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� ��, � �-s�- P��, w/ �3��-t- <br />'` APPLICATION FOR CONSTRlJCT10N PERMIT <br /> rCITY OF EVERETT • BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 • 259-8810 <br />', I-1 DEMOLITION fxl COMBINA'iION lit BUILDING i�l MECHANICAL kl FLUMBING f� SIGN <br /> I� PROJECT ADDRESS <br /> S� � � lD K D� . l,�- <br /> OWNER MNL�ODRE55 CIIY 71P PIION[ <br />� SPlart�(�S� Tnc 12�11 8th Ave. W #A-29����t�_���$29�-6f�13-9006 <br /> teNnr�r r.�nanonnrss cirv rir vnor�e — <br /> AqC111TECTOfipESIGNER MNLAOpRE55 CIIY ]IP PIIONF <br /> GENEMLGONiRACTOR MAILAUOf1E55 (;IIY ]II` PIIONC: STATELICEqSEa <br /> �Select Hon�_, Tnr 12811 8 h AVP w ��jL�Ql_j•,�er�'�t. p1A 9�204 206/Sl'i-9(10fi RF.i�F.(`PTII(1KN <br /> MECHpNICALCONiR4CTOR M411.ADDf!FSS CIIY 71P PIIONE SLATFLICFNSE♦ <br /> . PIUMBWGCOMMCTOR MAILAODRESS CIiY ZIP pNONE STATELICENSE� � <br /> � . � CONiqACTPliICEOFWORK <br /> n n HEATING SYSTEM: �GAS ❑ ELECTRIC ❑ <br /> ' D $CRI E WOP AND SOUARE FOOTAGE INVOLVED CONi�CT f ERSON AND PIION[N0. ' <br /> Construction of one sinale famil esidence d Clark ?.06 513- <br /> Bevei-ly King 206/513-9006 <br /> � . I HEREBY CEiiTIFY THAT I HAVE READ AND EXAMINED THIS <br /> rnoroseo use oF ouuowc APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> Sinqle familv dwellinq WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL�ESCRIP710NOFPROPERtt�SHOWNBELOWORATfACfITWCCOPIES� �OT. THE GRANTIN� OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or ��o�ocK or AUTHORITY TO VIOLATE OR CFlNCEL THE PROVISION OF ANY <br /> OTHER Siq7E OR LOC,aL LAW REGULATING CONSTRUCTION OR THE <br /> Merrill Creek Gardens D1V. 1 PERFORMANCE OF CONSI RUCT!ON.THAT I AM AU'fHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I CUMPLY WITH THE STATE <br /> PARCEITA%I.U.NUMBER CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> Select Flomes, lnc. <br /> CONSTflUCTIONLOANIENDER.A0DRE55.TELEPHONENUM�ER XB • ( � <br /> SIGN iUfi� OATE <br /> CI7Y pU5ME5S LICENSG N0. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FU(TURE OR ITEM FEE NO. TYPE GF FI%TURE OR ITEM FEE <br /> WATER CLOSET(TOILET� � NC—A/HNDLG UNITS—H.P. � <br /> 1 BATHTUB ; 1 FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> 1 SHOWER � UNITHEATERS—B.T,U. M � <br /> 1 KITCHEN SINK& DISP ; 1 CLOTHES DRYERS � <br /> 1 DISHWASHER � j3� VENTILATION FAN � <br /> LAUNDRY TRA'/ ; 1 FANGE HOOD ; <br /> 1 CLOTHES WASHER i 1 WATER HEATER � <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN � METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) ; <br /> BACKFIOW PREVENTERS ; GAS FIREPLACE i <br /> SINK(SERVICE—BAR, ETC.) T— GAS RANGE �— <br /> � <br /> ' -Tye6-� GAS PIPING _ <br /> i � EXHAUSTFAN �— <br /> i i <br /> i i <br /> � � <br /> � � <br /> SUB TOTAL $ / i'" ; SUE TOTAL "a , � ; <br /> PERMIT $ i PEFMIT S � <br /> — —�— �— <br /> TOTAL FEE g � TOTAL FEE S � <br /> FOR OFFICE USE ONLY: <br /> FRONT S�OACK � REM1R SETOACK / SIOE SET�K/ PL�N CIIECK NUM��,� FEE ti� ilECE�%O_ y��� <br /> > / / % <br /> J ' �j�/ �'7' � �./ L <br /> use zp�+e � �J LOI AREn ._ � vncnNr srte FEES VALUATION FEE <br /> _� �� n res n wo ounowc �c� G Z� 1 / � � <br /> HEIGHTLIMI TIOPY NOOPOWELLING SIZEOFBLOG/TI — ,� .�i <br /> - / UNIiS '>/pOZ SSG Z��^�y� PLUlAAING ��'f ]� <br /> GROUPANCY t!0 OF Si0PIE5 OCCUPANi LOAD BFSEMENT MEGHANICAL ,. �i <br /> �.�j � n tio . t� <br /> ADDITION�L"l�N CNECN i <br /> FIFEPLAPMfiEO'U flEA50N i <br /> � <br /> OTHER ��' � .�I% I <br /> i/J�(:�1; <br /> FIRE.`�ii71NNLC�'0 (1EA50N � — /i— <br /> / Q STAI[OUILOINCSI/fiC11MGE �� i f� i�� <br /> � <br /> TVPE O CONST PLANS r1PPR VED BY /� /"j <br /> � rI CITY OF EVERETT runi.icwonKs <br /> f LOCAL SALES �..��`—_..� <br /> oniE � � y S TAX CODE IS 3105 TOTAL /�- - �., > %/ <br />