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� APPl.i6:QTlOrd FOR �ONS7'RUf:TlUN PE�RMIT <br />� <br /> fj1}$IC 1��� � (ll/�L�U'✓,j � CITY OF EV[RETT • BUILDING DIVISION <br />( #�S3 3200 CEDAR STREET• EV[RETT, WA 98201 • 259-8810 <br /> f 1 DEMOLITION 4XI COMBINATION lit BUILDING ;�I MECHANICAL kl PLUMBING f I SIGN <br /> PROJECT ADDRESS <br /> J �i C�� /Z � G�,�.'e.. (.l�• <br /> ownEn � � r,+nr noon�ss a�v zm ri�orn: <br />� �el�rr zrr,mg.�,_Tnr 128��th Ave. [9 #A-2Q1�2ret�,_ NIA 982_Q�1____2.4.6�513=2Q06 _ � <br />�I lENA4T IA�IL�IIDRF.$5 CIIY IIP PIIOYf <br />�( ARCIIITFGIUI1UeSIUNEl1 MNLA�OfiG55 GP� 71^ PIIOhE <br />� GENEf7�LCON(f!ACIOR lAnIL�DDf1ES5 Gliv ]IP PIIONG STA7ELIGENSEM <br /> .S�elec�j�pr����$11 Rt'h AV W #A- �Ol LV�r_p_�� WA 9g2(14 7_Of,/51'i-9(1(1f, SFTF(TT11(1KN <br /> �e�eeHnwca�r.oramncTo� r.+ni�nooness r,m >m miorve srr,reueeNs�� <br /> PUIM9RlC.CONiP�CIOR MAILAODRESS GIY /IP PIIOtIE STATELICENSEM <br /> CONTRACT PRICE OP WOfiK <br /> �0� HEAi Ir1G SYSTEM: f� GAS ❑ ELECTRIC ❑ <br /> D SCAi F WOPKAND SOIIAPE FUOT�GE�NVOLVED CONTACT PERSON pI;U PIIONE�O. <br /> Constniction of one single family residence d Clark 206/513-9006 <br /> _I I I I 5(�' ��'( •+- 4 � ,5'��, GA(Z�'�_ Beverly King 206/513-9006 <br /> I IiEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> — — APPLICATION AND KNOW THE SAME TO BE TRUE AMD CORRECT.ALL <br /> raoroseo use oF eui�oirvc pR0'iISIONS OF LAWS ANU ORDINANCES GOVERNWG THIS TYPE OF <br /> Sl[1q12 fdlfu.ZV c3�n'2111I1�_ WORI� WILL BF COMPLIED WITH WHETHER SPECIFIED HEREIPJ OR <br /> LEGALDESGRIPTIONOfPP.OFEi1ttISHOWNBCLOWOR4TTACHTWOCOPIES) NGT THE GRP.tlTING OF A PERMIT DOES NOT PRESUME TO �IVE <br /> ior_�_o�ocK or__ P.UTH.'7RITY TG V!OLATE OR CANCEL THE PROVISION OF ANY I <br /> OT�•:�t' STATF OP LOCAL LAW REGULATING CONSTRUCTION OR THE ��. <br /> Merrill Creek Gardens D1V. 1 PERi ORMA.NCE OF CONSTFUCTION.THAT I AM AU?HORIZEO BY THE i <br /> OWNEH OF T�'JS PROPERTY TO PERFORM THE WORK FOR WHICH � <br /> APPUCAIION 1;� MADE AND I COMPIY W!TH THE STATE � <br /> PARGEL TP.�LQ NUMBER CONTRACTOHS l�fJ 1827 PCW AND 296200 N.'AC. <br /> Select Hc�n�s, Inc. <br /> CONSTRUCIIONLOANLENOER.A�URESS.iELEPIIONENOh10ER XBV� �,�y ( �,nL_ ,Z' )'9S <br /> SIGNAIUfIC: I� DA7E <br /> GITY pU51N255 LICFJSF.NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM F�E NO. TYPE OF FIXTURE OR ITEM Ff E <br /> �_ WATER CLOSET(TOILET) � NC—4/HNDLG UNITS—H.P. ��— <br /> � <br /> J. �ATHTUB ; 1 FORCED AIR SYS'i EMS—B T,U. M E.A. ; <br /> LAVATORY(WASH�ASIN) —� HEAT PUMP � <br /> 1 SHOWER � UNIT HE�fERS—B.T.U. M ' <br /> �. KITCHEN SINI(8 DISP i 1 CLOTHES DRYERS i <br /> 1 DISHWASHER � � VENTILATION FAN ' <br /> LAUNDRY TRAY ; 1 RANGE HOOD � <br /> 1 CLOTHES WASHER � 1 WATER HEATER � � <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPIACE INSERT(W90D BURtJING) � <br /> BACKFLOW PREVcNTERS i GAS FIREPLA:,E �_ <br /> SINK(SERVICE—BAf�, ETC.) � GAS RANGE _ ' <br /> }g�- GAS PIPING <br /> � EXHAUST FAN � <br /> - � � <br /> , — i <br /> � _ <br /> � ' <br /> SUB TOTAL S ; SUB TOTAL S ; _ <br /> PERMIT S � PERMI7 S � <br /> TOTALFEE 3 ' TOTALFEE S ' _ <br /> FOR OFFICE USE ONLY: <br /> Fno�+rs�� nFnn��T�n H/ sio�se�cH � � r�nNciieck��+ur.±oj� rEe �/, _ necEiare+o. <br /> i � <br /> 1 v `J �.0�(G' .iL/ <br /> usEzome� �orn � vncnms E FEES _ VALUATION FEE <br /> � '��J l / nves nr+o ow�owc Gjl 03��' � 'S(� <br /> � � <br /> HEIGHTLIMITFTION � HOOFpWGLLING SIZEOFpI�G/11. - �� � <br /> .7� uNits ���3 S�S Ci4aA�.E ���urnowc �OC7 <br /> OCCUPANGY I!0 OF SiO�IF.S OCCUP�NT LOP.D B�SEMENi R!f:C11NlICAI I (� <br /> GR P� � � �O`7 I O <br /> IlYES HO � <br /> FlHEAIAPMREO'0 REASON ADDITION�LPLANCHECK � <br /> OIIIEO f� i�L) <br /> FI�ESPFII�'NLEfiliE�'D FF.ASON � <br /> SiNE�I1ILOING SUf1C11411GE t/��j O <br /> � <br /> TYPEOFGONSi. PIANS�PPROVEDOY CITY OF EVERETT runur.wonKs '��, � I r%, <br /> \I L.00AI SALES �— <br /> �/ ` ' � TAX CODE IS 31P5 '�fAL '����� �� � <br /> –/J onrE /�/95 ----- — �—_ <br /> —��r� <br />