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8� � io r a-¢��, y ����� P-�-„_, <br /> APPLI�ATION FOR CUNSTRUCTION PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDl�R STREET• EVERETT, WA 98201 • 259-8810 <br /> ❑ DEMOLITION f�l COMBINATION lit BUILUING kl fdECHANICAL ki PLUMBING rl SIGN <br /> PROJECT ADDRES3 <br /> 5 7 U 3 10 '� �Dn.• Lv • <br /> ow��cq ennu.noon�ss cirv nr PIIONE � <br /> Sr�lar� rar.,,A�� �� 12811 Bth Ave, W #A-2Q1 Everett NIA 9820�,Q�/5],3��_Q6 <br /> iennut Mnn.nnonr:ss cirv zm rnoruF — <br /> ARGIIRECi0P0E51GNER MNLAO�RE55 CI�Y 71P PHONE <br /> GENEf1�LCON7R�Gt,�1 ldnl�nDDnE55 CIIY 71P PHO�IE STATELICENSE/ <br /> _SeleGt Hom�,�., Tn�_ 17811�_ Rth Ay_P. W $p-2Q1 Rve�_�i;;.� p7A qg2f14 206/51'�-9(1pF SFiFCTT11f1KIa <br /> raea+nruicn�r,o��tnncion r,�ni�nonness citv �m rnoNe srnreucrrise� <br /> PLUMBINGWNIRA�ipR M41LA�DRESS qfY ZIP PHONE STATELICENSE� <br /> CONiRACT PRICE OF WOI1N <br /> ��g� HEATING SYSTEM: 4�1'GAS fl ELECTRIC Cl <br /> D SCRI E WORKANO SOUARE FOOTAGG INVOLVED f.ONiACi PEHSONAtl�PIIONE NO <br /> Construction of one single famil�residence d Clark 206 513- 0 <br /> Beverly King 206/513-9006 <br /> I HEREBY CERTIFY THAT I HAVE R[AD AND EXAMINED THIS <br /> VROPOSEDUSEOFOVILUING APPLICATION AND KNOW THE SAME TO BE'RUE AND CORRECT.ALL <br /> Sli1q12 fdrtLil dW2111.I1 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE UF <br /> \NORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGALDESCflIPfIONOFPROPEFTV�SHOWN9ELOWORAITACHTY/OGOPIES) NOT. THE GRANTING OF A FERMIT DOES NOT PRESUME TO GIVE <br /> �or 2.3 niock or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAVt'REGULATING CONSTRUCTION OR THE <br /> Merrill Creek Gardens D1V. 1 PERFORMANCE OF CONSTRUCTION.Tf',AT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCELTAX ID.NIIMBER CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> Select Ilanes, Inc. <br /> coNSTnucnor��cnNieNoen.noonEss.TnEeiwr+er+un+een XBV: ��...��^�[7�.-c.., 3•7'�,T <br /> _ SIGNATl1RE DATE <br /> QTY�USINESS LICENSE N0. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FI%TURE OR ITEM FEE <br /> 3 WATER CLOSET(TOILET) � NC—A/HNDLG UNITS—H.P. � <br /> 1 BATHTUB ; 1 FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> 3 LAVATORY(WASH BASIN) � HEAT PUMP i <br /> 1 SHOWEfi � UNITHEATERS—B.T.U. M � <br /> 1 KITCHEN SINK 8 DISP ; 1 CLOTHES�Rti'ERS ; <br /> 1 DISHWASHER � � VENTILA'!CN FAN i— <br /> LAUNDRYTPAY ; 1 R�NGEHOOD ; <br /> 1 CLOTHES WASHER � 1 WATER HEATER T <br /> URINAL � WOOD STOVE ' <br /> DRINKING FOUNTAIN ; METAL FIREPLACE(WOOD BURNING) � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACI<FLOW PREVENTERS ; GAS FIREPLACE ' <br /> � <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE i <br /> � <br /> ' ��$tS- GAS PIPING ' <br /> � <br /> i '? EXHAUSTFAN i <br /> _ _�_ <br /> i i <br /> i i <br /> � T <br /> 1 t <br /> SUB TOTAL S �� � SUB TOT�L $ ,� �i i <br /> PERMIT S � PERMI�i $ i <br /> '(OTAL FEE S � TOTAL FEE $ � <br /> FOR OFFICE USE ONLY: <br /> Ff10NT5ET0�CK RFMSETAACN � SIOESETBACK PLANCNECHNUMOEfl �EE BECEIPTNO <br /> �s ' .��z�, � y7L��G�,Z � ��2 �/� <br /> usezoNe toTnnEn� � vncnNrsitE FEES VALUATION FEE <br /> -J l_ �J � �Ives n No oui�mNc, Z �i?3 �/(;�l I <br /> HEIGIITLIlAITATION NO.OFOW[ILING SIZFOFOLOGRI � <br /> 2_y, UNITS t �`';p SF LIV:LL4 �' PLUMpMG —� � i <br /> v �/G:L S= G�q�LAci.=. <br /> GROUPANCY NOOF5701i1E5 OCCUPFNILOAD BASEMENI �/,��q�NIC�L � � i <br /> �-3 Z /�l �/� _�„_ <br /> ❑ves i o ; <br /> FIRE ALAPM(iE0'U f1EA50N �DDIfIONAL PLAN GHECN —y <br /> i <br /> OTIIEP .-'/��jJ / L ' � <br /> PIRE SPRINKLEB REO'� qEnSON . - <br /> i � <br /> YK � STNEOUILO�NCSUf1G11MGE i/ �/) <br /> TVPE OF CONST PLANS 4PPRqV�CY —/'� � <br /> CITY OF EVERETT ruouc wor�Ks � <br /> J LOCAL SALES �� � _ <br /> ���`� �pTE 3 ��, �� TAX CODE IS 3105 70TA1 � �� , <br />