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r <br /> - APPLICATION FOP 'rONSTRUCT1UN PERMIT �_ _ <br /> Mp Everyronn 11 I(-r rl l <br /> CITY OF <br /> everett <br /> BUILDING DEPARTMENT LOI <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> DEMOLITION COMBINATION X BUILDING $I MECHANICAL X PLUMBING MGN <br /> CMIIIEN MAR ADDRESS CITY IIP PHONE <br /> Select I7om@B-, Tnr. 217 film Rf-. Rvnrnti•. G Fr11-1 Q91 06- SR-1507 <br /> TENANT MAIL ADIRESS CITY a.P PHONE <br /> �1 ARCHITECT OR DESIGNER MAR ADDRESS CITY tY' PHONE <br /> b7113'il GENERAL CONDRACTO'I MAIL ADDRESS CITY ZIP RUNE LICENSE <br /> nzx Select HOMes Inc 237 Elm Street, Everett, WA 98203 206 258-1503 SELECHI10KN <br /> ~ <br /> I-3 to MECHANICALCONTIM MA MAIL ADDRESS CITY IIP PHONE LICENSE 6 <br /> a�' <br /> H y <br /> I'3 H PIUMDINOCMTRAC'M MAR ADDRESS CITY IM PNON[ LICENSE p <br /> I< A <br /> H Z7 <br /> BASS OF WORK <br /> CCA H kNEW I I ADDITION I ALTERATION I REPAIR I 1 DEMOLITION 1 WOODSTOVEIFRPL INSERT BUILDING RELOCATION <br /> 'z._ TENANT MPR[VEMF.NT M MIERIPR REMODEL ONLY CONTACT PERSONANDPHONE..NO <br /> [if `r^IV CONTRACT PRICE OrwoRK: Rend Clark 348-1320 "js✓J3 <br /> 00 C~'I�y DES[.PMF WORK ANO 50,I1MC FOOTAGE INVOLVED <br /> H m rnnef-rlln <br /> Q. 0 P"Oposto"Mor BURom I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> ay a i ng 1 n f i 1 v r�c i Aw APPLICATION AND KNOW THE SAME TL BE TRUE AIJD CORRECT ALL <br /> t" LEGAL OE.cRIPTaNOFPnon TY ft BELOW 5R "ACH ram Copts) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> y y WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> r..l <br /> LOT� BLOCK Or Ila abr9 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> C] C N AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> a OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> Oy y OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 2RA.200 WAC. <br /> SIGNATURE OF WITRAC.TMORAUTHGR17E0MINT DATE <br /> Select ome , Inc. <br /> G x <br /> PBOI[CT ADDRESS / {F.� <br /> C'I� IIYAN .r r .CtK:iN5E 1K)ANDMISMFS4NAME <br /> PLUMBING MECHANICAL <br /> 1� NO. TYPE OF FIXTURE OR ITEM FCF. NO. TYPE OF EQUIPMENT FEE <br /> L 1 WATER CLOSET(TOILET) AIC-AMNDLG UNITS-H.P. <br /> I BATHTUB FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) I UNIT HEATERS-B.T.U. M <br /> i A ) SHOWER I CLOTHES DRYERS <br /> KITCHEN SINK 6 DISP 2 VENTILATION FAN <br /> DISHWASHER I RANGE HOOD ' <br /> LAUNDRY TRAY I WATER HEATER <br /> CLOTHES WASHER �— WOOD STOVE i <br /> _ URINAL 1 METAL FIREPLACE 6 CHIMNEY ' <br /> DRINKING FOUNTAIN I FIREPLACE INSERT <br /> FLOOR DRAIN ' HEAT PUMP �— <br /> __ BACKFLOW PREVENTERS GAS PIPING ' <br /> ROOF DRAINS-RAINLEADERS I EXHAUSTFAN <br /> SINK(SERVICE-BAR.ETC.) <br /> I <br /> + I <br /> SUB TOTAL S SUB TOTAL S <br /> PERMIT f PERMIT f I <br /> TOTALFEE S ' TOTALFEE f ' <br /> FRONT SFTBACK REARSFTBACK SUE SETRACK PLAN CHECK ER rEE RECEIPT NO <br /> 20 20 �7Jr7 'L� <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> X8 YES t I NO BUILDING <br /> IYPI IN CWST ALLOWARt tYpI OF CmT ACTUAL IKGp+Knn AD OTKmIRM1IIwR <br /> PLUMBING ' <br /> WE OF BLDG NO OF STORIES BASEMENT MECHANICAL ' <br /> LI YES ❑ NO <br /> OCCUPANCY LOM FIRE SPRNKLERS REOU HEIGHT LIMITATION OTHER i <br /> 1 1 YES IX NO STATE BUILDING SURCHARGE ' <br /> I _ <br /> P[At:ON FOR BPRMKI FRS <br /> STATE ENERGY SURCHARGE , <br /> AM CATION ACC BY PLANS APPROVED BY CITY OF EVERETT PUBLIC WORKS <br /> LOCAL SALES , <br /> I�3 TAX CODE IS 3105 TOTAL _ <br />