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,C3i4 Scc. /a / . AL AE� '� L-. ��/ P/aa <br /> � . � . <br /> APWLI�,�TION FOR COI�ISTRU�TION P�RMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 320u CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> ❑ DEMOLiTION �l COriABINATION �k BUILDING kl MECHAN�CAL ftl PLUMBING fl StGN <br /> PROJECT ADDRESS ,�—� <br /> S SO� // *� P/ s kl Ed C/�G� 4 b'2.G 3 <br /> OYINER MNLADDflE55 CI7V ZIP PHONE <br /> c � ..,- �,...,.,. T..,. 1�ai 1 gth Ave IJ #A-201 Everett UlA 98204 20(z/51'�-9006 <br />' IENFNT MAILAUORE55 CIN 21P PIIONE <br /> ARCHITECTOflDE51GNER MAILAOCRESS CIN ZIP PI10NE <br /> GENERALCONiOACTOR MAILAD�RE55 CI7Y ZIP PHONE STATELILENSEY <br />� . ler H c�,Tn 1 811 Rth Av W �'A—?O1 �erett, 4IA Q8 04 06/519-9IlQ6 RFTFfTT110KN _ <br /> MECHANICALCONTRACTOfi MAILADURESS CITY ZIF PIIONE ST�TEIICENSEII <br /> PLUMBINQCONiflACTOR MAILAODRE55 CITY ZIP I�HONE StATELICENSE� <br /> CONTRAC7 PRICE OF WORN <br /> gg,nn HEATINGSYSTEM: [ffGAS ❑ELECTRIC f_7 <br /> D SCPI E WORN AND S9UARE POOTAGE INVOLVE� CONTACT AERSON AND PHONE N0. <br /> Construction of one sin le amil esidence d lark 20 513- <br /> Beverly King 206/513-9006 <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS � <br /> APPLICATION AND KNOW THE SAME TO BE tRUE AND CORRECT.ALL <br /> PROPO°ED USE OF 9UILDINQ pROVI510NS OF IAWS AND OHDIIJANC�S GOVERNING THIS TYPE OF <br /> Sinqle familv dwellina WORK WII.L BE COMPLIED WITH WHFTHEA SPECIFIED HEREIN OR <br /> LEGALUE/S-CR/I-PTIONOFPROPERN�SHOWNEELOWOHARACHTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUtv1E 1'O GIVE <br /> �or�BLOCK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> Me�rill Creek Gardens D1V. 1 PERFORMANCE OF CONSTRUCTIOM.THAT I AM AUTHORIZ�D BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADF_ AND I COMPLY WITH THE STATE <br /> PARCELTA%I.D.NUMflER CONTRACTORS LAW 10.27 RCW AND 296200 WAC. <br /> Sel.ect Homes, Inc. <br /> CONSTRUC710N LOPN LENOER,A�ORE55.TEIEPHONE Nl1MBER X$1l• �1��X.. �XA1, 3-1 y-yS <br /> SIGNATURE DATE <br /> CITY BUSINE55 LICENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITFM 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 /> 3 LAVATORY(WASH OA51N) � HEAT PUMP � <br /> i <br /> 1 SHOWER � UNIT HFATERS—B.T.U. M ' <br /> 1 KITCHEN SINK&DISP i �. CLOTHES DRYERS � <br /> 1 DISHWASHER � VENTILATION FAtJ ' <br /> LAUNDRY TRAY ; 1 RANGE H000 � <br /> 1 CLOTHES VJASHER � 1 WATER HEATER � <br /> URINAL ' WOOD STOVE ; <br /> DFINKING FOUNTAIN i METAL FIREPLACE(4VOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSE3T(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS i GAS FIREPLACE i <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE ' <br /> � GAS PIPING ' I <br /> i EXHAUST FAN � � <br /> � ' <br /> — i — ' <br /> � ' <br /> � � <br /> SUB TOTAL $ ' SUB TOTAL $ ' <br /> � ' <br /> PERMIT S � PERMIT 3 J � <br /> TOTAL FEE 5 � TOTAL FEE $ '_ <br /> FOR OFF��E USE ONLY: <br /> rHUi:iSETBACk� �"eARSETBO.:K S�DE�ETBACN � PIANCHEGNNUMOER FEE RECEIPTNO,� <br /> i � ,,� , S` � �s �s �' 7, '�% .� — <br /> USE ZONE� �otnaEa V�CANT SITE FEES VALUATION FEE <br /> �—"3L 5452- ' <br /> �es ❑ �o ouuoir+c Z 7 3 D�? �; <br /> HEIGNT LIMITATION NO.OF OWEILING SIZE OF BLIX'iRl. � <br /> .��/ UNI75 ' ZIR{O SF `1�/WG � pLUldtlING � � <br /> 9 Sr G✓1 C - <br /> OCCUPANCY NOAFS70RIE5 OCC7P�NlLOAD BASEMENT / MECH�NICA'_ ,�����' j <br /> GROUP n � ❑VES N'NO / i <br /> F � <br /> FIRE PLAFM REO'0 REASON ADOIiIONAL PLAN CHECN � <br /> � OTHER ;�� �� � i <br /> FIRE SPRINKLER REO'D REASON � <br /> ' I� STATE OUILGINC SMGHARGE � � �J <br /> iv <br /> TYPEOFCONST PtANS�PPROVEDBY CITYOFEVERETT PUBLICYJORHS 2�j� <br /> •.�kE' LOCAL SALES � <br /> .L'�N DATE �l31 I g5 . TAX CODE IS.3105 TOTAL ; <br /> _ . _ _._._- . ._ � <br />