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APPLICATION FOR CONSTRUCTION PERMIT <br /> ('L'I•IYII <br /> AI EvNO,Pxn <br /> LnrOF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259.0010 TO BE COMPLETED IN INK—PLEASE PRINT <br /> DEMOLITION I I COMBINATION xxBUILDING XXMECHANICAL X*PLUMUING I SIGN <br /> e.111 MAX ADDRESS Lily ZW PHLNL <br /> Hy _$plprP ❑nmp , Tn 977 Flm St, Everett. WA-yg�Q3_19 <br /> 21 206 258-1503 <br /> 'a Ik NANI MAX A00F1E35 LITY ZIP WWHk <br /> IO <br /> byyq ANLHIIECT ORDEWGNER MAX ALJK65 CITY PHONE <br /> "I 2 " I NERNCONTRACTOH MAX ADDRESS CITY ZIP PHONE IILENSEE <br /> ETm St Everett ,�4A 98203-1921 S_ELECHI110KN <br /> o <br /> '*✓ N H MECHANICAL CONTRACTOR MAX ADDRESS CITY ZIP PHONE LICENSE 1 <br /> PIUMBNGCONTRACTOR MAX ADDRESS CITY ZIP PHONE ICENSE 0 <br /> O n <br /> R CLASS OF WORK <br /> cl <br /> HNEW I I ADDITION I I ALTERATION I-) REPAIR ❑ DEMOLITION (AWOODSTOVEIFRPL INSERT I BUILDING RELOCATION <br /> I EXAM NPROVEMENT W wI E RIDN REMODEL ONLY CW IACT PERSON AND PHONE NO <br /> Ry y LONTFACTPRICE OFVKm: Randy Clark, 258-1503 or 348-1320 <br /> cf N DESCR6E WOW AND SQUARE FOOTAGE NVOVED <br /> Jc It Ir _.LfDD.SY rITCt Hai n9lpfamily rasideacr. <br /> v R <br /> 1-1OPu5E0u EOf BUIwwQ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> m APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> le Eami l -S1'Sld PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGA UES�RIPIIONO PROPE YISHKhYN BEl OW 011 Al7ACHFWRCOPILs) <br /> . WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> IDI � BLOCK OF RidgPwnnfl Tprrace NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> Division 1 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 PERFORM 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 /> SIOMIUREOFU)NTRACTOIORAUT"DRIZEDAGINI DATE <br /> - _ SELECT HOMES, INC. <br /> ^ ,Ia <br /> I l�o,Ecl ADIaB.ss x 3-1.4 <br /> •'17- <br /> �� APPLICANIScHr BuswEs LCENSE NO NNDWSMESSNAME <br /> H_ PLUMBING CP JTT-' i1 MECHANICAL <br /> �I 110. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> 3 WATER CLOSET(I OILEI) AC-A 4WLIG UNITS-H.P. <br /> I 1 BATHTUB FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> i - <br /> '� 3 LAVATORY(WASH BASINI I UNIT HEATERS-B.T.U. M <br /> e�I 2 SHOWER //): 1 CLOTHES DRYERS <br /> 1 KITCHEN SINK A DISP r; VENTILATION FAN _- <br /> 1 DISHWASHER A I RANGE HOOD <br /> LAUNDRY TRAY ; WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL ' METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN I FIREPLACE INSERT <br /> r— <br /> FLOOR DRAIN ' HEAT PUMP <br /> BACKFLOW PREVENTERS i 2-41 GAS PIPING <br /> ROOF DRAINS—RAINLEADERS H EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.( ' 11:/YH "i'f'L <br /> I <br /> SUB TOTAL $ I SUB TOTAL. <br /> 'I JZ'� PERMIT f I PERMIT <br /> 707AL FEE S ' TOTAL FEE f ' <br /> �. I10Nt BEIBALK , REARMIBICKE SIDE MIWCK I KN111 CIM1CR FEE <br /> IYCE WIItl <br /> 2P S"O. r /O�w � ) ' <br /> ISE 20NE LOT AREA "N VACANT NTE FEES I VALUATIUN FEE <br /> YES NO BUIWINa • � =T C; <br /> I IN U CORSI ALLVAAMI IYI/of_[OKSI ACIUX aMLFx[r p M gN ww's <br /> PLUMBING <br /> WE OF OF BLDG I10.Of SIO ILS BASEMENT MECHANICAL <br /> 1 <br /> C3 YES .FQ NO / <br /> t.cuilmicytDAD HRI SPRNKLLRSREOD HEIGHT LXMIAI OTHER ; <br /> I I YES X NO ZZ"J ST�LNLW�V <br /> HCIWiGE <br /> -J AWN FOR SPRINKLLRS ---- -----=�f`-f�./✓ <br /> STHGWIGE <br /> acALXwAccBr wsAPPlrcDBr CITY OFEVERET� tElLtwawa '� <br /> f. LOCAL SALES <br /> 41,0'111;-' lAX CODE l5 7105 TOTAL 7 <br />