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ION P�=RINIT <br /> APPLICATrN FOR CONSTRU�. . <br /> CITY OF <br /> everett 645 , <br /> BUILDING DEPARTMENT L, <br /> 2598810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> I I DEMOLITION I I COMBINATION —lKI BUILDING X I MECHANICAL N PLUMBING I I SIGI' <br /> OWIttO NAD.AA1,011011 CITY --- 7I1• --- IYNNIf - <br /> ����les Vic_ Z _761M__✓L ` �3 zs�-iSa3 <br /> IENANt MAIL AllklF.SS (A----'— - <br /> CnY 7m MAYNF <br /> Anc111TEC1 on vrslnNF.n MAILAOdIE89 CITY llr nwlr - <br /> rrurnAI,Conlnnrtnn —MAS Mweircl7 _-.- rnY 7n• ----nNtNf nrnir. _. <br /> Select Iiomesj In(L237 Elm Street, Everett, WA 98203 206 258-1503 SELEC11I10KI: <br /> Mr.CIIANMiAL CONTMACTOn MAIL AINHIf55 CITY 71r MNMD' tici lJir:r <br /> 1V IA1011:0 CfMJ I11ArtOn MAILArYMlrss City 70• '-- I'Ikw -- IN:f NOFr <br /> ,.1 A'1!IrY W1VIX . <br /> �kNEW I I ADDITION I I ALTERATION I I nEPAIn 1,1 DEMOLITION I I WOOOSTOVE/rnPLINSERT I I BUILDINGnrLOI'.A <br /> IrNANi turnow wit on intenlon nEMmt.ONLY g. CONTACT rrnsoN ANY n*NE No —'- ' <br /> rannnc n•nlcF or woml: 6Z � ? ,- s.Y,,� S-lO _Randy Clarkr 34B-1320 - <br /> DrSn11011'WORK ANTI WUANF.rOOTAOF,INVoIIVT ) — <br /> �g�l� <br /> xA".!: nlr,F rl Ann nmh I HEREBY C01TIFY THAT 1 HAVE HEAD AND EXAMINEL Ill, <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT <br /> LEIIAL DEScnIrll0N0(`PnorEntr IS11OWNnitMOnATiAcnramcorlrsl PnOVIS1ONS Or LAWS AND ORDINANCES GOVLRNINO THIS TYI'I <br /> WORK WILL DE COMPLETED WHIT WHETHER SPECIFIED Hrm it <br /> IAT—_ __ "lock — or —ilan.abzoo]c_Di_v_L_ NOT. THE. OnANHNG OF A PERMIt bol'!: Not t•III 'IIIMI T1• <br /> AUTHORITY TO VIOLATr On CANcl I HIT I.111,V1':I,,N!: III <br /> OTTIEn STATE Oil LOCAL LAW 111(ItII AI INT i C()NSI IIO(;I ION Ill 11 <br /> PERFORMANCE OF CONSTnLIC1I0N. TIIAT I AM AUTHORIZED BY II, <br /> OWNER Or TIIIS PROPERTY TO PEnrow TITE WORK rOH Will, <br /> -- APPLICATION IS MADE AND I COMPLY WITH THE SIA, <br /> CONTRA I TS AW 10.27 HCW AND 2!Ni.2C0 WAC. <br /> slnNAi1J11FOr II M110-II)nAIIIINY1171-0AOrNI Ann <br /> Sele omes, Inc. <br /> 1x�y 7 <br /> Pr10JECT ADDnES Arv-AN CU IISINr�ICF.Nsr NO Alto nliswns NAME <br /> — Lro•�- _.. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE A <br /> 3 WATER CLOSET(TOILET) A,C-A4 UNITS-H.1'. —�_ <br /> - Z BATHTIID /Q�' - —�- _FORCED AIR SYSTEMS-B.T.U. M E.A. I <br /> _-3- LAVATOnY(WASH BASIN) , - UNIT IF_FIERS-R.T.0_ M --� <br /> SHOWER -- ---�" <br /> CLOTIIES DRYERS , <br /> KITCHEN SINK A LISP <br /> 1- 2 VENTILA1l6NFAN <br /> DISHWASHER i- <br /> —� RANGE HOOD , <br /> LAUNDRY TRAY ; _ WATER HEATER <br /> CLOTHES WASHER i— WOODSTOVE ' <br /> URINAL ' -- METAL FIRU6CI�P E 9 CHIMNEY DToo <br /> DRINKING FOUNTAIN 1 FIREPLACE INSEnT <br /> -- <br /> 1,17006 DRAIN - - h_ '--- I IEAT PUMP ---'-" --".. <br /> BACK FLOW PREVIEW ERS ; _ -pASPIPINO <br /> ROOF DRAINS-RAINLEADERS --moi— EXHAUST FAN <br /> SINK(SERVICE-BAR,ETC.( <br /> 1 _ <br /> --I— -- <br /> —I 1 <br /> SUB TOTAL $ _ _ SUB TOTAL s <br /> _ PERMIT $ 1 PERMIT $ i <br /> TOTAL FEE $ I TOTAL FEE s I <br /> rnw sr Tnnf.A IWAn6F10AM SIOESFIDACK PLMICIN! RTANnrll fEE IIEOEIPI TAI <br /> 20 _ 20 _ 9/ 3 7vY 9 3V F- S/o S- 2 a- <br /> IISF 7(Nf Lot ArTrA VACANT MIF TEES VALUATION FEE <br /> R.1 Lp XR YES I I NO IMILOINEI /_ 7/ - r �Q;/7 <br /> In'T TR Cont AttOWAKI TYPE Of CONST.ACTUAL nrc>,rl+rT ne,r l+aN,roun,: — Ll�1jl(1-�- J I / <br /> P1 UMBING <br /> D 17p�rn Dp NO.Of 9IONEs nASEMF.Nt <br /> 1151�P f MECHANICAL W <br /> I sZJI Sh GAA 1.1 YES p4 NO - -- <br /> 000UMANCYLOAD rUTE DPnNNLEns nc3D IIEIOIITLILIITATNHI OTHER <br /> NZA I I YES IR NO — L8J 91niGBUILDIN(.SIIGCIlAROE <br /> nFASON Yon SPnlNNI rn3 ---- <br /> SIAIF ENrnnY SIIIICI IA1K1t <br /> Arrticnrlonncc.nr IKANSAP•nOVFDnY CITY OFEVE.RETT PUBLIC WORKS <br /> I .�d $�zb LOCAL SALES <br /> TAX CODE IS 3105 TOTAL <br /> -m- 1l0.33 f,Fan) <br />