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APPL.ICATII,N FOR CONSTRUC'l .Old PER11►�:T <br /> CITY OF EVERETT • BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 • 259-8810 <br /> I-1 DEMOLITION C1 COMBINATION i I BUILDING I� MECHANICAL Il PLUMBING (1 SIG�' <br /> PROJECT ADORESS ` <br /> C�-� � , ��-�,� � ��� � ��� <br /> owrvea �nnunooness cm zir ri+or+e <br /> Select Hames 12811 8th Ave W IIA-201 Everett WA 98204 513-9006 <br /> 1LNpNT M411����E55 CITv Z�P PNONE <br /> ARCIIITCCTOR�GSIGNEIi IdAILA0DRG55 CITY 21P PHONE <br /> GENER�LCONTRACTOR MNLAO(JR[55 CI1V 71P PIIONE STAT[LICENSEe <br /> MECHANICAI.CONT(iACTOR MNL.'.D�RE55 CI?V Zlf' A110N[ ST�TE LICENSE M <br /> Anchor Plumbin PO Box 1478 Mar sville 98270 286-7889 ANCHORPH141LN <br /> PWUBINGCONTRACTOR MAILAD�RE55 CITY ZIP PHONE STATE�ICENSEM <br /> � CONIR4CTPRICEOf WJf1K HEATING SYSTEM: f.l GAS f�l ELECTRIC f_l <br /> � � � �ESCFlI9F WORK AND 5011�RE FOOIAGE INVOLVEO GONTACT PERSON AN�PHOYE N0. <br /> Sprinkler /� �li <br /> � � � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � APPLICATION AND KNOW THF SAME TO BE TRUE AND CORRECT.ALL <br /> � PROPOSEDUSE OF 9UILOING PaOVIS10NS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> SI'R WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAl�ESCRIPTIONOFPROPERTV�SNOWNBELOWOiiATiAC11TWOGOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> � �or o�ocK oF_ AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br /> � OTHER STATE OR LOCAL LAW REGULATIIJG CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> CVJNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE hND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AIJD 296200 WAC. <br /> PARCELTAXI.D.NUMBER <br /> CONSiRUCPONLOPNLEN�LR.ADDRE55.TELEPHONENUMBER �( �/ '��/ <br /> SIGNATURE O�TE <br /> CITV�1/5MES5 LICENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE lJO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. ' <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) � HEAT PUMP ' <br /> SHOWER � UNIT HEATERS—B.T.U. M ' <br /> KITCHEN SIIJK 8 DISP i CLOTHES DRYERS �_ <br /> — i VENTILATION FAN ' <br /> DISHWASHER i <br /> IAUNDRY TRAY ' RANGE HOOD � <br /> CLOTHES WASHEFi � WATER HEATER � <br /> URINAL ' WOOD STOVE <br /> DRINKING FOUNTAIN � METAL FIREPLO.CE(WOOD BURNING) � <br /> � FIREPLACE INSERT(WOOD BURNING) ' <br /> FLOOR DRAIN � <br /> BACKFLOW PREVENTERS i GAS FIREPLACE � <br /> SINK(SERVICE—BAR, ETC.) GAS RANGE ' <br /> GAS PIPING � <br /> ; EXHAUST FAN ' <br /> � <br /> — ' SU8 TOTAL S � <br /> SUBTOIAL 5 � <br /> PERMIT S � PERMIT S �_ <br /> TOTALFEE S ' TOTALFEE S ' . <br /> FON OFFICE USE ONLY: <br /> FRONTSETO�CK REAf15[i�ACK SIOESETDACK �IANCHECHN EF q P[E <br /> RECHPTNO. <br /> ,/ <br /> � 3�s VALUATION FEE <br /> USLZONE LOT�REA VAC�NiSITE FEES <br /> i <br /> �7YE5 fl NO pUILDING � <br /> —�--- <br /> i <br /> HEIGHTLIMITATION NOOfDWELLING SIZ[OFOLDG/T.I. � <br /> UNIiS �LUkpING � <br /> i <br /> � <br /> OCGUPANCY I10 O�Si0RIE5 OCCUP�NT_OAO BASEMENi IdECHANIC�L � <br /> GROUP � <br /> flYES f1N0 ��� i�j <br /> AOOI710NAL PLl�N GHECK <br /> FIREAL�RMREQ'0 REASON i <br /> OTNEfl /�/ �J✓ C� i�� <br /> i <br /> FltiESPRINKLERREO'0 �EASON � <br /> STAIE OUILDI G SURCH�RGE � <br /> I <br /> 1 <br /> rvveorcaNst Pv�NsnvrovEoer CITYOFEVF.RETT vueucwonKs �_ <br /> rw LOCAL SALES ; <br /> omE '!� ` �-�J TAX CODE IS 3105 TOTAL <br />