GAS PIPING � i EXIiAUST FAN , � � — - � i_ � ' _�__ � � i SUB TOTAL $ ; SUB IOTAL $ ' — , _ PERMIT $ �— PERMIT S —� TOTALFEE $ � TOTALI"EE 5 —�— FOR OFFICE USE ONLY: FRONi5ET0ACN REMSET�ACH SIOESETBACK PLANCIIECRNU�.IOF.R FEE iiECEIPTNO. /s`"' Js'� ��P�rA�,v �h �'71 �',� llaao� usez e tornnen vncnr+r5ite FEES VALUATION FEE '� � S�� ❑rEs ❑ no euaoirac � /3 � r- � T j(' I _. ❑EIGII�lIMI7ATION NO.OFOWELIINC SI2EOFOIOGRL � � �" +1�! u��ns /S7L 5"f ��••.i< t vwrnowc �J� i �7�� Z -nR,¢c;.t _ eccuvnwcv uo.orsromEs occunnr�t�ono DASEMENI cr+oue � Mecrin�ncn� ;�� I ;;� � f'- 3 I Z /�[�tl ❑ves t r+o ,— FIREALAFlMREOD fiE�50N ADUI710N�LPL4NCIIECK j i— �'� OiNER ��_J j C�� FIRE SPP �KLER RGO'0 REASON � j�� STAlE0UIL01NGGUfiCllAfiGE l/j � - ) f i : TVPEOF t15f. PLA115APPROVEOOY CITYOFEVERETT ri,nucwonns ,I -�y- �I�`� LOCALSALES , _.IL/J nnre �u $i �5S TAX CODE IS 31Q5 TOTAL �7/�� ; ;