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, ,:_ <br />APPL6�s�!'ION �QR CON�TRIr�:TI�N <br />PE RM I'i <br />tho Everyroon <br />CITY OF �wrr��ll <br />�����tt e <br />BUILDING DEPARTPhENT <br />259-eei0 'VO BE COMPLETED IN INK— PLEASE PRINT <br />owr+en aa�.nooness ertv <br />��P PYONE <br />SGLECT HOMES, II4C. PO BOX 708 MUKILTEO� WA 98275 827-8196 <br />TENnNT MAILAODNESS C�iV ZIP PHONE -- <br />n!a <br />ARCHIiEGTOR0E51GNER MAILADDRES$ GITY ZIP FNOAE � <br />n/a <br />GENERRLLONTRAGTOR MAlIAppRESS CITV 21P PNONE UCENSE� <br />S�L�CT HOM�S, INC. PO BOX 708 MUKILTEO, I9A 98275 82"i-8196 SELEQIIII_OKC: <br />GECHANiCALCON!RACTOR lAAILAD�qE55 CiiY ZIP PMONC �� �IC[NSE• <br />PlUM81NGLONiRppTOR MNIIPppRESS CITY 214' PHON[ Llf,lN56� <br />CL155pf wOfiY. --�—' . . <br />'____ _ .. ____. _.._._ ____ .. __ . <br />�XNEW ❑ ADn1710N ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOOC�STOVE/FRPL INSERT ❑ �UILDING f7ELOCATION <br />1[NFNT IMPROVOAENL OF INiERIOi IlEM00EL UNLr CONiACT PERSON AN� PMONE NO --------- <br />CONiRACT!'RICEOFWORK: RHIIdy C1aYk 398-13� � 827-8196 <br />OESCi110EWO�NAN05"]UAAEFOOTAGEINVOLVEO Greg .Cltli�] � <br />construction .i sinqle famil residen e ` ��� ���6?j <br />PpOPC5E0 USE OF BUROiNG -- <br />I HEREBYCERTIFVTHAT I HAVE READ AND E�AMINEDTHISAPPLICATION AND <br />sinQle family residence KNOW'IiESAMETOBETRUEANDCORRECT.ALLPROVISION50FLAW5AND <br />iFc.n�oescr�mnor+oFr�oceNnisHowruee�owor+nnncHrovacories�, ORDINANCESGO`/F.,;atlJGTHISTVPEOFWORKWILLBECOMPLETEDWI7H <br />�"� WHETHERSPECIFlcpHEREIK _^qN07.7� It GRANTINGOFAPEP.MITDOESNOL <br />i.Or_tL e�oCK oF ?RE3UME TO GNE AUTh:ORIiY lO ViULATE OR CANCEL THE PqOVI510N50F <br />— PNVOTHERSTATEORLOCALLAWREGULATINGCONSTRUC710NOR7HEPER- <br />FORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE OWNER OP <br />� LEI, HAVE�J H ELHTS �HIS PFOPERTYTG PERFORM THE WORK POR WHICH APPLICATION IS MAD[ <br />AND I COMPLY WI7H THE STATE CONTRACTORS lAW iB27 RCW AND <br />'��� � � � , 296200 N'AC. <br />—t' �,�� � �'� SIGNATUREOFpOM�RCI�fiORqUiMORIZEDAGENT DAi[ <br />� . Selec� H mes, Inc. <br />_ it � � , 5 /�r� <br />aaaecraooaess }�_ / (/ <br />�dd /' <br />PLUMBING <br />NO. TYPE i <br />WATER CLOSET <br />OATHTUB <br />LAVATORYIWAS <br />��1 `(�c.-z [ti.� <br />HITCHEN 91NK 8 DISP <br />DISHWASHER <br />URINAL <br />f'LOOR OPAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS— RAINLEA <br />SI NK (SERVICE — BAR, ET( <br />OR ITEM <br />SUBTOTAL <br />ff <br />TOTAL FEE <br />aenn seroncrc <br />� ZO / <br />/z —J 931� <br />ttPEOFCONST OCLUPPNCYGF <br />�ILOWAOLE/AGLUAL <br />5¢[ OF p�DG. NO 0%STORIES <br />c'% � 3.� O .SJ � .2 <br />—� — <br />fIpCSPRIHNI.[RSf1E0OIpC.O fI VE5 ❑ NO <br />�r��. <br />/..] <br />ITE <br />n r�o <br />MECHAWCAL <br />.".'^ TYPEOFEOUIPMENT <br />A/C— A/HNOLG UNITS — H.P. <br />1 FORCED Alf� SYSTEMS— B.T.U. M <br />UNITHEATERS—B7.U. M <br />1 CLOTHESDRYERS <br />— .i VENTILATION FAN <br />— ]_ RANGE I100D <br />]. WATER H[ATER <br />WOOD STOVE <br />], ME7ALFIREPLACEBCHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />1 GAS PIPING <br />E%HAUST FAN <br />PERMIT <br />TOTAL FEE <br />ECKNOMBEfI FEE <br />'.�.,:..,(��� .: ��.-�. <br />FEES VALLIAT�ON <br />DWELIINGUNITS BUILDING _ <br />I P�UMBING <br />)Ap <br />MECHANICAL <br />'LIMITAL�ON OTHER <br />Q � _ —_ <br />L STATE BUILDING SURCHARGE <br />STATE ENEFGY SURCHARGE <br />PUBLIC WORKS <br />TOTNL <br />C �/ <br />5� <br />5 <br />5 <br />' � ��/� <br />FEE <br />S� I _� <br />� U <br />yo — <br />� S "c` <br />___l. <br />