Laserfiche WebLink
APPLICATION FOR CONSTRUCTII,N PERMIT <br /> oyOF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259.8810 T'O BE COMPLETED IN INK—PI EASE PRINT <br /> DEMOLITION COMBINATION x, BUILDING x MECHANICAL x PLUMBING SIGI <br /> ��/� MAL ADOFKSB CITY ZIP NIONE <br /> �r7rC� /�D171�5 /ac z37 61m &&?* 9S'1L 3 7.sS' r cu3 <br /> M 0 M TENANT MAL AFOWSS CITY ZIP PHONE <br /> [sn 'IC <br /> isfn ARCHITECT OR DESIGNER MAL At"IFSS CITY ZIP PHONE <br /> � Hrn <br /> RF/IFnN CnllmAf,IMi MAA A+NNI55 CITY IN, NgNF IX:FNRE, <br /> y Select Homes, Inc. 237 Elm Street, rverett, WA 98203 206 258-1503 SELECHI101<I <br /> K 0 MECHANICAL CONTRACTOR MAA ADORCSS Cry ZIP NONE LL:ENSEA <br /> RIAMINr.r InAl:lan MAA ADIINEAR • CITY 2/' PHONE LICENRE., <br /> CIANR Of WnIW <br /> 0 H d � NEW ! ADDITION ALTERATION I I REPAIR 11 DEMOLITION I I WOODSTOVEtFRPL INSERT 1 I BUILMNG RELOfn <br /> � m� IrAu l RIPRORMI NI con INTERIOR RFMfNOCITMAY COYTACT PERSON AND PHONE NO <br /> 0- 0 rONTRAC1Pnlctorwam: Randy Clark, 348-1320 <br /> ~ <br /> 11 AIR LA4011K AM SQUARE FOOTAOC RNOIVtO <br /> p.l IrnwoseDlrranuLllN(1 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINUI <br /> py f+ t✓`� ` APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREt-_' <br /> 0 t7 In IrML DESCRIPTION OF PRrffRIY ISHOMIN RELM On AtTACH FOUR COP2S1 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 1 Yr <br /> C ❑cy /� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HER[ <br /> Mr Lot 7 OLou of HanabroQk��. NOT THE GRANTING OF A PERMIT DOES NOT PHESLIMF I <br /> y y AUTHORITY TO VIOLATE OR CANCEL TIIF PfIOVItiIONS EH <br /> H O UA OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION Un <br /> -- PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED RN <br /> OWNER OF THIS PROPERTY TO PFRFORM THE WORK FOR will <br /> -- APPLICATION IS MADE AND I COMPLY WITH THE Slri <br /> CONTRACTORS LAW 18.27 PCW AND 296.200 WAC. <br /> SIONATUREOFCONfR ACTd10RAUTHOINIEDAnLN1 DATE <br /> - -- Selec Homes, Inc. <br /> X �1 <br /> PROIFC.1 ADRRI:55 .LW --- <br /> 97- 4Q 5/ Cf FL M+TSCITY USNESSLICF.N Al RIIS114ESS NAME <br /> All PLUMBING ��i+ MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> _WATER CLOSET(TOP ET) /(J I - A+C-A/HNDLG UNITS-H.P _ <br /> -1- —_- <br /> BATHTUB _ '" 1 FORCED AIR SYSTEMS-B.TU. MEA. <br /> LAVATORY(WASH BASIN) I^ UNIT HEATERS-B.T.U. M <br /> SHOWER '- 1 CLOTHES DRYERS <br /> KITCHEN SINK&DISP i' 1 VENTILATION FAN _ <br /> DISHWASHER F- 1 RANGE HOOD - <br /> LAUNDRY TRAY ; WATER HEATER <br /> CLOTHES WASHER — ATI--• WOOD STOVE <br /> •1�. URINAL _ ' _ METAL FIREPLACE A CHIMNEY <br /> i DRINKING FOUNTAIN I FIREPLACE INSERT <br /> FLOOR DRAIN _ _ HEAT PUMP _ <br /> 1 +� BACKFLOWPREVENTERS i GAS PIPING <br /> - 10,1 <br /> ROOPFDRAINS-RAINLEADERS + EXHAUSTFAN <br /> SINK(SERVICE-BAR,ETC) _ <br /> F — Q, — <br /> _SUB TOTAL $ <br /> I SUB TOTAL E _;ov <br /> PERMIT E1 _ PERMIT E <br /> TOTAL FEE E TOTAL FEC f <br /> FRONT ST tPACM "rARUTRACK, SIDE SCTC/K PLWCHECKMmorn TFF 3b RFf.EMT NO^ <br /> 20 20 a7S�� O(/ <br /> US[,oNt LOT AREA VACANT SITE FEES VALUATION FEE <br /> -�-. to X%YES I I NO RUIDING <br /> TYR OF LORI Alm TM OF CDNSi JIUAL nttwaY AP DI fARIIARMAn _ ._ _ Z I �.I�O <br /> -/V mumil <br /> S' 'IF <br /> Ip DR NO Or STORES B MEM MECHANICAL <br /> IIS:sf f A Ll YES LI NO - — <br /> OCCLIPANCY LOA R FIRE 81"LEn8 RFa11 HENINT LIMITATgN DTHER <br /> ( I YES Ig NO / STATE BUILDING SURCHARGE <br /> TIFASON ron RPRNKLERS — �I <br /> STATE ENmaY SURCNAnNL <br /> AM CATIONAM.F "An, mn-mrnnY CITY OF <br /> EVERETT pupucvmns - --_ -- 00 <br /> - <br /> 9'� LOCAL SALES <br /> --T <br /> 8In TAX CODE IS 3105 TOTAL <br />