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Iho Everyreen <br />CITY OF <br />everett <br />BUILDING DEPAr?TMEiJT <br />259-8870 <br />� <br />APPLIGATlON �O�R CONSTRUCiION <br />PEIRIMAIT <br />TO BE COMPLEl'ED IN INK— PLHASE PRINT <br />OWNER MAILAOURE55 GtV ZIP vNONE <br />SELECT HOMES, INC. PO BOX 706 MUK�LTEO� WA 98275 827-8196 <br />IENFNT MqLp0�RE55 CII1 TIP pll@!E �- <br />n/a <br />ARLNRFCtORDE510NEit MAI��p0�E59 CIfY Trt' PIIONE - <br />n/a <br />GENERRLCONTRFGiO(1 MPIL/OD(iE55 GIIY ZI� nppNE llCpil!,i I <br />SELGCT HOM�S, INC. PO BOX 708 MUKILTF.O, WA 98275 II27-8196SELECHi]�Q�N <br />MECHANIUICONTa�Cipq Mnq�O�fiE99 CILY )IP pqON! '�'�i(;(�p.� <br />PLUMBINOCONi�ACtOR MAILA�O�E59 CItY 11n n11pNE �If,fN'I <br />G1�990� WOi1N <br />�XNEW ❑ AD�ITION ❑ AITERATION ❑ l7EPAIf1 ❑ OEMOLITION <br />IEN�NIIMCqOVEMENfORINf[f110qREM0�ClONO' -� � <br />CONiRACT PRICE OF WORK <br />OESC9iBE WOBN �Np SOU�RE �OOUGE'NVOLViO <br />construction of �inqle family resider+ <br />PROPOSEO USE OF BUiL01NG <br />sinqle familv residence � <br />LEGaL�ESCRIPj10NOF� PEf1�V�5HOWN6ELOWORRtTACHFpURCOPIESj � <br />LOT� BI.00N OF <br />PLUMBINO <br />NO. TYPE OF FI%TURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUD <br />LAVATGflV�WASH BASIN) <br />SHOWER <br />L_ HITCHENSINK8015P. <br />DISHWASHER <br />IAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKIN� FOUNTAIN <br />FLOOR ORAIN <br />BACKFIOW PREVENTERS <br />ROOF DRAINS – RAI NLEADERS <br />SINK ISERVICE – BAR. EiC.I <br />SUBTOTAL S _� <br />PERMIT g <br />TOTAL FEE 5 <br />❑F:ARSEiO�CK 910ESETO�G <br />,� r � 5 � / <br />LOiARE� VACANl91iE <br />/Q �Ob }JMFB O NO <br />OCCIIPANCYOqOUP NO.O�OWELIII <br />r+o or s.o 3 s nsur. occ �o,o <br />Z � N ,cdA � <br />�INESVRINNIGNANGOIII�cn nv[a <br />❑ WOODSTOVE/FqPLINS[Ri ❑ OUILDING REIOCAiION <br />Randy Clark 398-1320/B'%9—B33.fL <br />Gr— eg rn—$ - �,j�s7� - <br />2 v '' a ���� <br />IHEiit EB�CER7IFVTHATIHAVEREADANDEXAMINEDTHISAPPLICATIOt� <br />KNOW'HE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LANl: � <br />ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLEtEU � <br />WHETHER SPEC�FIED HEREINOR NOT. THEGPANiINGGfA PERMITDO[' <br />PRESUME TO GIVE AUTHORITY TO VIOLATE Ofl CANCEL THE PRGVI510�' <br />ANYOTHERSTATEORLOCAILAWREGULATINGCONSTRUCiIONORTHf � <br />FORMANCE OF CONSTRUCTION. THAT 1 Ald AUTHORIZED dY THE OWNf � <br />THIS PHOPERTYTO PEfiFORM iHE WORK FOR WH;CN APPLICA710N IS �� <br />AND I COMPLY WITH iHE 6TATE CONTRACTORS LAW it127 RCW <br />296.200 WAC <br />SIONRiUR OFC iPA�tOROf1�UINC` �� : �ENi ' .tE <br />Se mes, _ � . <br />X = �°,-�� <br />�- � <br />� UC�N9 B 3 ,SLICENSENO.,Wp13U: JESSNRME � - <br />NC – AIHNDLG UNITS– H.P. <br />FOflCED AIR SY'iTEMS – 8.T.1 <br />UNIT HEATERS– O.T.U. M <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />METAL FIREALACE 8 CHIMNEY <br />FIREPLACEINSERi <br />HEAT PUMP <br />EXHAUST FAN <br />� SUB TOTAL $ _ <br />PERMI� S �" <br />' TOTAL FEE S <br />MNCNE ItNUMBEf1 FEE 11ECEIVTNO. <br />s� a3� gB �� <br />FEES VALUATION FEE <br />� �-- BUILOINQ _ �5, �f3 �-] ld� <br />PLUMBINO ��� <br />Ml'CHANICAI �_��_, <br />i O1�HER L 1� <br />f—� � <br />--� STATE BI�LDING SURCHAqGE <br />STATE ENERGY SURCHARGE <br />PUBLIC WORKS �� <br />TOTAL �C.�� - 1 � <br />� r� .r •+r . , . . ...�.,.. <br />.+ <br />. <br />