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APPLICATION FOR CONSTRUCTIvN PERMIT <br /> Pr r vnrgnr� CVPrrI I <br /> CITY Of <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> 1 1 DEMOLITION COMBINATION X BUILDING X' MECHANICAL x PLUMBING SIGTI <br /> COMIM MAIL AIKNRSS CITY Zm 1'urMrt <br /> —Select-Homes, inn- 237 TRIm Sr, FvFA�_WA�g20q_1g91 70.6_25.8=1503 <br /> TFNANI MAIL AnIMESS CITY <br /> Zm <br /> PHONE <br /> ARCHITFCT OR DESIGNER MAIL ADMIF SS CITY ZIP PHONE <br /> Of NERAL CONTRACTOR MAIL ADDRESS CRY ZIP PHONE UCENSEII - <br /> Select Homes, Inc. 237 Elm Street, Everett, WA 98203 206 258-1503 SELECHI101t1 <br /> MECHANICAL CONTRACTOR MAIL ADINIESS CITY ZIP PHONE LICENSE If tltltl <br /> [ RIAAgIN(i CONTRACTOR MAIL AC011053 CITU 111, PHONE LICENSEE <br /> oLjl CLASS OF Wonx - T <br /> kkNEW I I ADDITION I I ALTERATION I REPAIR 0 DEMOLITION f 1 WOODSTOVE/FRPL INSERT I I BUILDING RELOCATN n I <br /> TENANT MPnoVEMENT On INTERIOR RE/A(OEL ONLY CONTACT PERSON AND PNGNE NO <br /> CONTRACT PRICE Or YORK: Randy Clark 348-1320 <br /> DESCRIBE WORK AND SOUARF,FOOTAnE IBVOI VED <br /> cOnQtr, _tjzm AF11 ZS� <br /> rnorosrn LISP Dr nulLnlrxN /� d I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED fillyc i nr�le�£ami lv _rp�cyd !. 014 APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT AI I <br /> LEGAL ov,.nmTKaN IK Pnor Tav ls"ow nuOWOR ATTAC41 FOUR COPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYI9. ' <br /> -- ----- --- _Hfllls' x49�D WORK WILL BE COMPLETED WITI-' WHETHER SPECIFIED HEREIN <br /> Or I'I <br /> IPI /.S mGCK NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME Tn nnn <br /> AUTHORITY TO VIOLATE OR CANCEL. THE PROVI^.NIH'; nI AIN <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCT ION(111 1111 <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED DY I If <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WI" <br /> APPLICATION IS MADE AND I COMPLY WITH THE SI <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> BIONATURE OF CONTRACTOR OR AUTHORIZF.D AGENT DATE <br /> Select Homes, Inc. A <br /> PROJECT ADDRESS r <br /> IC.ANTS CITY BUSINESS LK:ENSF NO AND BUSINESS NAME. <br /> PLUMBING LAFCHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE ND. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) I— AIG—A/HNDLG UNITS—H.P. <br /> BATHTUB _ ' FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORY(WASH 8ASIN) UNIT HEATERS—B.T.U. M <br /> I SHOWER 1 CLOTHES DRYERS - <br /> KITCHEN SINK 6 DISP _ ;— 2 VENTILATION FAN <br /> DISHWASHER I _ 1 RANGE HOOD <br /> LAUNDRY TRAY ; 1 WATER HEATER <br /> CLOTHES WASHER _ I WOOD STOVE <br /> URINAL ' METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN _-- FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROQF DRAINS—RAINLEADERS I EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> I <br /> I <br /> r <br /> I <br /> SUB TOTAL $ j — SUB TOTAL S , <br /> PERMIT S I _ PERMIT S <br /> TOTALFEE S '— TOTAL FEE 3 <br /> rnOTSE TRACK nEAR BE IRACY SIDE SETBACK PL IN CHECK NUMBER FEE RECEIPT NO <br /> 20 20 r j I.-_j/ 3 c) j 3,?d3 <br /> USEZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> -:;I— z•S RR VES I-) NO BUILDING 16 f2TM O CONST ALLOWABLE TYPTOF ONST ACTUAL arIftlarT <br /> An lwve <br /> vu 'rA++ <br /> 00 <br /> / PLUMBING <br /> SIZE orByon No or STO"It5 BASEMENT <br /> IA 94/ Sf 0- / MECHANICAL 9D <br /> ,1I Jt 44A II 1-I YES I ' NO ----- - <br /> OCCUPANCYAD FIRE SPRNKLEns REIM HEIGHT LWITATIIOON OTHER <br /> I I I YES �3t NO 2 0 L STATE BUILDING SURCHARGE <br /> nFASON FGA sPRINKI ERs <br /> STATE ENERGY SURCHAPOE <br /> APPI.I.ATION ACC BY INAN%APPROLTD Fly OF EVERETT PUBLIC WORKS <br /> 7SALES <br /> 7�& TAX CODE S3105 TOTAL 40 <br /> f <br /> 3 <br />