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� QA�-,�'� /0 i _ A.�v E,2 1/ � e d e/ P/a�t <br />` <br />� APF�I�ICATION F'OR CON�Ti�UCT10N PERMIT � <br /> I CITY OF EVERETT • BUILDING DIVISION <br /> 3200 CEDAR STREFT• EVERETT, WA 98201 • 259-8810 <br /> f l DEMO'_ITION fXl COMBINATION fii BUILDING Scl MECHANICAL kl PLUMBING fl SIGN <br /> PRO.'ECT ADDRESS � � <br /> $�-� 8 /D 1�4. (,�J , F_,/e.'ct� 9 3'�0 3 <br /> owri�n r.!nanoune�s cirv nr ruou� <br /> Splarh Ft�G r„� 12�11�Ave W #A-201 Eve��tt, PTA _98'199-29S.L�13�09b— -- <br /> tENnr�t n�nu.nnnness arv nr rnor+F <br />� - -- <br /> ARC�IITEGiOfiDESIGNER MAILADORE55 QIY 21P PHONL <br />� GGNER�ICONTRnCTO(i MAIVUDf1ES5 <br /> �qv ZIP PHONE STFTELIC[NSf:Y <br /> Se�ect hoi[�S, T-^-�_ 12811 8th_&ve._�'. #A-201 Everett; N1A AB����51'�-9�06 4Ftr[�' 1_110K^L—_ <br /> MECHM1NICALCONiMCTOR MNL�D�RESS CITY Zlf� PIIONE STATEUCENSE� <br /> PLUMBINGCON7RACTOR MAILADDRESS CIiV 21P PHONE STA7ELICENSEY <br /> CONiRpCTPRICEOF WORK HEA7ING SYSTEM: ,4�GAS I:] ELECTRIC ❑ <br /> 0 SCAI E WO�RKKOAND SOU�RE FOOTAGE INVOLVEO CONTACt PEfi50N�NO fHONE N0. <br /> Coiistruction of om�_ �ingle family residence Randv Clark 206/513-9006 _ <br /> Beverly King 206/513-9006 <br /> i I HERE�Y CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME Tt�BE TRUE AND CORRECT.ALL <br /> PHOPOSED USE OF BUILDING PROVISIONS OF LAWS AND OHDINANCF.S GOVERNING THIS TYPE OF <br /> Slri le famil C1W�ZZlri WORK WILI BE COMPIIED WITH N'HETHER SPECIFIED HERE�N OR <br /> LEG�LOESCRIPTIONOFFf10PERNISHOWNBELOWORATT�CIITYlOCOPIES) NOT. THE GRANTING OF A PERMI7 DOES NOT PRESUME TO GIVE <br /> �oT /3 o�ocK or AUTHORITY TO VIOLATE OR CANCEL THr PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATMG CONSTRUCTION OR THE <br /> Merrill Creek Gardens D1V. �. PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATIO� IS MADE AND I COMPLY WITH THE STATE <br />� CONTAACTORS LAW 1827 RCW AND 296.200 WAC. <br /> PARCEITA%I.D.NUMBER SeleCt Fiomes� Inc. <br /> CONSiRlICiIONLOANLENOER,ADORESS.TElEP110NENUMOEP XB11; �l }N`.�,r 3-zY�Sr <br /> SIGN�IURE O�IE <br />' GITY QUS�NG55 LICENSG NO. <br /> PLUMBING MECHANICAL <br /> FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM _T_ <br /> � A/C--A/HNDLGUNITS—H.P. ' <br /> 3 WATER CLOSET(TOILET) ' <br />� 1 BATHTUB ' l. FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> , --r-- <br /> 3 LAVATORY(WASH BASIN) ' <br /> HEAT PUMP ' <br /> � UNITHEATERS—B.T.�. M � <br /> 1 SHOWER — ' <br /> ' 1 CLOTHES ORYERS ' <br /> 1 KITCHEN SINK&DISP ' '�-- <br /> � VENTILA110N FAN � <br /> 1 DISHWASHER � <br /> LAUNDRY TRAY ' 1 RANGE HOOD ' <br /> � <br /> 1 CL07HES WASHER ' <br /> 1 WATER HEATER ' <br /> i <br />' URINAL ' JJOOD STOVE <br /> i <br /> ' METAL FIREPLACE(WOOD BURNING) � <br /> DRINKING FOUNTAIN ' � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) <br /> � <br /> � GAS FIREPLACE ' <br /> BACKFLOW PREVENTERS � , <br /> SINK(SERVICE—EAR, ETC.) � GAS RANGE -�-- <br /> � - GAS PIPING � <br /> ; EXHAUST FAN ' <br /> � <br /> i — <br /> � <br /> i ' <br /> i <br /> � <br /> � — `— <br />' SUB TOTAL S ; SUD 70TAL S �_ <br /> PERMIT 5 � <br /> PERMIT S � <br /> TOTALFEE $ —'-- TOTALFEE S ' <br /> �OR OFFICE USE ONLY: aEceiarjo. �, <br /> PLANCIIECKHUM�ER FEE� ` _ <br /> FRONTSET��CN PG�RSET[3�CK SIOEEETB�CK �� ; ^ J / � ) // <br /> �� i (I / <br />' y � � � � FEES VALUATION FEE <br /> USE ZON LOT pilEA VAC�Ni SITE i� <br /> L^' � —7/� �s n No ouaowc r-'Z c��3 ,0�� ' <br /> � <br /> HEIGHTLIMITATION ��O.OFDWELLING SIZEOPOLI]G/[L � 7 -7i <br /> �� � UNITS z °(J SY (-�vl.V4� � PWM[fING (J / � <br /> Sf GURAo�. T U � <br /> i OGGUPANGY BO OF SiORIES OCCUPANT LOAD B�SEMENi MECIIANICAL <br /> GR003P Z �� ❑Y[S �� _ p001T!ONALPLANCIIECK i <br /> FIf1EPLARMREO'D REASON <br /> ' /l> ' <br /> i o��,=�— � )� � � <br /> ro <br /> FIRE SPNNKLER REO'0 REASON �_ ����,� <br /> �_��}— / STATF�WLL`ING SUfiG�{�BG[ <br />+ �N`� ��/�'�� ____� /� �i I <br /> TVPEOFCONST.� FIANSAPPROVEDOY CITYOFEVEHETT AU[1LCW0(1HS . <br />' '' �J h�- LOCAL SALES /''' �J <br />� �-�J ��tE � � � �'j S TAX CODE IS 3105 TOTAL � <br /> ��� <br />