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� l�a.n.�.�� � �G � G2�oee.�-. �l L /%—rc� <br /> �APPLI�ATION FAR COI�IS3RUCTION PERMIT <br /> CITY OF �VERETT • BUILDING DIVISION <br /> :120D CEDAH STREET• EVERETT, Vo'.4 98201 • 259-8810 <br /> f-I DEMOLITION f�l COM9INATION I�i BUILDIP�G k� MECHANICAL kl PLUMBING rl SIGN <br /> PROJ':CT ADDRESS / f/' ,J ,� ) � � <br /> 1�C0 .�� /V l` V�_• ll" ° � <br /> OWNEfl MML�O��E55 CI1V ZiP PIIONE <br /> SP��+- ur.�w�, Tn� 72�11 8th Ave. ��A-201 L•were�,�^I�_98204 206/.�,13-9006 <br /> IEN�NT MML�D�RE55 CIIv lIP PHONE <br /> il — <br /> ARCHITECiO�0E51G1lEF M�ILAUD�E55 CItY i.IP PHONE <br /> GENERd�CONIR�CTOfI MNLADORESS GIIV l.lP PIIONE S�ATELICENSE� <br /> Selec__t F�� Tn . 1 $11 8th p , W� !!A—_�Q]"I,'y��;f�,�^,�4R204 2(16/513—�()Of, RFT.F.C`PTII(1KN <br /> MECHr1NICr1LCONIR�ClOt1 M4ILADO�ESS CIIY ]IP PIIONf: SiATFUCFNSE� <br /> I <br /> I <br /> PLUMBINGCONiRACTOF MAILAODRE55 CIIV ZIP PHONE STATELICENSEM <br /> CONTRACT FHICE OF WORK <br /> ���� �0 HEATR�G SYSTEM: I�GAS f-] ELECTRIC ❑ _ <br /> D SCPI E WORK ANO SOUARE rOOiAGE INVOLVEO �ONTACi PEf150N ANp PIIONE NO. <br /> Construction of one single familv residenc� d Clark 206 513- <br /> Beverly King 206/513-9006 <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSEO USE OF BUI��iHc ' APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIOIVS OF LAWS AND ORDINANCES GUVERNING TH'S TYPE OF <br /> 5171 le famil CIW211.1T1 WORK WILL BE COMPLIEG WITH WHETHEFi SF�CIFIED HEFEIN OR <br /> LFGALDESCRIPiIONOFPROPEfliV(SHOWNBE�OWORATiACHTWOGOPIES) NOT. THE GRANTING OF A PERMIT DGE� NOT PRESUME TO GIVE <br /> �oT��OLOCK or AUTHORITY TO VIOLATe OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULAiING CONSTRUCTION OR THE <br /> Merrill Creek Gardens D1V, 1 ` ERFOFiMANCE OF COtJSTRUCTION.THAT�AM AUTHORIZED BY THE <br /> OWNEH OF THIS PROPER7Y TO PERFORA9 THE WORK FOR WIIICH <br /> APPLICATION IS N,ADE AND I COAIPLY WITH THE STATE <br /> PAHCELTAX tD.NUM9EN CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. <br /> Select Homes, Inc. <br /> CONSTRUCTIONLOf.NlENOER.POD4E£S.iELEPHONENUMBEfI �$v:��`�_�µ 3'7��.5 <br /> SIGiJATURE OAiE <br /> CITY BUSME55 LICEIlSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYl�E OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> . 3 W�T[R CLOSET(TOILET) � A/C—h'HNDLG UDIITS—H.P. � <br /> 1 BATHTUB � 1 FORCED AIR SYSTEMS—B.T.U. �A E.A. ; <br /> 3 LAVATORY(WASH BASIN) � HEAT PUMP � <br /> i— <br /> 1 SHOWER � UNITHEATERS--B.T.U. M ; <br /> 1 KITCHEN SINK&DISP i 1 CLOTHES DRYERS i <br /> 1 DISHVJASHER � J� VENTILATION FAN � <br /> LAUNORY TRAY ; 1 RANGE HOOD ; <br /> 1 CLOTHES WASHER i 1. WATER HEATFR � <br /> �--- <br /> URINAL � WOOD STOVE ' <br /> DRINKING FOUP'TAIN ; METAL FIFiEPLACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSER7(WOOD BURNING) _�— <br /> BACKFLOW P' :�.r`d'tERS ; �� GASFIREPLACE ; I <br /> � SINK(SERVIC-:—BAR,ETC.) i GAS RANGE � <br /> _ ; $29- GAS PIPING ' <br /> I EXHAUST FAN i <br /> i � <br /> -- , ; <br /> i r <br /> i � <br /> �_ <br /> SUB TOTAL s ;' ; suo roTn� s ,,���; <br /> PERMIT S i PER�d1T S �— <br /> ----� <br /> __ TOTAL FEE S � TOTAL FEE 5 � ; <br /> FOR OFFICE USE ONLY: <br /> .r10N�SEi�AC � REARSET9/CK SIDESET9AGK � PLA4CIIECNNUl,'13Ffi FEE RECHPTNO. <br /> i i� 5 y7/,�(,a`� -- <br /> usezoNe � �oT vncnNrsrte FE[S VALUATIOIJ FEE <br /> ��Z� ��}� ��Es n rin ominuac � 7 _ "��—•i <br /> �%73_ ��!�; �� <br /> HEIGN�LIMIiATION , NO.OfUWEILING S12EOFGlUGR ' <br /> .ur7 urms ` 2l`!0 S� Liv�a:c. t ��wnun:r —J I <br /> Cr�v�« — — ��j-- <br /> OCCIIPpNCV 110AFS7011IE5 OGGUPANTLOAD BASEMENi �/, ' <br /> GROUP� � �, q ❑YES I�✓NO M1IECIIAN�CAL '_ — � �' <br /> d <br /> FIFEALARMREp'0 R[ASON A�DIIIO��ALPLANCNECh _._i_ <br /> I T <br /> O1HE5 '��/1�]/� � /�,� i <br /> FIRESPN'''N��1K"""LERFEO'D RE�SON ' 7 <br /> y�� SIAIE NUILDING SURGIIMOE � i r-:/� <br /> TVPEOFCO��ST P�AHS�PPPOVEb�Y '� <br /> CITYOFEYEFIETT r�uoucwonKs I %1��— <br /> �_�� �k� LOCAL SpLES — � � <br /> DATE J lJ�IS TAX CODE IS 3105 70TAL _ ���_I I�i�, <br /> _,._��.��� � <br />