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%3FlS IC- � I �% � ALL�tp, - �/ LEUc:L /�LAN <br /> APPLICATION FOR COPISTRUCTION PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET • EVERETT, WA 90201 • 259-E3810 <br /> f7 UEMOLITION (xl COME3INATION I�t BUILDING kl MECHANICAL kl PLUMBING �l SIGN <br /> PROJECT ADDRESS <br /> rJ812 /c��� a�IUC; (,,1GST <br /> owNen ienanonness arv zm rnor�� <br /> �tnr-r [7rnv�a_ Tnr 1�11�U� Ave_. [V qA-201 LUp�e�t FIA 9820�{/513__900G <br /> TE1l4Ni lA�ILMURE55 CIiY ZIP PHOtlE <br /> ARCIIIIFCiU(lOESIGNER MAILA�URE55 CI7V ZI^ PIION[ <br /> GENEf1ALCONIMCTOR MNLAOUf7E55 CIIY 7.IP PIIONE Sip7ElICENSE� <br /> 1�_1gEt I"la➢eg� T__ ns=1_2R11 Rt-}1 AV W �A- 0� L'y T . . .._j"1$��2flQ�,�_5/51�-9�06 GF.T.Rf'i'T11�KN <br /> MECP�111C�LCON7RACT00 MNLADOfIESS G7V 21P P11:IJE SIAIFLICENSEI <br /> PlUM01NGCONiRAC10i1 IAMLADDRESS CIIY 21P �'NONE STAIELICENSEY <br /> CON7MCT PRICE OFWORY. <br /> �e+40 ����_ _ _ HEATING SYSTEM: 1�Q GAS f7 ELECTRIC ❑ <br /> UESCREE WORK ANU SOUAiIE fODTAG@ INVOLVE� r.m+�nc r rmsor�n�ro ruoNr:r+o. <br /> Construction of one single family residence _�tandv Clark 206/513-9006 <br /> eeverly King 206/513-9006 <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMIIJED THIS <br /> PqOPO5EDU5EOFBUILDING APPLICATION I1NU KNOW THE SAME TO BE TRUE AN�CORRECT.AlL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPF.OF <br /> Single familv dwellinq WORI< WILL BE COMPLIED VlITH WNETHER SPECIFIED HEREIN OR <br /> fecnioescmm�or+oFrnorenn�sr�owNae�owonanncinwocoPies� NOT. THE GRANTING OF A PERMIT DOES PIOT PRESUME TO GIVE <br /> ior 78 oi.ock or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE <br /> Merrill Creek �ardens D1V. 1 PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> � OWNER OF THIS PFiOPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITh1 THE STATE <br /> rnvicE�Tnx i.o.r+un�eEn CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> Select Flanes, Inc. <br /> CONSTRUCTION LOAN IEN�ER.�ODRESS.1 ELEPHONE NUM�GR X BV' <br /> SIGN41Uf1E OATE <br /> GITV�USINESS LICENSE NO. <br /> PLUMBING MECHANICAL <br /> fJO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE G,� FIXTURE OR ITEM FEE <br /> 3 WATER CLOSET(TOILET) � NC -A/HNDLG UNITS-H.P. �— <br /> ]. BATHTUB � 1 FORCED AIR SYSTEMS-B.T.U. M E.A. � <br /> 3 LAVATORY(WASH BASIN) i HEl�T PUMP —� <br /> �— <br /> 1 SIIOWER � UNITf�1EATERS-B.T.Ii. M ' <br /> �. KITCIiEN SINK& DISP i 1 CLOTHES DRYERS i <br /> 1 DISHWASHER � � VENTILATION F�N ; <br /> LAUNDRYTRAY � 1 RANGEHOOD ; <br /> 1 CLOTHES WASHER �— 1 WATER HEATER � <br /> URINAL � WOOD STOVE ' <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) ' i <br /> — —�— <br /> FLOOR DRAIN � FIREPLACE INSER7"(WOOD BURNING) � <br /> OACKFLOW PREVENTERS � GAS FIREPLACE __� <br /> SINK(SERVICE-BAF, ETC.) —�- GAS RANGE � <br /> ' GAS PIPING ' <br /> i EXHAUSTFAN � <br /> - � i <br /> i ' <br /> i � <br /> — —r—— <br /> ; i <br /> SUB TOTAL $ ; SUB IOiAL S � <br /> PEfiM1T $ PERMIT S i <br /> TOTAIFEE $ � TOTALfEE $ ' <br /> FOR OFFICE USE ONLY: <br /> FRCN(SET �CK f1E�R5ElOnCK SI�ESETO�CH PUNCIIECKNUIOE i �EE �ECEIPTNO <br /> �sp ,s ' s' �1����/ ��� i��yi 3 <br /> usezor+E �otnnen vncnNr iTE FEES VALUATION FEE <br /> �� �� �,SC�I� YES C.1 NO � � .. � <br /> amiou�c '1 R 3 /,,� /j I <br /> IIEIGH�LIMI7AT19N 110.OF OrNElllllA SIZG OF OLOG/f I .� � <br /> �iL� ONIiS � Q�4p �F LIVi�./4 + p�UM31NG ' � <br /> 462 S c:.n2.��E ' .,' I <br /> GfCiOl1P�NCV NOAFS70I11E5 OCCUPAIlILOAD DASEMENT MECIIr1111C�L �),!_,J I <br /> YJ='3 Z /�/ �a CIVES f ��0 i <br /> � -�- AO�I110N�L PL'1N GIIECK i <br /> FIqEAURMf1E0'D RE�SON � <br /> �O OTIIER .{/ ,�-��; � � <br /> FIRESPpUJKIERREOD RLASON � � �� - .� � <br /> NO SiNE0111L01NG5UfiCH�G3G , ' � : <br /> TVPEOFCONSi PLANSAPPPOVED9Y ��'� � <br /> J� CITY OF EVERETT �uoucwonks _/ ; <br /> LOCAL SALES ��� ,;, � r.;. <br /> -N ��+�E < 2J 55_ TAX CODE IS 3105 7o7nL ; � � ,_ <br />