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APPLICATI` N FOR CONSTRUCO 'ON PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BASIC: II0y1 (City NO. 202- ) <br /> BUILDING DEPARTMENT [ HEATING SYSTEM: GAS D ELECTRIC LJ <br /> 25 -8810 <br /> I DEMOLITION - I>exCOMBINATION I7 BUILDING I-I MECHANICAL I I PLUMBING SIGN <br /> OWNER All%IL ADDRESS CITY ZIP PHONE ----- <br /> !"PLFC'T HOMES, INC 237 ELM ST EVERETT WA 98203 258-1503 <br /> IENWT MAIL ADDRESS CITY ZIP PHONE <br /> ARCHITECT OR DESIGNER MAIL%TORESS CRY ZIP PHONE --- --- <br /> GENERAL CONTRACTOR WY.AODRKSS CITY ZIP PHONE STATE LICENSE <br /> SELECT HOMES IN('. 237 ELM ST EVERETT, !.A 98203 258-1503 SELECHI110KN <br /> IAELHANICAL CONTRACTOR MAAADDRESS CITY ZIP PHONE STATE LICENSEE <br /> PLUMBWGCONTRACIOA MAIL ADDRESS CITY ZIP PHONE STATE LICENSEE <br /> CONTRACT PRICE OF WORK <br /> 90000 <br /> DESCRIBE WORN AND SOUARE FOOTAGE INVOLVED CONTACT PERSON AND PHONE NO <br /> 339-0555 _ <br /> single Family rpm iflpnrP Randy 259-1503 <br /> PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEC THIS <br /> SFR <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> _ PROVISIONS OF LAWS AND ORDINANCE'.GOVERNING THIS TYFIL OF <br /> LecuDEseRmTlaNaPROPERTY(SHOWN BELOW ORATru:HTWO COPies1 WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> Lor—jo BLOCK <br /> Hanabrook Div 7 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> OF _ <br /> AUTHORITY TO VIOLATE OR CAN.:EL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WNIUH <br /> PARCEL TAIL I D NUMBER '—' APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296 2DO WAC <br /> ` <br /> CONSTRUCTION LOAN IENDCfl.ADDRESS.TELEPHONE NuuuF R Select Homes, INC. <br /> PROJECT AD'DRLE_SS �° --- --- <br /> CII.v19Wr591 CENL Ml ---- <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> _ 2_ WATER CLOSET(T'4lET) _ NG-AIHNDLG UNITS-H.P. <br /> BATHTUB _ FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) I , UNIT HEATERS-B.T.U. M <br /> SHOWER CLOTHES DRYERS -;-- <br /> KITCHEN SINK B DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY <br /> T-- <br /> LAUNDRY TRAY _ WATER HEATER. -- <br /> CLOTHES WASHER _ WOOD STOVE --)-- <br /> URINAL 'DRINKING METAL FIREPLACE(WOOD BURNING) �— <br /> FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP ---- <br /> BACKFLOW PREVENTERS ; GAS PIPING - <br /> ROOF DRAINS-RAINLEADERS I EXHAUSTFAN +- <br /> SINK(SERVICE-BAR,ETC) I <br /> I <br /> SUBTOTAL $ _ _ SUBTOTAL S T- <br /> PERMIT S PERMIT = <br /> TOTAL FEE $ TOTAL FEE E <br /> FOR OFFICE USE ONLY: <br /> I FIGHT B.9L <br /> SE K REAR SETBACK SIDE SETBACK <br /> ,9^ � I I PINICHfCK NUMBER FEE� H[CEIPT NO <br /> USE ZONE L <br /> OT AREA VACANT❑ YES ❑ NO FEES VALUATION <br /> 7 FEE <br /> r <br /> TYPE OF CONST IES BUILDING <br /> IKivwcr AO tl pMWS WlE <br /> PLUMBING <br /> SIZE OF BLDI FIRE SPRINKLERS REOD BASEMENT <br /> I13'3 SFt ❑ YES NO MECHANICAL `�A ; <br /> levioC FE v <br /> OCCUPANCY TOAD FINE ALARM flEOU HEIGHTLWITATION ADDITIONAL PLAN CHECK <br /> N A o <br /> uEASON OTHER- <br /> 61ATL BU1lUIFN(Y iNlIIDECAIEGE --� <br /> wtME BY PLANSAPPROVEDBr CITY OF cVEAETT -- --...- - <br /> LOCAL SALES F�Au F � <br /> T'A'E IL 93 TAX CODE It 3116 ro1.A <br /> 7�� <br />