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-13 a cxe, 10 7 ��( <br /> APPLICATION FOR CONSTRUCTION PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 • 259-8810 <br /> FI DEMOLITION X COMBINATION IR BUILDING kl MECHANICAL kl PLUMBING I1 SIGN <br /> PROJECT ADDRESS 1117 uj . <br /> OWNER MAIL ADDRESS City 71P r110NE <br /> sP1FA81 <br /> "t Hamm TOP_ 121 8th Ave. W���Ol Everet+�, WA 98204 206/513-9006 <br /> TENANT MAII.AIKInFSS City 71P MONF <br /> AnaIVECT ORDESIGNER MAIL ADDRESS CITY 71n PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY 71P PIRAF STATE LICENSE <br /> Select Hares, Inc 12R11 $ h Ave. W IIA-201 Everett, PIA 98204 206/513-9006 gF.TF.MT110XN _ <br /> MECNANCALCONGIACTOR MAIL ADODESS CITY 71P PHONE STATE.LICENSE <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE IT <br /> CONTRACT PRICE OF WORK <br /> HEATING SYSTEM: -P(GAS f 1 ELECTRIC n- <br /> oitglhtoWORK AND SQUARE FOOTAGE INVOLVED CONTACT PERSON AND PIIONF NO <br /> Construction of one single family reside206/513-9006 <br /> _ Beverly King 206/513-9006 <br /> 1 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 WORK <br /> 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 IWO COPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT (A BLOCK or AUTHORITY TO V;OLATE OR CANCEL THE PROVISION OF ANY <br /> OTHFR 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 ANU I COMPLY WITH THE STATE <br /> PARCEL TAX T.D.NUMBER CONTRACTORS LAW 19.27 FICIN AND 290.200 WAC. <br /> Select Hanes, Inc. <br /> CONSTRUCTION LOAN LENDER,ADDRESS.TELEPHONE NUMBER X%IDnE- l.l'dv.Lll� .2-11.-95' <br /> SIGNADATE <br /> CITY BUSINESS LICENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTUIIE OR ITEM FEE <br /> 3 WATER CLOSET(TOILET) 1 AIC-AfHNDLG UNITS-H.P. <br /> 1 BATHTUB FORCED AIR SYSTEMS-B.T,U. M E.A. ' <br /> 3 LAVATORY(WASH BASIN) t HEAT PUMP t <br /> SHOWER ' UNIT HEATERS-B.T.U. M ; <br /> _ 1 KITCHEN SINK 8 DISP i CLOTHES DRYERS i <br /> DISHWASHER VENTILATION FAN ' <br /> LAUNDRY TRAY I RANGE HOOD ; <br /> CLOTHES WASHER I WATER HEATER t <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN 1 METAL FIREPLACE(WOOD BURNING) 1 <br /> FLOOR DRAIN FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS OAS FIREPLACE i <br /> SINK(SERVICE—BAR,ETC.) 1 GAS RANGE <br /> ' g OAS PIPING ' <br /> 1 EXHAUSTFAN I <br /> 1 ' <br /> 1 ' <br /> 1 ' <br /> 1 � <br /> SUB TOTAL E ' SUB TOTAL E ' <br /> PERMIT E t PERMIT E 1 <br /> _ TOTAL FEE S ' TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK c REMSET ACK SIDE SETBACK PLANCIIEC NUMnF.n FEE RECEIPT NO. /- <br /> USE ZONE() 2 TAREA VACANT SITE FEES VALUATION FEE — <br /> T!\� J y 7 g J:F4Es n No BURDINO CT'[� �7 / <br /> HEIGIIf LIMITATION NO OF DWELLING SIZE OF ninon I <br /> n UNITS 11•j7 SF PLUMBING <br /> ] L S2 Sf GARAC.B <br /> d CUPPANCY NO OFSTOMLS OCCUPANT LOAD BASEMENT MECIIANCAL <br /> .3 2 N A 1 11 YES WING <br /> FIRE ALARM RED REASON AOD411ONAL PLAN CIIECK <br /> OTHER <br /> FIRE SPRINKLER RED'D REASON <br /> STATE BUILDING SUfK:1MnGE <br /> NO <br /> TYPE OF CONST PIANSMrnOVEf1RY CITY OF EVERETT PURTICWQnKS — <br /> J}� LOCAL SALES <br /> l{ DATE Z 2N { TAX CODE IS 3105 TOTAL / r <br />