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J <br /> /V A OL F <br /> APPLICATION FOR CONSTRUCTION PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET • EVERETT, WA 90201 • 259-8810 <br /> ❑ DEMOLITION fXl COMBINATION IR BUILDING fcl MECHANICAL kl PLUMBING El SIGN <br /> PROJECT ADDRESS <br /> 11 / y S57 /11 I'l, S, w. �•��� <br /> 0%411 MAILARD"ESS City IIP PIImE <br /> RPlnr—_—_f Rr_■_rnc, Inc- _].2311_@113 Ave. 14 #A-201 %• ,rel ,�']A 9820 ,0.(/513"•9006 <br /> TENANT MAIL AUUnE94 CITY ZIP PHONE <br /> ATICISIECT OO UESIONEn MAR ADUnE34 CITY ZIP PIIMIF. <br /> OENEnAL L'ONIOACtOR MAILAUUTIESS City ZIP PIIOIIE STATE UCENSF• <br /> �elect IlMes, Tn . 1 Rl I R h Ave W RA-201 E 1-L . ]A 48204 206/5+13-9006 SF.IF 7rT710KN <br /> MECYIANICAL CONTMCtON MAR ADINIESS CITY ZIP PHONE SIANE LICENSE <br /> PLUMBINOCOII1nILCTLXI MAILADDIIESS CITY ZIP PITONS STATE LICENSE <br /> CONTRACT PSCE OF WORK <br /> -$4n0 0 HEATING SYSTEM: POGAS [-] ELECTRIC <br /> OESCIIIPE INOFIK ANO BDUARE FOOtAOE M/VOLVEU CONTACT PERSON ANU PHONE NO <br /> struction of one single fandly residence Clark 20G/513-9006 <br /> Beverly King 206/513-9006 <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF SMLDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> Si le famil dwelli PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LSOALOEW'11,11IPHON OF IMgPERTY(SIKWN BELOW On ATtACH TWO COPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> WT 3 mom of 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 PERFORM THE WORK FOR WHICH <br /> APPLICATION 19 MADE AND I COMPLY WITH THE STATE <br /> PANCEL TAX TO.NUMBER CONTRACTORS LAW 18.27 nCW AND 299.200 WAC. <br /> SelecHanes, Inc <br /> CONStn1CNON•LOANLENDEn,AcUpEESS.IEEPNONEN MBEII BV: J{ 11 <br /> ' ( <br /> v +1 (3. It Ir vk SONAUIIE DpW�13�J�f <br /> CITY 8USIN:'SS LICENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE _ <br /> WATER CLOSET(TOILET) 1 IVC—AlHNDLG UNITS—H.P. I <br /> ij BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) , HEAT PUMP , <br /> SHOWER ' UNIT HEAT ERS—B.T.U. M �— <br /> KITCHEN SINK 6 DISP I CLOTHES DRYERS _ �— <br /> DISHWASHER �— VENTILATION FAN I <br /> LAUNDRY TRAY ) RANGE HOOD <br /> CLOTHES WASHER , WATER HEATER I <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN , METAL FIREPLACE(WOOD BURNING) I <br /> FLOOR DRAIN ' FIREPLACE INSERT(WOOD BURNING) !— <br /> BACKFLOW PREVENTERS ; OAS FIREPLACE ; <br /> SINK(SERVICE—BAR,ETC.) , OAS RANGE �— <br /> ' _ GAS PIPING ' <br /> EXHAUSiFAN , <br /> , 1 <br /> SUB TOTAL S ) SUB TOTAL S ' <br /> PERMIT S i— PERMIT S , <br /> TOTAL Fri S ' TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FIX)NTSETBACK 1 REAR SETBACy SIDE SETBACIf, PLAN CHECK IAA1BEn FEE RECEIPT NO. <br /> a- 1 L / <br /> USE Z LOTAnEA VACANT SITE FEES VALUATION FEE <br /> 3 L (oo UMES n NO BMLDINO <br /> IIEKINI UNIATION . NO IjMVELLINO SIZE OF BLOW . <br /> .L(}� UNITS I 17.TZ SF LIV I,JIj PLUMBING <br /> CCJJ -.RA4E <br /> OCCUPANCY IIO.OFSIDRES OCCUPANILOAO BASEMENT / MECIIAMCAL <br /> OII!-3 -4Z N) ICL ❑YES Wro <br /> FIRE ALARM FEW) Timm AWIIOUAL PLAN CHECK <br /> DATER <br /> FInE SPRINKLER FIEOD nEASON <br /> STATE DMTOWO SUTIC1M00E <br /> TYPE OF CONST. MANS MPROVFD BY CITY OF EVERETT PUTILIC MFIKS <br /> LOCAL SALES <br /> JL-""N untE ,(i Z!3 9S TAX CODE IS 3105 TOTAL <br />