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APPLICATIC1i FOR CONSTRUCI DN PERNi1T � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: U GAS U ELECTRIC J SPRINICLER __ <br /> 259•8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> owr�ER �Mo'�Ftnh uu�nooRFs���1h �}SW c��v twrfFrziv �Ib9U/ vraNe <br /> Arm & Hammer Construct4on 719 116th St. S.W., Everett, WA 9d2U4 gyk_ „��� <br /> TEN�N7 M,11L AOORE55 C�TY Z�P PHONE <br /> •RCMRECTOFDESIGNEH IAAILAppqE55 f.liV 7iP PIIONE <br /> GENER�lC0111RACiOR MAllA0DRE55 GTV zP PIqNE ST�T[LICENSE� • <br /> Arm & Hammer Conetruction 719 116th St. S.W., Everett, WA 98204 <br /> MfCN�NICRLCONiR�CiOR M�IIADDR[55 CIiV 2iP PNONE STAtELICENSEI <br /> PLUMBINGCONTR�CTOR MAILA�DRE55 LIiV )IP PIqNE ST�TEUCENSE/ <br /> Robineon Plumbing, Iac. 60� SE Ewerett Mall Way N26, Everett, WA 98208 355-6171 ROBINP*272C2 ` <br /> CU55 OF WORK '� � <br /> $ NEW ADDITION ALTERATION REPAIR DEMOUTION WOODStOVE/FRPI INSERT � BUILDING RELOCATION <br /> p CONiACT PERSON AN�PNONE NJ <br /> CONTN�CT PRICF OF WORN �11 SO.00 <br /> DESCRIBE WORK�NO SOU�RE FOOUOE INVOlVFO <br /> aprinkler eyetem - 13 sar�hkkc � <br /> PROPC�SEOUSEOFBUIL�INO I HEREBV CERTIFY THAT I HAVE READ ANO EXAMINED THIS <br /> SFR APPLICATION AND KNOW THE SAME TO BE T�UE AND CORRECT.ALL <br /> LEG�L DESCRIP710N OF PROPERTV�SNOWN BEIOW OR RTAf.N FOl'P CCPIESI PROVISIONS OF LAWS AND ORDINANCES GOVERNINO THIS TYPE OF <br /> WORH WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> iot e�acK or NOT. THE GRANTIN6 OF A PERMIT DOES NOr PRESUME TO 6IVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW RCGULATING CONSTRUCTION OR THE <br /> PERF�ORMANCE OF COMSTRUCTION. THAT 1 AM AUTHORI2ED BV THE <br /> OWNEF OF THIS PROPERtV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 298.200 WAC. <br /> . P-�.�- 9y <br /> PRQ1fCT���RE55 6ror�e�mE D��E <br /> 6610 Cady Road onousmesswnrs�r�o <br /> PLUMBINO MECHANICAL <br /> N0. TYPE OF PI%TUHE OR ITEM FEE N0. TYPE OP EOUIPMENT FEE <br /> WATER CLOSE f(TOILET) A�C—A/HNDLG UNITS—H.R . <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. � � <br /> LAVATORV(WASH BASIN) UNIT HEATERS—B.TU. M <br /> SHOWER CLOTHES DRVERS � � <br /> KITCHEN SINK 6 DISP VENTILATION FAN ; ' <br /> DISHWASHER RANGEHOOD <br /> LAUNDRV TRAV WATER HEATER ' <br /> CLOTHES WASHEN � WOODSTOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV � <br /> DRINKING FOUNTAIN FIREPLACE INSERT ; <br /> FLOOR DfiAIN HEAT PUMP � <br /> BACKFLOW PFEVENTERS ; GAS PIPING ' <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN � <br /> SINK(SERVICE—BAR,ETC.) ' <br /> � <br /> — — � � <br /> SUB TOTAL S i SUB TOTAL S <br /> PERMIT S PERMIT E � <br /> TOTAL FEE f TOTAL FEE S <br /> FOR OFFICE USE ONLY: <br /> FRONiFEiBACN REAPSEie/LN Si�E5ET6M,N PUNCNECNNUMAER fEE UQ PECEIPTNO <br /> y�rcd?� ;� U / oSsSl <br /> use zorJe l0T ARE� WC�Ni SI7E FEES VALUATION FEE <br /> BUILDINO <br />� tYPEOfLOH16�LLOWABIF iVVEOftON51AC1UAl aNv�Mcr xn�xbMtumcuM1ns — <br /> �"�10 PLUMBING <br /> SIZE OF BlIX3 NO OF SIORIES B�SEMENT � <br /> MECHANIUL <br /> OCCUP�NCV 10�0 FlRE SPNNNLERS REO'U NEIONT IIMIfAiION <br /> FDDITIONFL PLAN CHECK � <br /> SPRIANLER �13 FjB8d8� 2� I�� <br /> NE�S(lN FOR SPRINNlERS �— <br /> STATE BWLDING SUHCHARGE <br /> INTIINC BY PLA �PPROVED HV CITY OF EVERETT PUBLIC WOflNS � <br /> � � n LOCAL SALES <br /> -I 7�f f TAX CODE IS 3105 TOTAI 20 b0 <br />