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� 10 c'��. ��- <br />, APPLIICATIO� FOR CONSTRUCTION PERMIT <br /> l CITY OF EVERETT • BUILDING DIVISION <br />� 3200 CEDAR STREEI'• EVERETf, WA 98201 • 259-8810 <br /> I f-J DEMOLITION IXI COMBINATION IX BUILDING kl MECHANICAL kl PLUMBING f 1 SIGN <br /> PROJECT ADDRESS <br /> sG 23 0 "=' '� u) � <br /> OWNEiI M�IL�UUf1E55 CILY pIP PIION[ <br /> Rplart urma___g.; rn� 12$11 8th Ave. ia #A-2�erett [^TA 98204 2�6/513-9006 <br /> 1Ei14Ni MAILAODR[55 CItY 71P PIIONF <br /> ARCHITECTOROESIGNER MAILAD�RESS GI1V Zlf PHONF <br /> GENER�LCONiR�CiOR MN:���fiE55 GItY ZI" PHONE STATELICENSE� <br /> Se1_ect Homes,, T�2,$1,1 S h Av ._ W_ #A- .Ol Pv rett• 1^7A 9p20d 20h/519-9006 SFTFCTT110Kn7 <br /> ldECH�NIC�LCONTRRCTOR MNL�D�RF.55 CITY 7.IP PIIONE ST�iFLICENSE� <br /> PWMBINGCONiRACTOR MAILAf]ORE55 CI�Y 21P PHONE STAiELICENSEM <br /> CONIRAC7 PRICE OF YJORK <br /> HEATING SYSTEM: �i'GAS f] ELECTRIC ❑ <br /> . � , OESCPI E WO�RK�A�SOUARE FOOT�GE INVOLVEO CONTACi P'RSON AND PHONE NO. <br /> Construction of one sin le amil esidence Randy Clark 206/513-9006 <br /> Beverly King 206/513-9006 <br /> � �� I HEREBY CERTIFY THAT I FIAVE READ AND EXAMINED THIS <br /> � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSED USE OF BUILOING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> Sinqle familv dwellinq WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAlOESCRIPTIONOFPROPEPTV�SHOWNBELOWOR�iiACH7WOCOPIES� IJOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oT � eiocK or AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br /> OTHEF STATE OF LOCAL LAW AEGUTAI ING CON;TiiUCTIUN OR THE <br /> Merrill Creek Gardens D1V. 1 PERFORMANCE OF CONSTRUCTION,THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE bVORK FOR WHICH <br /> APPLICATION IS MA�E AND I COMPLY WIl'H THE STATE <br /> PARCELTF%I.D.NUMOER C01•'RACTORS LAW 78.27 RCW AND 296200 WAC. <br /> Select Hanes, Inc . <br /> CONSTRUCTIONLOAIILENOER,AODRESS.TELEPHONENUMBER XB11• �ti,Q.� ��_ �"�"�i�" <br /> SIGHq7URE� O�TE <br /> CITV DUSINESS LICENSE N0. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> 3 WATER CLOSET(TOILET) � A!C—A/HNDL(i UNITS—H.P. � <br /> � � B' �HTUB ; 1 FORCEDAIRSYSTEMS—B.T.U. M E.A. ; <br /> 3 LnVATORY(WASH BASIN) � HEAT PUMP � . <br /> •-- <br /> 1 SHOWEF7 ' UIJIT HEATERS—B.T.U. M ' <br /> 1 KITCHEN SINK 8 DISP ; 1 CLOTHES DRYERS i <br /> 1 DISHWASHER � � VENTILATION FAN � <br /> LAUNDHYTRAY ; 1 RANGEI100D i <br /> 1 CLOTHES WASHER � 1 WATER HEATER � <br /> URINAL ' WOOD STOVE <br /> DRINKING FOUNTAIN i METAL FIREPLACE (WOOD BURNING) �'1 i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) / � � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE i <br /> SINK(SERVICE—BAR, ETC.) � GAS RANGE ! <br /> � ,'�y-e5 GAS PIPING ' <br /> i 3 EXHAUSTFAN i <br /> i � <br /> i � <br /> � , <br /> _� _� _ <br /> � <br /> SUB TOTAL S – ; SUB TOTAL S '�' I <br /> PERMIT $ � PERMIT 5 i <br /> TOTALFEE $ � TOTALFEE 3 ' I <br /> FOR OFFICE USE OfJLY: <br /> FPONTSETAACIL� �EARSET�4CK / SIOLSE70�CN� PLANCIIE KNUAIpf.R, fEE RECEIPT p.� <br /> �s �z� � :����<��� -- ��v 7�373 <br /> usezoNe LOTAPEA vncnNr e FEES VALUATION FEE <br /> ' –�L D �. , vEs n No ouaoiuc J 1 � � !� G �� � <br /> NEIGHTLIMI��ON1� UN�I SFUWELLING S11"�L�G�� � 1 �! � <br /> 'l � SFj� S�S- G/JO C�E FLUM[IING � <br /> OCCUPANCV IIOOFS70PIE5 OCCUPANTLO�O BPSEMENI NECHAIJICAL ��%�� <br /> cng�r_3 'Z N r ❑ves � - ; <br /> FIREALARMREO'D RFASON AOOIiIONALPLANCH[CN �_ <br /> ii i <br /> OTIIEfl i <br /> - r,:i ��-) /1 <br /> FIRESPPINNLERREOD REAS0IJ ,- � <br /> Y�� STNE�UILO�NG SUf7G11�f1GE �� i��� <br /> _' - <br /> TYPEOfCONST rtn�isnr�novEoe,v CI7YOFEVEAETT ruaucwonKs � <br /> J�–� LOCAL SALES ��C'` <br /> �- 1.1 onte 3/�✓ 'iS' <br /> TAX CODE IS 3105 TOTAL C, � <br />