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APPLICAT( )N FOR CONSYTRUC ]ON PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT [^' <br /> BASIC PLAN: ALDER (CITY NO. 101) <br /> BUILDING DEPARTMENT HEATING SYSTEM: UGAS U ELECTRIC U <br /> 259-A810 <br /> I DEMOLITION W COMBINATION 1A BUILDiNG k)MECHANICAL DE PLUMBING SIGN <br /> OIYNER MAIL ADDRESS CITY IIP <br /> PIgNE <br /> SELECT HOMES, INC. 12811 8th Ave W Everett, WA 98204 (206) 513-9006 <br /> TENANT MAIL ADDRESS CITU <br /> IIP PHONE <br /> ARCHITECT OR DESIGNER MAR ADDflE55 CITY <br /> IIP PHONE <br /> GENERAL CONiRACTOfl MALI ADDRESSCH.I1 T KN <br /> CITU IIP PHONE STATE LICENSE F <br /> SELECT HOMES, INC. 12811 8th Ave W Everett, WA 98204 (206) 513-9006 <br /> MCCNANICAL CONTRACTOR MAIL ADDRESS CITY <br /> ZIP PHONE STATE LICENSE 8 <br /> PLIIMDIN6 CONigACTOR MAIL ADDRESS CITY <br /> LIC PHONE SLATE LICENSE <br /> CONH.ACT PRICE OF WORK <br /> $40000 <br /> DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br /> CONTACT PERSON AND PHONE NO <br /> andy Clark 513-9006 or 239-2100 <br /> Greg Stirn 513-9006 <br /> PROPOSED USE OF BUI'07 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Sin le faBZ dwelling APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> IEWLDESCflWTKY/OF PROPERTY ISIIOWN BELOW OR ATTACH TWO CO PIES) WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> LOT-DJ19__ BLxL OF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> Merrill Creek Gardens AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW HEGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> PARCEL TAXI D NUMBER APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CON RACTOR LAW i'.27 RCW AND 296.200 WAC. <br /> CONSTRUCTX"LOANLENDER.ADDRESS.TELEPHONENUMBER `Se�eCt I owes, INC. <br /> PROJECT ADDRESS(? _/ �Z(D-wAI <br /> FC( k <br /> City Fu5MF541 KFHSt MO <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT <br /> WATER CLOSET(TOILET) FEE <br /> ' A1C—A(HNDLG UNITS—H.P. <br /> BATHTUB ' FORCEDAIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORY IWASH BASIN) I UNIT HEATERS—B.T.U. M ' <br /> SHOWER <br /> ' CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP ' VENTILATION FAN <br /> DISHWASHER I RANGE HOOD T— <br /> LAUNDRYTRAY ' WATER HEATER <br /> CLOTHES WAS - <br /> ' WOOD STOVE - I <br /> URINAL <br /> ' Z METAL FIREPLACE(WOOD BURNIN ) I <br /> DRINKING FOUNTAIN ; FIREPLACE INSERT I <br /> FLOOR DRAIN ' HEAT PUMP �- <br /> BACKFLOW PREVENTERS ' GAS PIPING <br /> ROOF DRAINS—RAINLEADERS I EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.I I ;_ <br /> I , <br /> I <br /> ' T <br /> 1 � <br /> SUB TOTAL E ; SUB TOTAL E <br /> ._ PERMIT E T PERMIT E <br /> TO FAL FEE E ' TOTAL FEE S --�-- <br /> FOR OFFICE USE ONLY: <br /> I RONT SETBACK REAR SETBACK <br /> // 61UE SETBACK CLAN CNE NUMPER FEE <br /> �.� V IV561 b o REC ,ND {/f <br /> IISC LONE LOTAREA VACANT SITE �'J�i" <br /> y I FEES VALUATION FEE <br /> nHof ,I �7 <br /> �t�OKinl No of stDYES ❑ NO BUILDING <br /> JoglES ac~y w(Ymn cUNIT <br /> 1L wof PLUMBING ' <br /> SIZE OF BLDi ) FIRE SPRINKLERS REDD BASEMENT ' <br /> Ll YES fn'tNO <br /> MECHANICAL i <br /> xCUPANCYLOAD FIRE ALARM REDD HEIGHTLMIITATION ADDITIONAL PLAN CHECK <br /> REASON ETHER— <br /> STATE BUILDING SURCHARGE <br /> —— <br /> INIAKE BY PLANS APPROVED BY CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS 20 <br /> _ DATE TAX CODE IS 3105 ToTAL 19 J� <br />