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APPLICAT 3N FOR CONSTRU( -ION PERMIT 00:7r <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BASIC PLAN: CEDAR (CITY NO. /06 1 <br /> BUILDING DEPARTMENT C HEATING SYSTEM: 12 GAS Q ELECTRIC U —J <br /> 2598810 <br /> i I DEMOLITION Ixl COMBINATION ❑ BUILDING 1-1 MECHANICAL I I PLUMBING I SIGN <br /> UWNER MAIL ADDRESS CITY ZIP PHONE <br /> SELECT HOMES, 1NC. 237 ELM ST EVERETT WA 98203 258-1503 <br /> TENANT MAA ADDRESS CITY ZIP PHONE <br /> ARCHITECT ORDESIDNER MAIL ADDRESS GTY Zip PHONE <br /> GENERAL CONTRACTOR MAILADDRESS CITY ZIP PHONE STATE LICENSER <br /> SELECT HOMES, INC. 237 ELM ST EVERETT WA 98203 258-1503 SELECHI110KN <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSER <br /> PLUMBMOCUNTRACIOR MAIL ADDRESS CITY ZIP PHONE -- <br /> STATE LICENSE R <br /> CONTRACT PRICE OF WORK <br /> 40000 <br /> DESCRIBE LYORX AND SOUARE FOOTAGE INVOLVED _FI <br /> PERS7D: NO <br /> SFR RANDY CLARK 258-1503 <br /> PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> SFR APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> _ <br /> LEGAL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> OESC^IFTK)N OF PROPERTY ISEKMM BELOW OR ATTACH TWO COPES) WORK WILL BE CCMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> LOT [IL I• TnocK OF HANABROOK DIV 3 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE CF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> PARCEL TAX ID NUMBER APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONLT&Fft(f}�(,LB,'l BCNLAND 296.200 WAC <br /> CONSTRUCTION LOAN LENDER.ADDRESS,TELEPHONE NUMBER rEc SS IT[LVV((::�. <br /> SE <br /> PROJEPTADDRESS Y rby: <br /> y � 1 E9uTUIf <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM FEE NO. TYPE OF EQUIPMENT <br /> WATER CLOSET(TOILET) FEE <br /> NC—NHNDLG UNITS—H.P <br /> BATHTUB ' 1 FORCED AIR SYSTEMS—B.T.U. M EA <br /> LAVATORY(WASH BASIN( I UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHES DRYERS KITCHEN SINK 8 DISP ' Of VENTILATION FAN <br /> —1_ DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) I <br /> DRINKING FOUNTABI I FIREPLACE INSERT I <br /> FLOOR DRAIN ' HEAT PUMP —T— <br /> BACKFLOW PREVENTERS ; GAS PIPING <br /> ROOF DRAINS—RAINLEADERS I EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) I --- <br /> I <br /> I <br /> R <br /> SUBTOTAL f <br /> PERMIT — SUB TOTAL <br /> f PERMIT f i_ <br /> TOTAL FEE f ' TOTAL FEE f --4— <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK FILAA SE I BACK <br /> '` BIDE SET�ICK <br /> nMCHECKBER FEE RECE I NO <br /> IIA LC] -S -- o�, ,��(rS7 <br /> TOT AR,AVAI ANT SITE VALUATKkI89°! 3 OOYES ❑ NJ FEE <br /> mEaEasl NoasrunEs 70 50. 1 n RCNINL, mamurM,n-"AZ/FIRE SPRINKLERS RED. BASEMENT2 -7 <br /> A4 0 ❑ YES NOOCCUPANCY LOAD FIRE ALARM REOO HEIGHTLIMRATION AN CHECK ' <br /> J 2dA <br /> RFASp1 OTHER D R <br /> _ STATE BUILDING SURCHARGE ' <br /> INTAKE BY PLANSAPPROVED BY ' <br /> ECEALSALES <br /> RETT PUBLIC WORKS <br /> J(� <br /> DA" 23 93 3105 rorAL D, <br /> I <br />