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�'�5�rncr1•+- <br /> APPLiCAT1OW FOR CONSTRUC"i PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, VL'A 98201 •259.8810 <br /> 1 1 DEMOLITION Ixl COMBINATION IR BUILDING kl 7.I ?CHANICAL kl PLUMBING I I SIGN <br /> PROJECT ADDRESS <br /> 02.1 Pw <br /> CANER MAIL ADDRESS <br /> CnY 7R• ruoeE <br /> -&I eC�Hrmnef Tnp 19811 8t1+ z W !tA-20] L17 rc+t-t <br /> MAu.ADDRESS —P,-tt,-ka-382DA--2Q 1513-9006 <br /> CITY rip rnDNF <br /> ARCIIITr.CT LIR DESIGNER MMLAOEMIESB CITY <br /> 7Ip PHONE <br /> GENERALCONTWTan MA IL ADDnF.SS OI-Cy <br /> 7"' PIIONF: 9IATE LICENSE 1 <br /> $elec Hanes, Tnc 12811 Rth LVe. W NA-2n1 F�arL�,�t• 4IA 98204 206/513_9pD6 GFT�rmrlln + <br /> MECHAMCAIC 1pT0 TOG MAIL ADDRESS rI1Y -- <br /> llr PIIOHE SUTF.LICENSE <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY <br /> ZIP PHONE STATE LICENSE A <br /> COMRACT PRICE OF WORK <br /> HEATING SYSTEM: GAS nl ELECTRIC n7 <br /> BCR E WORK AND Sp1ARE FOOTAfiE INVOLVED CONTACT PF RSON AND rpoNIF.NO <br /> Construction o !1Y �;naje famtlY r, s'�enc� Clark 206/513-9006 <br /> Beverly King 206/513-9006 <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Pmposco USE D BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> Single family lling PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGAL DESCRIPTION OF PROPERTY ISIKJWN BELOW On,'"ACII TWOCOMESI WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> Lor NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> -BLOCK of AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> I`1B1'ill 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 TAX 1 D.MUMBER CONTgACTORS LAW 18.27 RCW AND 298.200 WAC. <br /> Select Hanes, Inc. <br /> CONSTRUCTION LOAN'LENDER <br /> TELEpNONE NUMBER X B • <br /> SIGNATUWOE p <br /> ,CITY BUSINESS 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 A/C-A/HNDLG UNITS-H.P. r <br /> BATHTUB ' 1 FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) I HEAT PUMP <br /> 1 SHOWER <br /> ' UNIT HEATERS-B.T.U. M , <br /> 1 KITCHEN SINK 8 DISP ) CLOTHES DRYERS ' <br /> DISHWASHER ' <br /> ' VENTILATION FAN , <br /> LAUNDRY TRAY ; RANGE HOOD I <br /> CLOTHES WASHER I WATER HEATER <br /> URINAL <br /> — ' WOOD STOVE r <br /> DRINKING FOUNTAIN I METAL FIREPLACE(WOOD BURNING) , <br /> FLOOR DRAIN r FIREPLACE INSERT(WOOD BURNING) r <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE I <br /> SINK(SERVICE-BAR,ETC.) r OAS RANGE <br /> ' GAS PIPING r <br /> 1 EXHAUSTFAN <br /> r <br /> i r <br /> , <br /> , <br /> SUB TOTAL E ' SUB TO.AL E ' <br /> PERMIT E PERMIT E , <br /> TOTAL FEE E �— TOTALFEE E ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK ! REAR SETBACK SIDE SETBACRECEIPT N0 <br /> K / PLAN CIIECK NUMBER F[E . <br /> aT L170o C:7) ila,�� <br /> USEZONE LOT AREA VACANT SIIF FEES VALUATION FEE <br /> ,Fr✓L �¢� nYES n NO eunNNG <br /> IIEIOIIT LI;!'TATIM:/ UNITS DWELUNG SUE OF BLDORJ dZ <br /> h ZfeO'Z. Sf LIV,NA. f _-------s� <br /> 4 SF 'e c` rwMmNR <br /> OCCUPANCY NO a SifMnES OCCUPANT TOAD BASEMENT i <br /> GROUP � MECHANICAL <br /> 1'-'3 ' N /A WIES 11 NO <br /> FIRE ALARM REOD TREASON ADOIIONAL PLAN CIIECK <br /> O"If n / <br /> FIRE SPRINKLER REO TT REASON <br /> STAir BUILDING SURCHARGE <br /> irPE OF CONST PUNS APPROVED BY CITY OF EVERETT Punucwonns <br /> _N <br /> ljJ4 LOCAL SALES <br /> DAZE -Z2H/95 TAX CODE IS 3105 TOTAL <br />