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rµ 'e' <br />/#PPLIC����ION FOR CONSTRUCTIO�NI <br />PERilAl4 <br />�ho Evorgreen <br />CITY U� <br />Pvi�t�•tl <br />everE�t � <br />BUILOING DEPARTMENT <br />259-�et0 TO BE COMPLETED IN INK— PLEASE PRINT <br />CWNER MAllA00RC55 GIiY ZIV PIION! <br />SELECT IiOMES, INC. PO BOX 708 MUKILTEO, WA 98275 $27-8196 <br />IEN�Ni MAIL�OORESS -- LIiY 214� -- -- - PIIONI:---_.-... . . ..— .— ..- <br />n/a <br />antrnrccronor.srorucn einiinoon�ss Crtr ziP mioue ---- — - <br />n/a <br />---- - ---- -- <br />GENCR�LGUNIqACiOR IAA1lA00FE55 "" - ----' <br />:.RY ZIP . . VIIONL _� _ � _. IiC�NS� i <br />SEL�CT IiOM�S, INC. PO IIOX 708 MUKILTEO, WA 98275 827-8196 SEi,EC[?11101Q; <br />MECHANICALGON1RACiOR M�ILADDRE55 GITY ZIP p110NE �I�ENSE• <br />PWMBINGCONiRACTOF M41LA�JRESS CITY ZIP PMO�IE �If,ENS[� <br />l_f NEW ❑ ADDITION ❑ ALT[RATIG;� ❑ REPAIq ❑ DEMOLITIOI. ❑ WOODSTOVE/FRPLINSERi ❑ BUILDINGRELOCATION <br />iFNANT IMPNOVEMENi OR INTER:�F PE610DE1 ONLY CON1ACi PEqSON AND PIIONE NO — <br />CONiRqCiPRILEOFWORK Raildy C1�1Yk 398-1320/827'-8-3-9�6 <br />DESGRIBLV10RN4NDSOUARE��IAGEINVOLVED Greg T—��—�� <br />construction of single family residen e <br />sinqle famil�residen�:e <br />LEG/•L �ESCRIPiION Of PROP[li1Y ISM1OWN �[I.OW OR I.'iACI <br />�a, z-3 B�o�K �F <br />�LEhSFJA�IFnI � NFI/ iJrc <br />PLUM6ING <br />JO. TVPE OF FI%TURE OR ITEM <br />3 WATEACI.OSET(TOILET) <br />� BATHTUO <br />� LAVATORY�WASH BASIN) <br />� SHOWER <br />KITCHEN SINKB DISP. <br />L_ DISHWASHER <br />LAUNDRVTRAV <br />URINt�: <br />DRINKi G FOUNTAIN <br />FLOORI RAIN <br />BACk'_OW PREVENTERS <br />RC r DRAINS — RAINLEADEfiS <br />iJK (SERVICE — BAR. ETC] <br />SUBTOTAL S <br />_ PERMIT $ <br />TOTAL FEE S <br />' fi[AR�i�; �/�� � Slp� <br />L <br />ttae or coNst. <br />FLIOWA�IE/RGiUlL <br />PoRESFRiNNIERSREOUIRED ❑YES ❑NO <br />8a y�5 �, No <br />�OUP NOOFDWELLIf <br />� OSMi OCG LO'D <br />ri v <br />tt N <br />HEIGH�i �LIMQRATI <br />f O <br />I�YI,GyL � �_'��L__ / <br />� n�n�or i,ennri I F1q1 I Y,qVt HtNU AND EXAMINED THISAPPLICATION AND <br />KNOW T. HE SAME TO BE TRUE AND CORRECi ALl PROVISIONS OP LAl4B AND <br />OR�INANGGS GOVERNING THIS TYPE OF WORK WILL DE COM?L[TED WIT61 <br />WHETHERSPEGIFIEDHEREINOFNOT.THEGRANTINGOFAPERMITDO[S Np7 <br />PRESUME TO GIVE AUTHORITY iO VIOLAiE OR CANCEL TH[ PROVISIONS OF <br />ANVOTHER STATE OR LOCAL LAW FEGULATING CONSTRUCTIOY OR THE P[R� <br />FURMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br />TFIIS PFOPERTV TO PERFORM THE WORK FOR WHICH APPLICA710N IS MADE <br />AND I COMPLY WITH THE STATE CONTRACTORS LAW 1827 RCW ANf� <br />296200 WAC. <br />SIONPtUREOPCfJNTFA ORORAULHO�IZE�AGENi DAT[ <br />Sel�-t mes, Inc. <br />X �J <br />� . - �y ��o <br />AP �IGANiS IiYBU51N�55LIf.EN$ENOANOUp51NE55N�A�L � �� <br />NO. 1YPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />1 FORCEDAIRSYSTEMS—B.7.U. <br />UNITHF��ERS—B.T.U. M <br />]. CLO7HESDRYERS <br />3 VEN7ILATION FAN <br />1 RANGEHOOD <br />1 WATER HEATER <br />I WOOD STOVE <br />]. METAL FIREPLACES CHIMNEY <br />FIREPLACEINSERi <br />HcAT PUMP <br />GNS PIPING <br />EXHAUSTFAN <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />:iTATE BUILDING Sl'RCHARGE <br />STATEENERGVSURCNAqGE <br />PUBUC WORKS <br />TOTAL <br />�IJB 77TAL <br />PERM:"" <br />70TAL I"EE <br />– F� <br />FEE <br />—�— — I <br />� . . I <br />S _— <br />5 <br />ECEIPTNO. ' <br />FEE <br />`—� i � <br />—__SLL� ^ <br />� c�� <br />�' 1 /� �^ �✓`� <br />