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, . �. . .�. tn-�e` _ ��� <br /> AP��-�CAT'�OeJ F�'R CO�NSTRUCYIiDN PERMIT <br /> CITY OF EVERETT • �UILDING DIVISION <br /> 3200 CEDAR STREET • EVER�TT, WA 98201 • 259-8810 r <br /> fl DEMOLITION {xl COM8INATION Ix BUILDING i�l MECHANICAL &I T'IUMBWG f I SIGN <br /> PROJECT AD[:RESS--- "'""--' <br /> 5 zn 2 IG� �" �,�,. �,�1. <br /> ��w�•F� �• MNLADURESS cnr ���.•"" <br /> r r ri�oNe <br /> -=';:leCtJ3iut�51.�AC��2$11�3�_h_�V_P_, [ti' #A-201 L����tt,�_ 98209 206/5.�..3�_QSLE-- <br /> ��>vnNr Mnn.nnonFss crtv zm rnoNc <br /> nncrutFctonuesicr�en r,inanonn[ss cirr � zir rnowe <br /> �aer�nn�covrnncton Mni�noonEss cnv zm — rr�oN� srnteuceNsex <br /> �?ZeCt H�y TriC 1 811 Rth Ave_ W. #A— .Ol }}r 1-et� NIA 98?�14 Ah/Sl 4-900(i_GF.T,FCTT1101LN <br /> ��E]H�NICALCONTqACiOR MNL�DDfiESS � <br /> CITY 71P PIIONE $iAIE LICENSE� <br /> PLIIM1181NGCONTRACTOR MNL�DDliESS CI1Y 21P PHONE STATELICENSEM <br /> , � .:NLFlACTPRICEOFWORK <br /> �qp_pp�p� HEATING SVSTEM: y�GAS Cl ELECTRIC ❑ <br /> � . c,scniSF WORK�ND SOUARE FOOT�GG INVOWED CONIACi PEf150N�Y�PIIONE NO. <br /> Construction of one sin le amil esiaence Randy Clark 2061513-9006 <br /> Beverly King 206/513-9006 <br /> � � I F�EREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � PROPOSED USE OF OUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> Sinale familv dwellin PROVISIONS OF LAWS AND ORGiNANCES GOVERNING THIS TY?E OF <br /> � WORK WILL BE COMPLIED WITH WHFTHER SPECIFIED HEREIN OR <br /> . LEGALDESCPIPTIONOFPf10PERTY(3HOWNBELOWORATTr1CHTWOCOPI[S� NOT. THE GRANTING OF A PERId1T DOES NOT PRESUME TO GIVE <br /> �o-_�,�oiocK or AUTHORITY TO VIOLATE OR C�NCEL THE PROVISION OF ANY ' <br /> OTHER STATE OR LOCAL LAW REaULATING CONSTRUCTION OR THE <br /> _�'errill Creek Gardens D1V. 1 PERFORMANCE OF CONSTRUCTIJN.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH 7HE STATE <br /> annce��rnx i.o.NUMaen CONTRACTOFlS LAW 18.27 RCW A^ID 296.200 WAC. <br /> Select Hanes, Inc. <br /> fONSTPUCTIONLOANLENOER,ADOPESS,TELEPNONENUh18ER X��^�^^� � �-"�3'Y <br /> SIGNATURE � onre <br /> CI7Y OUSINE55 Llp[NSE NO. <br /> PLl!IABING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> �,. WATER CLOSE7(TOILET) � NC—A/HNDLG UNITS—H.P. —T <br /> 1 B4THTU8 ; 1 FORCED AIR SYSTEMS—B.T.I;. M E.A. ; <br /> � LAVATORY(WASH BASIN) � HEAT PUMP , <br /> 1 SHOWER � UNIT HEATERS—B.T.U. M � <br /> 1 KITCHEN SINK&DISP ' 1 CLOTHES DRYEFS ' <br /> i � <br /> 1 DISHWASHER � VENTILATION FAN � <br /> LAUNDRYTRAY ; 1 RANGEHOOD � <br /> 1 CLOTHES WASHER � 1 �L'ATER FIEATER � <br /> i <br /> URINAL � WO()D STOVE � <br /> DRINKING FOUNTAIN ; METAL FIREPLACE(WOOD BURNING) ; <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING � <br /> BACKFLOW PHEVENTERS � GAS FIREPLACE ' <br /> � <br /> SINK(SERVICE—BAFl,E fC.) GAS RANGE �— <br /> ; 3fE9 CAS PIPING � <br /> i EXHAUSTFAN � <br /> � i <br /> � i _ <br /> i i <br /> � <br /> SU�TOTAL S ; SUB TOTAL 5 � <br /> PERMIT S � PERMIT S i <br />� _ ,__ TOTALFEE S � TOTALFEE $ � <br /> FOR OFFICE 11SE ONLY: <br /> FPONT SETBACH � RGFfI SFTBpCK SIOE SET�dCK PLAN CII CK NUMO R FEE � RECE Pi NO, � <br /> IS 4 S' —' � 0(0� �0(� � ll���� <br /> us�m �ornre�n// vncnNrsire F ES VALUATION FEE <br /> �`.� �'� C,Y 6 � f}�YE$ Il NO DUIL�ING C'�1�1 I `J� �i% �L� �/�7 �� <br /> HEIGHILIMI?NIqN 1100fOWELLING SIZEOF9LDGRI. � <br /> UNI75 <br /> `� � 13`��� S� GA�Rc.� �'tuMowc �/lJ ' <br /> OCGIIP.111CY Il00FSi0RlE$ OCCUPAN�LOAO 9p5EMENI / I <br /> GROyU/P � MGCH4NICnL /n� i <br /> IvS I � /A ❑YES M1TNO ��/ <br /> FIRE�L�FM REOD REASON AOUIIIONAL PLAN CIIECN ti_ <br /> � _ <br /> onien - i �J�,� (J � <br /> PIRESPRINKLERPEO'� REASON <br /> � "G <br />' _ �/N'L smTE oui�oiNc sunc�+nece � <br /> ��1 <br />�I TYAEOFCONST PLANSAPPPOVEDOV CITYr�FEVERETT PUOIICWOf1N5 �G� <br /> J LOChL SALES <br /> � �J onT[ ��5 TAX COL`E I:i 3105 707AL � �� ;�J�) <br />