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AePLICATII TSI FOR CONS,v tiuc-, ON PiLhmii <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINTrnh�FT <br /> BASIC: HOL (City No. 202 ) <br /> BUILDING DEPARTMENT HEATING SYSTEM: UGAS U ELECTRIC U _ <br /> 259.8810 <br /> I DEMOLITION AAOMBINATION Il BUILDING II MECHANICAL PLUMBING SIGN <br /> 11WNEfl —MAR ADTNRSS CITY ZIP P1gHL <br /> SPLECT H�ES - INC, 237 ELM ST EVERETT, WA 98203 258-1503 _ <br /> TENANT MAR ADDRESS CITY ZIP PHONE <br /> ARCHIIECTORDESMNEn MAI ADDRESS CITY ZIP PION( -- - - - --- --- <br /> GENERAL CONTRACT014 IIA)ADDRESS CITY ZIP PHONE STALL LKANSI I ---_ <br /> SELECT HOMES, INC. 237 ELM ST EVERETT, WA 98203 258-1503 SELECH1110KN _ <br /> MECHANICAL CONTRACTOR MAI ADDRESS CITY ZIP PHONE STATE LICENSE A <br /> PLUMBINGCONTRACIOR MAI ADDRESS CITY ZIP PHONE SIAIL LICENSE <br /> CONTRACT PRICE OF WORN <br /> 40000 <br /> DESCRIBE WORK AND S"RE FOOTAGE INVOLVED CONTACT PERSON AND PHONE NO <br /> 258-1503 <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PAOMSED USE Of BUKONG APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> SFR PROVISIONS OF LAWS AND ORDINANCES GOVEF,NING THIS TYPE OF <br /> ILEAL DESCRIPIKB/OF PnOPe lily ISHOWN BELOW OR ATTACH TWO COPIES) WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> _ Hanabrook Div N NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> Lot A — MOCK OF <br /> - AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW RE13ULATING 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 /> PARCELTAx ID NUMBER APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCYy�ND 296.200 WAC. <br /> _ Sele Homes, INC. <br /> CONSTRUCTION LOAN LENDER ADOnE SS.IELLPIIUHL NUMR1 H <br /> PROJECT ADDRESS 58 I AnNATun. _ +�'°�Lf <br /> =�^� <br /> Mil <br /> CITYµ15M1 YIYI H]I lxl <br /> PLUMBING MECHANI,'AL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIC—A/HNDLG UNITS—H.P. <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A ' <br /> LAVATORY(WASH BASIN) 1 UNIT HEATERS—B.T.U. M <br /> SHOWER ' CLOTHES DRYERS <br /> KITCHEN SINK 6 DISP VENTILATION FAN I <br /> DISHWASHER I RANGE HOOD T- <br /> _ LAUNDRY IRAY ' WATER HEATER -- <br /> CLOTHES WASHER ------ ---- _.-.-_ -_. i . <br /> WOOD STOVE ' <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN — -- <br /> I FIREPLACE INSERT <br /> FLOOR DRAIN ' HEAT PUMP -' - - <br /> BACKFLOWPREVENTERS ; GAS PIPING — <br /> ROOF DRAINS—RAINLEADERS 1 2 EXHAUST FAN <br /> SINK(SERVICE—BAR.ETC.) <br /> ' 1 <br /> SUB TOTAL $ ' SUB TOTAL $ ' <br /> PERMIT $ 1 PERMIT $ ' <br /> TOTAL FEE fr_ ' TOTAL FEE $ <br /> FOR OFFICE USE ONLY: •1 .�- <br /> INONISETR�ACK^ M IBMISE7BACK SIDLE SEIDACK PLAN CHECK NUMBER FEE HECEV' y�, <br /> A2 Jn <br /> US[IONE L07AREA VACANTT SITE FEES VALUATION FEE <br /> z L'' ES D NO BUILDING 6 - ,y <br /> TYPE a <br /> �}COAST No of sTOnRs atL1INp w mum- 16 - �J <br /> / PLUMBING i <br /> S & f HIT SPRINKLERS RE011 BASEMENT , <br /> 1137 3 t-� IN MECHANICAL <br /> AIL l YES NO SJ ' <br /> OCCUPANCY LOAD IAA ALARM IIEGD NEMINT LIAIIATION ADDITIONAL PIAN CHECK ' <br /> N14 e yb <br /> ULASON <br /> OTHER � � /Q i <br /> STATE BUILDING SURCHARGE '1'A/^ <br /> INIANEH -- - wANSAA 'LEO BY CITY OF EVERETT PUBLIC WORKS U / <br /> �'N I LOCALSALES <br /> 11 21- <br /> IMI[ o q j TAX COOS IS 3105 TOTAL , <br />