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APPLICATION FOR CONSTRUCTION PERMIT <br /> CITU OF FVERETT • BUILDING DIVISION <br /> 3200 CEDAR STREET • FVERETT,WA 98201 •259-8810 <br /> Fl DEMOLITION IXI COMBINATION IR BUILDING kl MECHANICAL kl PLUMBING 11 SIGN <br /> PROJECT ADDRESS <br /> /OZQ 5 ? 4-& PL 56U E✓ eie f{ A)A 98z.o.3 <br /> OWNER MAIL ADDRESS CITY zip PHONE <br /> GFlnrl- "nima rnr 12811 Bfh Ave. W RA-201 Lveret, , NIA 9820.g_2U6L513 2006 _ <br /> /ENAN—T—Y,' MAIL AIMRIF.99 CItY IIP PIIUNE <br /> A'ICNITECT on DESIGNED MAILQRRIESS CITY ZIP PHONE <br /> OENEnALCONTIUCTOn MAIL ADMESS CITY ZIP moan STATE LICENSEE <br /> -SElent Hme-g. Ince. 12H]1 R h Ave. W IA-201 Everett, VM 98204 206/517-9006 SF.TFYTPT'llogm <br /> MEC^ NICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSEE <br /> PIUMEINOCONIRACTOR UMLADDRESS CITY 71P PHONE STATE LICENSER <br /> CONTRACT PRICE OF WORK <br /> a,1dn-n HEATINGSYSTEM: XUAS I-IELECTRIC 17 _ <br /> 9CRIOE wom AND SOUAPE FOOTAGE INVOIVEn CONTACT PCRSON AND PHONE NO <br /> Construction of <br /> Beverly King 206/513-9006 <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BOLDING AnPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> Single famil dwelling PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW On ATTACH TWO COPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT��BLOCK ,IF 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 I _RFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PAIICEL TAX I O.NUMBER CONT9ACTORS LAW 18.27 nCW AND 296,200 WAC. <br /> Select IlCmes, Inc. <br /> CONSTRUCTION LOAN LENDER,AnDRE58,IELEPHDNE NUMBER XBv: gid-L�Q,Y 4-,ld4 X/ //L?.S <br /> SIGNATURE 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 /> 3 WATER CLOSET(TOILET) I A/C—AMNDLO UNITS—H.P. T <br /> BATHTUB ' 1 FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> 3 LAVATORY(WASH BASIN) I HEAT PUMP 1 <br /> SHOWER ' UNIT HEATERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP ) CLOTHES DRYERS 1 <br /> DISHWASHER 1 VENTILATION FAN I <br /> LAUNDRY TRAY RANGE HOOD ) <br /> CLOTHES WASHER I WATER HEATER 1 <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN 1 METAL FIREPLACE(WOOD BURNING) �- <br /> 1 <br /> FLOOR DRAIN ' FIREPLACE INSERT(WOOD BURNING) - — <br /> BACKFLOW PREVENTERS ) OAS FIREPLACE ) <br /> SINK(SERVICE—BAR,ETC.) I GAS RANGE 1 <br /> ' OAS PIPING ' <br /> 1 EXHAUST FAN 1 <br /> I I <br /> 1 1 <br /> 1 1 <br /> SUB TOTAL S ' SUB TOTAL $ ' <br /> PERMIT S 1 PERMIT S 1 <br /> --•— <br /> TOTALFEE S ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> Fnpit SETBACK DEAD SETBACK r 910E SETBACK PUN CHECK NUMPEn PEE nECEIPT NNo 1 JO 7 <br /> _ '/ / <br /> USE ZONE LOT AREA ^ VACANT SITE _ FEE S VALUATION FEE <br /> CI YPS N NO BUILDING 'J g 23 orn <br /> DEIGDT LIMITATION/ UNo NITS DWELLING SIZE OC BLDORI <br /> ^ ( EJOS 41vi,�& r PLUMBING <br /> OOCCUPANCY #00OFSTORIES OCCUPANT LOAD BASEMENT ,/ MECHANICAL 1 1 7 <br /> h' 2 A ❑YES 440 <br /> i1nE ALAnMnEO'D REASON ADDITIONAL PLAN CHECK <br /> oH1ER <br /> FIVE SPRINKLER REDD REASON <br /> STATE BUILDING SUIICDADGE , ) <br /> i <br /> TYPE OF CONST PlAN9 APPRO ED BY CITY OF EVERETT PUBLIC WORKS Z <br /> LOCAL SALES <br /> �'w nn1E 7 S5 TAX CODE IS 3105 TOTAL '� <br />