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A(AVLr <br /> APPLICATION FOR CONSTRUCTION PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET • EVERETT, WA 98201 • 259.8810 <br /> ❑ DEMOLITION Ixl COMBINATION IR BUILDING kl MECHANICAL k1 PLUMBING Fl SIGN <br /> PROJECT ADDRESS / 0 Z �c�11 pIt, s,W - e14 <br /> OWNER MAILAWRFSS CITY ZIP PHONE <br /> RFAl ct urXg Tnn_ 12811_ 8t_h Ave. W 01 AA-2Emmtt, PIA 98204 7ni;/51_3-0006 <br /> TENANT MAILADORESS CITY ZIP PHONE <br /> AIICMTECT OR DESIGNER MAILADORESS CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAILADOnESS CITY ZIP PIIONE STATE LICENSE <br /> Select Hanes, Inc, 1 R71 R h Ave, W IA-201 ENPra t.,_1A 98204 20fi/Si11-0006 RF.TFYT11101<14 <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE <br /> PLUMBING CONTRACTOR MAILADORESS CITY ZIP PHONE STATE LICENSE <br /> CONTRACT PRICE OF WORK <br /> ItAn e HEATING SYSTEM: 04 OAS ❑ ELECTRIC <br /> 9CA E WORK AND SQUARE FOOTAGE INVOLVED CONTACT PERSON AND PIIONE NO <br /> Cons 13-9006 <br /> Beverly King 206/513-9006 <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS , <br /> PROPOSED USE OF BUILD NO APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> Single family dwellim WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL DESCRIPTION OF PROPERTY(SIMM BELOW OR ATTACH TWO COPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT 39 BLOCK or AUTHORITY TJ 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 I COMPLY WITH THE STATE <br /> PARCEL TAX I.D.NUMBER CONT gACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Selec lanes, Inc. <br /> 'ArC(M 61 bp 1'/�7r <br /> CONSONLIF ER,,7QS ,, GNXBV: cid <br /> SIONAII'IE 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-AIHNDLG UNITS-H.P. ' <br /> 1 <br /> 1 BATHTUB 1 FORCED AIR SYSTEMS-B.T.U. M <br /> 3 LAVATORY(WASH BASIN) I HEAT PUMP I <br /> �k SHOWER ' UNIT HEAT ERS-B.T.U. M ' <br /> 1 KITCHEN SINK 8 DISP I CLOTHES DRYERS I <br /> DISHWASHER 1 VENTILATION FAN ; <br /> LAUNDRY TRAY I RANGE HOOD <br /> CLOTHES WASHER I WATER HEATER 1 <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN I METAL FIREPLACE(WOOD BURNING) I <br /> FLOOR DRAIN ' FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS ; OAS FIREPLACE ; <br /> SINK(SERVICE -BAR,ETC.) I OAS RANGE ' <br /> ' Yea OAS PIPING ' <br /> I EXHAUSTFAN I <br /> 1 ' <br /> I ' <br /> I ' <br /> I I <br /> SUB TOTAL S ' SUB TOTAL S ' <br /> PERMIT $ I PERMIT $ I <br /> TOTAL FEE $ ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> Fn0NT,SETBACK / nEAn SETBACK / SIDESETBACK / PLAN CI�CKIAIMO�/ FEE .) RECEIPT NO. <br /> USE ZONE —j LOT AREA ` L VACANT 617E �`JJ✓✓CC//FEES VALUATION FEE <br /> �+ nYE9 n NO BUILDING I3 -)pCI 2 <br /> HEIGIIT UWATION NO OF DWELLING SIZE OF BLDGIT I. T— <br /> UNITS 17 "1 S ' LR/aa. 1 PLUMB" <br /> SFr <br /> OCCCUPANCY NO OFSIOIES OCCUPANTLOAD BASEMENT MECHANICAL <br /> 1).3/14L1 1- N1 ❑YES <br /> FIREALARMMOD "EASON ADOTIMAL PLAN CIIECK <br /> N 0 on1En <br /> FM7lE SPRIRXLER TIED REASON <br /> .J STATE BOLDING SUnC11Anm �! <br /> TYF,OF CONST PUNS APPR DBr CITY OF EVERETT PUBLIC wonKB ✓� - <br /> . N LOCAL SALES <br /> nl nA 7/1 I �`i 5 TAX CODE IS 3105 TOTAL <br />