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T <br /> OWN <br /> APPLICATION FOR CONSTRUCTION PERMIT <br /> Ihn Fm9rnnn QVQFeI( <br /> CIIYOI <br /> everett <br /> BUILDING DEPARTMENT <br /> 2598810 TO BE COMIJLETED IN INK—F!.EASE PRINT <br /> I DEMOLITION I I COMBINATION ry BUILDING �I MECHANICAL ?'I PLUMBING SIGN <br /> OWNER MAK ADDRESS CITY ZIP PHONE <br /> —Sete Homes, Inc. 917 Pim Rt, TSvaratt WA QR901 1991 9R6 9SR 15nQ <br /> TENANT <br /> MAR ADDRESS CITY IN PHONE <br /> ARCHITECT OR DESIGNER MAK ADDRESS Cin. TIP P/IO/JE <br /> GENERAL CONTRACTOR MAK ADDRESS CRY ZIP PHONE LICENSE I <br /> Select Homes Inc. 237 Elm Street# Everett WA 98203 206 258-1503 SELECHIlOKN <br /> MECNANK)AL CONTRACTOR MAK ADDRESS CRY ZIP PINONE IICENSEI <br /> PLUMBING CONTRACTOR MAK ADDRESS CRY ZIP PHONE LICENSE IT <br /> CLASS OF WORN <br /> NEW I I ADDITION I I ALTERATION II REPAIR Ll DEMOLITION 1 I WOO <br /> TENANT INSERT I I BUILDING RELOCATION I <br /> TENANT IMPROK:MENT OR INTERIOR REMODEL ONLY CONTACT PERSON AND FIT q a NO ' <br /> CONTRACT PRICE OF wOA1 Rand Clark 348-1320 ?-g7— SO <br /> DESCRIBE WORK AND SOUAgE FOOTAGE INVOLVED i <br /> Sf Ln.s,tS.l1C.1.i.OZ <br /> PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> c i nn 1 o f ami 1 v rP eide.n APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> CELIAC OC$CRIPTIONO PROP TVISHO;NBI JW OR ATTACH FOUR COPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> toy 10 BLOCK OFWORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> 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 OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERI ORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> SIGNATURE OFCONTRACTOR OR AUTTIORIZED ARFNT DATE <br /> XSelect Homes, Inc. <br /> PII0.KC1 ADDRESS �..� <br /> PI5 1R111ZANTS CITY BUS FSS LICENSE NO AND 13USNESSNAME <br /> PLUMBING MECHANICAL '— <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—A/HNDLG UNITS—H.P. <br /> 1 BATHTUB ' FORCED AIR SYSTEMS—B.T.U. -ITE—A <br /> LAVATORY(WASH BASIN) I -5N—(THEATERS—BTU M ' <br /> SHOWER <br /> CLOTHES DRYERS —T_ <br /> KITCHEN SINK 8 OISP ; 2 VENTILATION FvN I <br /> DISHWASHER ' <br /> ' RANGE HOOD , <br /> LAUNDRY ; WATER HEATER <br /> CLOTHESS WAS WASHER I WOOD STOVE ' <br /> URINAL MEtAL FIREPLACE A CHIMNEY , <br /> DRINKING FOUNTAIN FIREPLACE INSERT ' <br /> FLOOR DRAINHEAT PUMP T— <br /> , <br /> BACKFLOW PREVENTERS i GAS PIPING I <br /> ROOF DRAINS—RAINLEADF.RS I EXHAUST FAN <br /> SINK(SERVICE—BAR, <br /> I <br /> I <br /> ' T <br /> T <br /> SUB T0T7 iL $ <br /> _. SUB TOTAL SFERi <br /> PERMIT $ <br /> TOTAL FEE $ ' TOTAL FEE $ I <br /> FRONT SF TRACK SETRACK SIDE SETBACK PLAN CHECK ERfEE RECEIPT 1q <br /> 20 20 D .3c7 �c3 S <br /> USEZONE LWAREA VACANT SITE FEES VALUATION FEE <br /> XRYES F1 NO BUILDING <br /> RYA O LTWSI AIIfIWABI F TYI'F Of EONSI ACTUAL annAYCT Ko RPMIIMG IM;Te _ <br /> OIIRR <br /> PLUMBING i <br /> _ I <br /> SUE O MOi NO of STORIES BASEMENT MECHANICAL — <br /> I I VES Ll NO <br /> OCCUPANCYLOAD FIRE SPRNKLERS REOV HEIGHT UL11TA110N OTHER <br /> 1 VES IX NO STATE BUILDING SURCHARGE i <br /> REASON FOR SPRINKLERS <br /> STATE ENERGY SURCHARGE ' <br /> I <br /> APPLICATION ACC BY Pt AN,APPROVER BY CITY OF EVERETT PUBLIC WORKS <br /> 4� LOCAL SALES <br /> "13 TAX CODE IS 3105 TOTAL14 <br /> ; <br /> R . <br />