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APPLiCATIC 'I FOR CONSTRUCT )N PERMIT <br /> TO RF COMPLETED IN BLACK INK—PL EASE PRINT 4t�a 7j3 c+rrrErTr <br /> i : 'i !' l:VLRF:TT IiASII :<I'}11SIai: _/ �� <br /> :LLGL:T' IIUMES BAS1C 1D: "TAMARA EK C �J <br /> IIl AIING SYSTEM. J GAS J E-Lf C111C J <br /> DEMOLITION COMBINATION )t)t BUILDING MECFIANICAL PLUMBING i SIGN <br /> .. . .. pAp ADd1L 55 rlly !u• PINNA <br /> SELECT HOMES , INC. 237 ELM ST. , EVERETT, WA 98203-1921 (206) 258-1503 AI <br /> It NANI--- _ ----MAR ADDRESS -- _ COY — --- IIP --_--- PHONf---_-_�- <br /> ANCHHTCIOIIDESNiNER It ADDRESS CITY IIP 1'IN)/it <br /> ix"r 1M rnfunACTOB MAR AnDnf SS CITY IIP PHONI -UAIr I Krw A <br /> ta{LIiI"I' IIfIMIa:, INI'. 7. 17 P:I.M :1'I'4 , 1{VIiItETT, WA 911'201- 1021 2'01 1 '1111 :4-:111-:0111IOKN <br /> Illllnll4 nl .111"a "U nnn .ln.n :. INr A. nn bl I'll 141111a <br /> IINIANKN,I IAIINAI II01 MAK A144A Y. falx --_-- !f• IYY WI '.IAH IN IN!4 A <br /> .i IIIIIM 11114 1 1 A YA AR <br /> 40000. _ - --- — -- _ <br /> DII!4.1 VAKIR ANDSlAMl1E 1LK11A11F INVOLVED CONTACT PtHYVJ ANDPHONI.TNI <br /> CONSTRUCT SINGLE FAMILY RESIDENCE <br /> 1616_.SQUARE-FEET -.OE_T•TVTTG gpACE— GARSL._KLICK 339-0555 ---- <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED TH* <br /> PnOPOSED USE OF OmLDINn APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALI <br /> SINGLE FAMILY DWELLING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> n C.AI rK pomptrm OF Pnrw Fnfv1%HOihN BELOW On ATTACH TIVO COPIES) WORK-WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OF, <br /> _— NOT. THE GRANTING OF A PERMIT DIIES NOT PRESUME TO GIVI <br /> un . ,1 JJJ IR Ir.N - ---'— of --- AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> HANABROOK A DIVISION OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THL <br /> A 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 /> I PARCH IAN I O MIMBFn CONTRACTORS LAW 18.27 RCW AND 296.210 WAC <br /> SELECT HOM'S, INC. <br /> CONSTnLK;TION LOAN L FNDEn.ADDnESS.TELEPH011E NUMnER <br /> SEATTLE MORTGAGE, SEATTLE, WA Y: <br /> PFOJEC 2ORE Q j�I��I T .nnF mn <br /> • z NY's PI f.P.p115M FiIM INW NI <br /> PLUMBING 1 MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 3 WATER CLOSET(TOILET) I A/C—A/HNDLG UNITS—H.P. <br /> 1 BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) 1 UNIT HEATERS—B.T.U. M _ <br /> 1 SHOWER ' CLOTHES DRYERS <br /> KITCHEN SINK A DISP VENTILATION FAN — <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> _ CLOTHES WASHER I WOOD STOVE <br /> URINAL ' METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN ' HEAT PUMP <br /> BACKFLOW PREVENTERS _ GAS PIPING <br /> T(56FDRAINS—RAINLEADERS ' EXHAUSTFAN <br /> SINK(SERVICE—BAR.ETC.) <br /> � I <br /> SUB TOTALS i SUB TOTAL S <br /> RM ' <br /> PEIT S PERMIT S 1 <br /> TOTAL FEE $ TOTAL FEE E <br /> FOR OFFICE USE ONLY: _ <br /> 111(NII SE.TMCN nFAN:iFTMCN SIDI'sr,I BACK ;PLAN C"FCA,NI IMBO; fit BTCfIPTNO <br /> 59�R 1KA /0� is*J�[ a�lLnS 30 gd677(0 <br /> )ISL IONL Lor AREA VACANT SITE FEES VALUATION FEE <br /> Z� I%YES I I NO BUILDING <br /> IYA d fBNSi _ NO OF STOIUIS INCIIMNf., kA m mttm m" ---- - <br /> ` PLUMBING <br /> ' 1 <br /> SVI OI)BOG FlRE SPHINNLFnS nE09 IIASCMEVT MECHANICAL GC/ <br /> ISS o Sr GNV Ll YES P4 NO <br /> AA <br /> OCCUPANCY LOAD FIRE ALARM RED HEIGHT LIMITATION ADDITIONAL PLAN CHECK 1 <br /> _N NO 7 nruce ' <br /> 1 <br /> nEA50N D <br /> STATE BUILDING SURCHARGE ' <br /> INTAKE Br - PI ANs nrrn gvrB By CITY OF EVERETT PUBLIC WORKS (� <br /> �1 p LOCAL SALES <br /> I,n11 I I �� X43 TAX CODE IS 3105 TOTAL 7�7 r <br />