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B�� � ���l P�r,,.��,a� ����,�-_ <br />�� APPLICQTIOrI FOR ��E��14w��",��1CT�ON PEIRMIT <br /> CITY OF EVE�ETT • BUILOING DIVISION <br /> 3200 CEDAR STREf=i • EVEREI7, WA 9E3201 • 259-8810 <br /> f I DEMOLITION fjtl COMBINATION IX BUILDING kl �7=CHANICAL f;i PLUMBING ( I SIGN <br /> PROJECT ADDRESS � <br /> S 7 3.i lQ 1� Zn ) <br /> OWNfP ldnILA0URF55 CIIY 21P PIIDN[ <br /> �N�??�t �T�_s,.snc.�.2811 8th�e iV #A-201 Ev��tt, N11� 9$Z04 206 <br /> rnna nooivess a rv �513=�).006 <br /> IIP PIIONF <br /> ARCH�TFCTOfl0E51GNER MMInDDAESS CItY 71P PHUNE <br /> GENEMLWNiMCT011 MMLAUUIILSS CIIY ]IP pIIONL SIATELICENSE4 <br /> S iP�+- xmnE,� T�l R h p p w _��-20.1_ �iVer_et�,_S^]&_9R204 �nr,/5�3-qno6 Srr,Fr-rTi i nxn, <br /> MECHANICALCONIR�Ci0f1 M�R���t1E55 CIIY IIP PIIONE STRFVCENSE� <br /> PLU4IPINGCONiRACTOR MNLAOOPESS CI1V 21P PIIONE S7ATELICENSEN <br /> CONiR�CT PRIGE OP WORK _ <br /> HEATING SYSTEM: f2�GAS ❑ ELECTRIC f� <br /> DFS�WO�K�AONU S�UARE FOOTAGE INVOLVED CONIAC t PERSON ANO PIIONE N0. <br /> Construction of one sin le amil esidence �indv Clark 206/513- 006 <br /> Beverly King 206/513-9006 <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BWLDING APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> Slri le famil dwellin PROVISIO�S OF LAWS AND OROINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH Wl1ETHEF SPECIFIED HEREIN OR <br /> LEGFL�ESCPIFTIONOFPHOPERTY�SIIOWtlOELOWOR�TTACVRWOCOPIGS) NOT. THE GRANiIPIG OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �ot�_p�OCK _OF AUTHORITY TO VIqLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> Merrill Creek Gardens D1V. 1 PERFORP,�ANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICAIION IS MADE AP10 I COMPLY WITH THE STATE <br /> PAqCELTN(I.0 NIIM3ER CONTRACTORS lAW 1827 RCW AND 296200 WAC. <br /> Select Hanes, Inc.�p q <br /> CONSTRUCTION LOAN LEN�ER,p0�f1ESS.TELEPNONE NUM0Ef1 XBY. �,M1� /1/ / //�,`� ��/G_�,� <br /> /i l iaC� <br /> SIGN4IURE—� D4tE <br /> CI7Y OUSWES$LICENSE IJO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> 3.- WATER CLOSET(TOILET) � A/C—NHNDLG UNITS—H.P. � <br /> 1 BATHTUB ' 1 FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> � <br /> 1- LAVATORY(WASH BASIN) � HEAT PUMP �— <br /> 1 SHOWER � I1NIT HEATERS—D.T.U. M � <br /> 1 KITCHEP!SINK 8 DISP ; 1 CLOTHES DRYEliS ; <br /> 1 DISHWASHER � VENTILATION FAN —i— <br /> LAUNDRY TFAY ' ]. RANGE HOOD � <br /> 1 CLOTHES WASHER � 1 WATER HEATER , <br /> URINAL � WOOD STOVE � <br /> DRINKING FOUNTAIN ; METAL FIqEPLACE(WOOD BURNING) ; <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD 2URNING) � <br /> BACKFLOW PREVENTERS � GAS FIREPLACE ' <br /> i <br /> SINK(SERVICE—BAR, ETC.) GAS RANGE � <br /> ; 'ES GAS PIPING � <br /> — - i <br /> � EXHAUSTFAN ' <br /> i i <br /> i � <br /> i i <br /> i � <br /> -� <br /> i � <br /> SUB TOTAL S � SUB TOTAL S ' <br /> / i <br /> PERMR 5 , pEP.M1T 5 � <br /> TOTALfEE S —~ TOTALFEE � � <br /> FOR OFFICE USE ONLY: <br /> fRONT�T J,^/ qE�(1 SETUAC� / SI�E SETBA�N/ PLAN CHECK IlUMOER FEE RECEIPT NO. <br /> f 5 �-170�d. � o � I�':�/�o <br /> usezone i.otnne vncnrvrsue FEES VALUATION FEE <br /> _ �-��� nves n r+o ouaoiNc E � Zco ��i} ' � <br /> i <br /> NEIGHT lRdIiATION / NO OF OYIHLLING SIZF pF OLDG/il <br /> � uriits 13ut SF Lw�..�a t rtun+mr�c �j j <br /> 42`i SF GnnqG" <br /> OCCUPANCY IlOOFS70PIE5 OCCUPANiLOAU BASEMEN7 ` <br /> GFOUP7 � � � MECH4NIC�L ��/��i <br /> I �1Q fy/E5 fl NO C� <br /> � <br /> FIqE ALARM REO'D REASON �DORIONAL PLAN CHECK � <br /> 0 0,�,�� , � - /� ; <br /> FIRE SPRINKLER REO'f` iiEA50N — ' <br /> -J srnie nuamr�c suncrinnce � �� � <br /> TYPE OF CONST PLANS APPf10VE0 AV i <br /> CITY OF EVERETT Puouc wonKs /f�')� <br /> �I� LOCALSALES � <br /> �`� untE ? j TAX CODE IS 3105 TOTAL ; <br />