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BaoR:� �- �.S�f _. P� "' � ���' �.Qd,,.�— . <br /> ,w, <br /> APPLICA410r1 FOR CONSTR�ICTION PERMIT <br /> CITY OF EVESEIT• BUILDING DIVISION <br /> 3200 CEDAR STREE?• EVERETf, WA 98201 •259-8810 <br /> CI DEMOU710N f� COMBINATION I� BUILDItvG {tl MECHANICAL k� pLUMBING Cl SIGN <br /> PROJECT ADDRESS <br /> S�// /p >`�' /�.2. W. GVE2Ef�F, t�/�a yy2a3 <br /> owne�+ Mnanooness c�rv nr PHONF <br /> �P7Prt u.,�.a rn� 12811 8kh Ava. ia #A-201 Ev r tt NIA 98204 �yf� 3-9006_ <br /> IENANT � MAII A�Df1E5S CI1V ZIP PHOYF <br /> ARGf111ECTOR0E51GNE8 MPI�ADDRESS CITV ZIP PHONE <br /> GENERALCONTpACTOF MAILA�ORE55 CIIY i1P PIIONE STATELICENSEM <br /> Salect Hai G, Tnc 72811 S h n. ri �a �ni �, r � p�p 9g2p4 20F/51 � 9(1nF SFiFCTTII(IICN <br /> MECHANICALCONTRACTOR M�ILADDRESS CIN 21P PHONE STATELICENSE� <br /> PLUM�INGCONIHACTOR MAILADDRESS CIiV 21P PHONE STAIELICENSEM <br /> CONTRACT PRICE OF WORN <br /> � HEATING SYSTEM: $�'GAS ❑ ELECTRIC ❑ <br /> � SCflI E WOnK AND SOUPRE FOOT�GE INVOLVED CONT�CT PEPSON�ND PNONE NO. <br /> Construction of one sinqle fanilv resin --�e d Clark 206 51 - <br /> Beverly Iting 206/513-9006 <br /> I HEREBY C[RTIF`f THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF 9UILDINO APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALl <br /> Sinqle familv 3wellin PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH(S TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEFEIN OR <br /> LEGALDESCfiIPTIONOFPqGPERtt�SHOWNBELOWOPATrACHTWOCOPIES) NOT. THE GRANTING OF A PERMIT UOES NOT PRESUME TO GIVE <br /> �ot -Z`f BLOCK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> Merrill Creek Gardens D1V. 1 PERFORMANCE OF CONSTRUCTION.THAT t AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK. FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WI1�H THE STATE <br /> PARCELTAX I.D.NUMBER CONTRACTORS LAW 1827 RCW AND 2g6.200 WAC. <br /> Select Hames, Inc. <br /> CONSTRUCTIONLOANLEN�ER.AD�RESS.TELEPHONENUMOER XBVC ��,u.1L� C VA� �J`ZO'`�S <br /> ,. SIGNATURE �FTE <br /> CIiY BUSINE55 UCENSE NO. <br /> PLUMBING MECHANICAI <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF FIXTURE OR ITEM FEE <br /> � 3 WATER CLOSET(TOILET) � A/C—AMNDLG UNITS—H.P. �— <br /> 1 BATHTUB ; 1 FORCED A�R SYSTEMS—B.T.U. M E.A. ' <br /> i <br /> 3 IAVATORY(WASH BASIN) � IiEAT PUMP , <br /> l. SHOWER � UNIT HEATEPS—B.T.U. M � <br /> 1 KIl"CHEN SINK 8 DISP i 1 CLOTHES DRYERS ' <br /> i <br /> 1 DISHWASHER � � VENTILATION FAN � <br /> LAUNDRY TRAY � 1 RANGE HOOD � <br /> i <br /> 1. CLOTHES WASHER � 1 WATER HEATER i <br /> UF�.'�IAL � WOOD STOVE � <br /> DfJP�4.IN3 FOUNTAIAh i METAL FIREPLACE(WOOD BUP.NING) ; <br /> FLOOR DRAIN � FIP.EPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ' <br /> i <br /> SINK(SEF'JICE—BAR,ETC.) � GAS RANGE � <br /> ' GAS PIPING � <br /> i EXHAUST FAN i <br /> i , <br /> i i <br /> ' T <br /> I � <br /> SIIB TOTAL $ � SUB TOTAL $ � <br /> PERMIT S , PERMIT $ i <br /> TOTAL FEE $ � TOTAL FEE S � <br /> FOR OFFICE USE ONIY: <br /> FRONTSETBACK REAR SET�FCH SIOESETBA K <br /> . � �i � y PLANCNECKNUMBER FEE — RECEIPTNO. <br /> ZO 5 -,r �� �2�7_� <br /> usezoNe �otn�sn vaenr+rsre FEES VALUATION FEE <br /> �^3� (�� � g �es n r+o auaon�� S`! oZ7 �7 � _ <br /> IIEIGIITLINITpTION � NOOF�WELLING 51'EOFBL�GRI � <br /> ? Q UNIiS � 'L OL SE C..�V.N� 'I' p�UMpING �� <br /> "v L 3 Sf G.4ar�-=" ' <br /> OCCUPANCY NC.OGSi0PIE5 OCCUPANTLOFU BASEMENT ^ I <br /> GR UP MECH4NICAL {/D i <br /> �-3 I � ar� � No �� j <br /> AUOI710Y�L PI AN CNECH � <br /> FIREALAFfAREO'� RcA50N � <br /> i <br /> � OTHER � '// � ) � D I <br /> FIRESPflINNLERREO' REP50 � � <br /> � ' I � <br /> v /' �� �� �'r � i- �— ;1�— SIDIEBWLDIN65UliGH�RGE �C!'� <br /> /1 // 1 � <br /> TVPEOFCONST PLqNSAPPRqVEpBY ! CITYOFEVERETT PUBLICWORKS /J I <br /> `Jr1 LOCALSALES <br /> �l� onTe j 2-7 �s / TAX CODE IS 3105 TOTAL � � <br />