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APPLICAT"nM FOR :ONSTRUC"ION PERMIT <br /> TO BE COMPLETED I i BLACK INK—PLEASE PRINT <br /> CITY OF IVERETT BASIC NUMBER: �� <br /> IFCT-` -li11MF.S BASTC Tp• "TAMARACK" __ <br /> BUILDING DEPARTMENT HEATING SYSTEM: U GAS U ELECTRIC <br /> 259-8810 <br /> ( I DEMOLITION I COMBINATION Ait BUILDING I I MECHANICAL. I !PLUMBING I I SIGN <br /> OWNER MAIL ADORE SS CITY ZIP 'HONE <br /> SELECT HOMES, INC. 237 ELM ST. , EVERETT, WA 98203-1921 (206) 25P-1503 <br /> TENANT MAIL ADDRESS CITY ZIP PHONE <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP NiONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE IT <br /> SELECT HOMES, INC. 237 ELM ST EVERETT WA 98203-1921 258-1503 SELECHI110KN <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PIDNE STATE LICENSE <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE t <br /> CONTRACT PRICE OF WORK <br /> 40000 <br /> DESCRIBE WORK AND SQUARE F OIAGEINVOt VED CONTACTPE4SONANDP110NENO <br /> CONSTRUCT SINGLE FAMILY RESIDENCE <br /> 1616 SnIIARF FEET nF TTVTN( SPACE GARY-KTTc ( 339-0555 <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> SINGLE FAMILY DWELLING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> I EGAL DESCRIPTION OF PROPERTY ISHOWN BELOW ON ATTACH TWO COPIES) WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT L42Z BLOCK - OF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> HANABROOK E DIVISION 4 OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THC- <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL IAA I NUMBER CONTRACTORS.AW 18.27 RCW AND 296,200 WAC. <br /> SELEC HO S, INC. <br /> CONSTRUCTION LOAN LENDCR.ADDRf.55.TELEPHONE NUMBER /I <br /> SEATTLE MORTGAGE, SEATTLE, WA Y: & <br /> PROJECT ADDRESSI bGNA1WE IIAII <br /> CITY WSNESS IN:ENSL W <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> 3 WATER CLOSET(TOILET) I AIC-A HNDLG UNITS-H.P. <br /> 1 BATHTUB FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) I UNIT HEATERS-B.T.U. M <br /> 1 SHOWER - ' CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> T <br /> DISHWASHER ' RANGE HOOD <br /> LAUNDRY TRAY - ; WATER HEATER <br /> CLOTHES WASHER T WOOD STOVE <br /> URINAL _ ' METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT I <br /> FLOOR DRAIN ' HEAT PUMP <br /> _ BACKFLOW PREVENTERS ; ). veGAS PIPING <br /> ROOF DRAINS-RAINLEADERS ' E EXHAUST FAN _ <br /> SINK(SERVICE-BAR, ETC.) I <br /> I <br /> I <br /> SUB TOTAL. $ ; SUB TOTAL $ <br /> PERMIT S I PERMIT $ <br /> TOTAL FEE $ TOTAL FEE $ <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK RUR SETBACK SIDE SETBACK P ECK NUMBER FEE RECEIPT NO <br /> 20 1 7 7, <br /> USE E LOT AIIFA VACANT SITE FEES VALUATION FEE <br /> '-Z q�q [*YES ❑ NO BUILDING If <br /> TYPE DF CONST. NO OF STORIESli acWYFAY gdfMtLLt14 Wit <br /> I— 3 I <br /> I PLUMBING i <br /> LS yOF BIDsFIRE SPRINKLERS HEOO BASEMENT i <br /> � MECHANICAL <br /> �b G 0 ❑ YES X NO <br /> OCCUPANCY LOAD FIRE AURM RED HE IGNT LIMITATION/ ADDITIONAL PLAN CHECK I <br /> IPAf <br /> REASON <br /> STATE BUILDING SURCHARGE <br /> INUKE BY PUNS`P OADBY CITY OF EVERETT PUBLIC WORKS Z <br /> ,pI LOCAL SALES 73 <br /> DATE I L zi. �) TAX CODE 1S 3105 TOTAL <br />