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APPLICATIOd FOR CONSTRUCTION PERMIT�T <br /> CITY OF EVERETT•BUILDING DIVISION �/ <br /> 3200 CEDAR STREET• EVERETT, WA 98201 • 259-8810 <br /> 11 DEMOLITION ixI COMBINATION IR BUILDING kI MECHANICAL kI PLUMBING I I SIGN <br /> PROJECT ADDRESS <br /> // 07 101. 5. 0. <br /> OWNER MAII ADDRESS CITY 711' PRONE <br /> SFalrx•f- 11�S, Tnr• 12H11 8th Ave. 1V RA-201 Evemt;L �1A 9820?�,06/513-9006 <br /> 1ENANT MAIL AIKNIFSS CITY 71P PIIRNF <br /> ARCHITECT OR DESIGNED MAR.ADDRESS CI I )IP PIIONf <br /> GENEnALCONTRACTrKI MAILADDRESS CTTY )IP PIIONC STATE LICENSE <br /> Seler B a, Tn 1 R71 Rf-h Ayo 1�IIA- p1 Lve t- WA 9R2()4 06/517-900h RRTFI`PT110KN <br /> MECIIAMCAL CONTRACTgI MAIL AMITE SS CITY )Ir PIIONF STATE LICENSEE <br /> PLUMBING CONTRACTOR MAII ADDRESS CITY 71P PHONE STATE LICENSEE <br /> CONTRACT PRICE or WORK <br /> HEATING SYSTEM: XGAS fl ELECTRIC fl <br /> SCR E WORK AND SQUARE FOOTAGE INVOLVED CONUCT rr RSON AND PIIONF.NO <br /> Constructi f Pme sinaleRandy Clark 206/513-9006 <br /> Beverly King 206/513-9006 <br /> 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> Single Tamil dwelling PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> IVORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL DESCRIPTION OF PROPERTY 1511OWN BELOW OR ATTACH IWO COPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT 7- 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 1 COMPLY WITH THE STATE <br /> PARCEL TAX 10 NUMBER CONTRACTORS LAW 18.27 nCW AND 296.200 WAC. <br /> Select Banes, Inc. <br /> CONSTRUCTION LOAN LENDER,ADDRESS.IELEP110NE NUMBER X B71• —�� �17a _ )6 'IS <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-AMNDLG UNITS-H.P. I <br /> ..7 1 BATHTUB ' 1 FORCED AIR SYSTEMS-B.T.U. M E.A. ' <br /> 3 LAVATORY(WASH BASIN) , HEAT PUMP , <br /> 1 SHOWER _ ' UNIT HEATERS-B.T.U. M ' <br /> 1 KITCHEN SINK A DISP i 1 CLOTHES DRYERS i <br /> DISHWASHER I VENTILATION FAN I <br /> LAUNDRY TRAY ; RANGE HOOD <br /> CLOTHES WASHER I WATER HEATERT— <br /> URINAL ' WOOD STOVE <br /> DRINKING FOUNTAIN FIT METAL FIREPLACE jWOGB-EURNWG) I <br /> FLOOR DRAIN ' FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS I GAS FIREPLACE ' <br /> I <br /> SINK(SERVICE-BAR,ETC.) I GAS RANGE I <br /> ' GAS PIPING ' <br /> I EXHAUST FAN , <br /> SUBTOTAL S ' SUBTOTAL E ' <br /> PERMIT E r PERMIT $ 1 <br /> TOTAL FEE E ' TOTAL FEE Z ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SE78ACK READ SETBA SIDE SETBASK PLAN CHE1CK,NUMDF.R FEE RECEIPT N'OT. <br /> USE7 2 LDTAREA q VACANT E FEES VALUATION FEE <br /> ' J 71 U YF.5 El NO BUILDING U <br /> ))EIGHT LIMITATION . NO OF DWELLING 517E OF BLIM41 n <br /> �7A{ UNITS 1(,77 SF L.IV,L�.LA } NUMBING 'y <br /> C CCJJ w3 sF CA144w1 <br /> 630 <br /> OCCUPANCY NO Or STORIES IXICUPANI LOAD BASEMENT � /�� <br /> GRU 3 N p MECNANICAL ( uo <br /> O <br /> I1YES 144, <br /> rIREALARMREOG REASON ADDITIONAL PLANCIIECK <br /> DIFFER OO <br /> FIRE SPRINKLER REOO RFASON <br /> "o STATE BUILDING SUNCN%FIGE J <br /> TYPE Of CONST 1`1 ANS APPROVED BY CITY OF EVERETTrulRlc wonKs ) <br /> j VA LOCAL SALES � � <br /> FFJ DATE Z/ty/7S TAX CODE IS 3109 TOTAL .-7P <br />