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I <br /> - SyC .�morc- ,,,, V/nR <br /> APPL ICATIO14 FOR CONSTRUCTION PERMIT <br /> CITY OF EVERETT • BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259.8810 <br /> I l DEMOLITION IK] COMBINATION lit BUILDING kl MECHANICAL kl PLUMBING I I SIGN <br /> PROJECT ADDRESS , <br /> /0 1/ 'SS 's <br /> OWNEn MAIL ADDIIF SS CITY 711, PHONC <br /> Re'FC'_ <br /> TTCMegI-Tan X811 8th Ay W NA- nt h =ttl 4�llt 982492Q6/5.13�.OiL6 <br /> TENANT MAII.ADORESS CIIY 71P roMNr <br /> ARCHITECT On DESIGNER MAIL ADDRESS CITY 71r PIIONF — <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY 71r rUmr STATE LICENSE <br /> select Homes In,,- 19911 Rth AL w #A-201 F 11A n_ 8904 2G/S ()o ID c;p i I 1 L InKf` <br /> MECNANICAI CONTRACT OR MAIL ADDRESS CITU llr r110NE SiM11E LICENSE <br /> PLUMBING CONTRACTOR MAII ADDRESS CITY 711' PHONE STATE LICENSE <br /> CONTMCt PRICE OF WORK <br /> /FR HEATING SYSTEM: *6AS I I ELECTRIC Fl <br /> D SCRI E WORK AND SQUARE FOOTAGE INVOLVED CONTACT PLnSON AND PUONF NO <br /> Construction of one R112g1 <br /> Beverly King 206/513-9006 <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROFUSED USE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> Single family dwellinci PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL DE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR AMACH TW6COME5) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT i1Z BLOCK or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> Merrill Creek Gardens Div. 1 PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL TAXI D.NUMBER CONTRACTORS LAW 19.27 RCW AND 296.200 WAC. <br /> Select Hanes, Inc. I <br /> CONSTRUCTION LOAN LENDER ADDRESS.TELEMIONE NUMBER XBy. ,, CJVIA/� .2 •1;S— <br /> SIGNATUnE DATE <br /> CITY BUSINESS LICENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) I AIC—AMNDLG UNITS—H.P. I <br /> BATHTUB ; L FORCED AIR SYSTEMS—B.T.U. M F.A. ' <br /> LAVATORY(WASH BASIN) I HEAT PUMP , <br /> _ SHOWER UNIT HEATERS•-B.T.U. M I <br /> L KITCHEN SINK A DISP i CLOTHES DRYERS <br /> 1 <br /> DISHWASHER ' VENTILATION FAN <br /> LAUNDRY TRAY ; RANGE HOOD ' <br /> CLOTHES WASHER I WATER HEATER �— <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN ) METAL FIREPLACE(WOOD BURNING) , <br /> FLOOR DRAIN I FIREPLACE INSERT(WOOD BURNING) I <br /> BACKFLOW PREVENTERS ) GAS FIREPLACE ) <br /> SINK(SERVICE—BAR,ETC.) , OAS RAIJOE I <br /> ' OAS PIPING ' <br /> EXHAUSTFAN I <br /> I , <br /> SUB T:TAIL 5 ' SUB TOTAL $ ' <br /> PERMIT E I PERMIT $ , <br /> TOTALFEE $ ' TOTALFEE $ ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSE1BACf REARSET11 CK SIDE.SETBACK / PIAN CHECK NUMBER FEE RFCEIPT NO. <br /> USE IOI Ell VACANT E FEES VALUATION FEE <br /> Il Yrs rl NO BUILDING63"/ Q <br /> IIEIONT LIMITATION TIO OF DWELLING SIZE OF BLOGR I 2 <br /> UNITS ) 32 S f L.I VAJ <br /> $ 1aAL.AG C PlI1MB1i A <br /> OCCUPANCY I Iq 0111GRES OCCUPANT LOAD BASEMENT <br /> GR p MECHANICAL <br /> .S Z N rl YES V< lY <br /> FIRE ALARM REGO REASON ADDITIONAL PLAN CHECK <br /> KI,O on1En IbyN <br /> FIRE EpRINKLEn REOD REASON <br /> fl STATE nUIL01NG SUnCPAnm <br /> TYPE Of CONST PIANSAPpnQVEDBY CITY OF EVERETT PIIBIlf,W011K5 <br /> �J 4LOCAL SALES C <br /> _Y LI OATS Z 21'/ 9S TAX CODE IS 3105 TOTAL <br />