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APPLICATION FOR CONSTRUCTION PERMIT <br /> g�510 PLAN • TIIRPL� " CITY OF EVERETT • BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 ' <br /> I 1 DEMOLITION Ixl COMBINATION 12 BUILDING kl MECHANICAL kl PLUMBING I 1 SIGN <br /> PROJECT ADDRESS <br /> //OG 57� Pl- 5• uJ• <br /> OWNER MAIL ADIKIES5 CITY 71P PHONE <br /> ,Mpcf- Nrmq Tnc 12$.1,1. 8th Ave. [1--# 20] Everett, WA 98204 2Q6/-913-9006 _ <br /> ieMAII.AODHE SS CITY 7m PPIO14E <br /> MK➢uTRCTOR­GE SIONER MAIL ADDRESS CITY 711, PHONE <br /> GENERAL C..NT ACTOR MAII ADDRESS CHY 71P PRONE STATE LICENSE E <br /> — A1,0R Inc- 2H,71H hAVy�• W' _HA-201 Eyereff,YVI�98204 206/511-9(06 SFTF1TT11fIKN <br /> MAILADDnFSSCITY 71P PIIONr STATE LICENSEE <br /> PLUMBING CONTRACTOR MAIL ADOPESS CITY ZIP PHONE STATE LICENSE/ <br /> CONTRACT PRICE OF WORK — <br /> .�cw,�/v�� HEATING SYSTEM: eGAS Fl ELECTRIC Cl <br /> DESCRIBES WORKo1N SOUAPE FOOTAGE INVOI VED CONTACT PERSONANO PRONE 1'p <br /> Construction o1 one single fmLily residence -BaWY Clark 206/5�g006 <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 <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL DESCRIPTION OF PR EBTY ISHOYM PFI DW OR ATTACH TWO COPY 1 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT—41;L BLOCK or AUTHORITY TO 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 PEIFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I "OMPLY WITH THE STATE <br /> PMCEL TAX I D.NUMBER CONTRACTORS LAW 18.27 RCW AND 2x3.200 WAC. <br /> Select Hames, Inc. <br /> CONSTRUCTIONLOAIILENDER.ADDPESS.TELEPHONE NUMBER XOar. Z.� ,'•5- <br /> Sh7NATUPE DAZE <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) 1 A/C—A/HNDLG UNITS—H.P. I <br /> 1 BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> 3 LAVATORY(WASH BASIN) I HEAT PUMP I <br /> SHOWER ' UNIT HEATERS-8.1.U. M ' <br /> 1 KITCHEN SINK 8 DISP i CLOTHES DRYERS <br /> I <br /> DISHWASHER ' VENTILATION FAN I <br /> LAUNDRY TRAY ; RANGE HOOD I <br /> 1 CLOTHES WASHER WATER HEATER <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 GAS RANGE I <br /> ' OAS PIPING ' <br /> I EXHAUSTFAN I <br /> 1 I <br /> I I <br /> I I <br /> I I <br /> SUB TOTAL S ' SUB TOTAL E ' <br /> PERMIT $ I PERMIT $ 1 <br /> TOTAL FEE $ ' TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> FRONT S��J PCAR SETBACK ' SIDE SETBACK PUN CIBC Fp FF � RECEIPT// <br /> USE Z NE 2 LOT AREA C//S�D VACANT SIITTTEE F(EELES VALUATION /j/} FEE <br /> rhes n NO BUILDING 278 <br /> IIEIOIIT LI MI IA N / NO (W DWELLING SR Qf L t <br /> L UNITS ( 5Dj DIE L.fvII•IC, t PLUMBING 00 <br /> GROUP .Y 1A)OF BiDRIEB OCCUPANT LOAD BASEMENT MECHANICAL <br /> it YES <br /> TIRE N. M ED'D REASON AIXXIIONAL PIAN CHECK <br /> O1HEA <br /> n a? <br /> FIRE SPMKER REDD REASON <br /> o STAVE DUR DING SUIICHAROF: j 0 <br /> TYPE OF CONST PLA SAPP OVEDBY CITY OF EVERETT PUBLIC WORKS <br /> f� LOCAL SALES yw, IBJ <br /> —l.l DATE 2 .I ri 5 TAX CODE IS 3105 TOTAL <br />