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r---- <br /> APPLICATIGr�I FQR C(�NSTRUC7 �JN i�ERMIT <br />� CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAH STREET • EVERETT, WA 98201 •259-8810 <br />' ❑ DEMOLITION ❑ COMBIiJliTION Cl BUILDING f7 MECHANICAL f l PLUMBING f"1 SIGN <br /> PROJECT ADDRESS �C �1 n „ 7 � �3 <br /> 5703 � �ar v� <br /> owNen �sni�nooness ciTv zir r�wur <br /> Select Homes 12811 8th Ave W IfA-201 I:verett WA 98204 513-900G <br /> 1eNnr�T Mnn.nnoness cirv z�v i�.�oNr: <br /> ARCHITECTORf]ESIGNEfi MNL�D�RESS CITV PP PIIONF. <br /> I <br /> GENER4LCONiRqCTOR MAILq�DRE55 CI1V ZIP PIION[ STATEUCENSEx <br /> MECNANICALWNTqACiOR MAI�pDORF55 CITY ZIP PHONE STATELICENSEx <br /> Anchor PlumbinQ PO Box 1478 hiarvsville 98270 286-7889 ANCNORPH141LN <br /> PLUG181NGCONTRACT0�9 MAILA��PLSS CIiY ZIP PHONE STA7ELICENSEM <br /> WNTRACT PRICG OF�VORK <br /> HEATIMG SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br /> DESCRIBE WORK AND SCUARE FOOTAGE INVOLVED WNiAGT PEPSON A`!�PMONE N0. <br /> Sprinkler �{�S <br /> I HEREBY CERTIFY TH�T I HAVE READ AND E�AMINED THIS <br /> PFOPOSE�USE OF OUIIDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> SFR PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPG OF <br /> i WORK WILL BE COMPLIED WITH WH[THER SPECIFIED HEREIN OR <br /> LEGALDESGFIPTIONOFPFOPERTY(SHO�YNBELUIYOqAT1AGHT\70GOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ��ot e�acK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED OY THE <br /> OWNER OF TI115 P:lOPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE ANU I COMPLY WITH THE STATE <br /> PARLELTAX I.D.NUMBEF CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. <br />� WNSiRI1CT10N�OAN LEN�Eq,A�ORE55.TELEPHONE NUMOGR X__ ��� �� <br /> 51'vNFTURE ��TL <br /> GTY DUSINFSS LIC[NSE NO. <br /> PLUMBING MECHANICAL <br />' N0. TYPE OF FIXTUR�OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. —T— <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 SIN�:&UISP ; CLOTHES DRYERS ; <br /> DISHWASHER i VENTILATION FAN � <br /> LAUNDRY TRAY ; RAhGE HOOD ; <br /> CLOTHES WASHER � WATER HEATER �— <br /> URINAL � WOOD STOVE ' <br />� DRINKING FOUNTAIN i �AGTAL FIFEPLACE(WOOD BURNING) i <br />, FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ; <br /> SINK(SERVICE—B�R, ETC.) � GAS RANGE <br /> ; GAS PIPING ; <br /> i EXHAUSTFAN <br /> � i <br /> — � � <br /> _ i � <br /> SUB TOTAI S ; SUB TOTAL 5 ; <br />� PERMIT S i PERMIT S <br />� TOTAL FEE S TOTAL FEE S ' <br /> FGR OFFICE USE ONLY: <br /> FPOPIISET�ACY. RE�fiSETO�CK SIGESEIDACK PLnNGIIECKN OER FFE RECEIPTNO. <br /> � <br /> � i ir/n <br /> uSE2orcE �oTnneq vnCnNTsire PEES VALUATIO^! FEE <br /> nves n No om�owc � <br /> � <br />� HEIGMTUMITATION NO.OFOWELLING SIZEOFOLDGRI. <br /> UNITS P�Uk01NG i <br /> OCCUPANCV NO OFSi0FIE5 OCCUPANi L0�0 BASEM1'.ENT � ��� <br /> GflOUP M1'ECHANICAL i <br /> ❑YES CI ND i <br /> I FIflEALARIAREO'D PEASOY R�DIiIONALPLANCHECK i � <br /> I <br />� OTHER , �� L�� Q i Dd �� <br /> FIPE SPRINKLER REO'D REASON � <br /> STATE�UILDVlG SURCNARGE i <br /> i TVPE OF CONST. PLA APPROVEO BY CITY OF EVERETT PO�LIC YlORHS � <br />� �� �. LOCAL SALES - � <br /> o TE � �– 1 TAX CODE IS 3105 TOTAL � <br /> 1 <br /> _ _ _ . �_ ._:..x,._ <br /> -- —--- - ----1� <br />