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APPLICATIC 1 FOR CONSTRUCT_ �N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT � HEATING SYSTEM: [;J GAS U ELECTRIC U � <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAI upLUMBING SIGN <br /> OWNER MMI�DDRE55 CITV IIP PHONE <br /> Glen Olin 3622 97th P1. S.E. �verett 98208 337-3451 <br /> TEN�ItT� i T JM �DDR� /,E55_ /J��.��/✓L�/K., V� JJ� �AJL� -%�LUO 337-2733 <br /> �Q/V �'y� <br /> �7. 1/N �Cl/ '�O(J � S <br /> �RCNITECT OR�E aNER M�IL PDDRESS CIiV IiP pHpqE <br /> ��ENER�L CONTRACTOR M�II��ORE55 d7V 21P PHONE ST�TE LICENSE� <br /> �ame as above <br /> MECN�NIC�LCONTR�CTOH MMLADORE55 CIiV 21P PHpNE SiRTELICENSE� <br /> PLUMBINO CONiR�CTOR M�IL�OORE55 CIiY 21P PHONE SUTE IILENSE r <br /> Robinson Plbg 607 SE Ev Mall Way #26, Everett 98208 355-6171 ROBINP*272C2 <br /> CLASS OF WORN <br /> ){NEW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVE/FRPL INSERT BUILDING RELOCATION <br /> CONi/LT PERSON RND PNONE NO <br /> CONTRACT PRICE OF WpRR �Z 8 B S.O O <br /> DESCRIBE WORN�ND SOU�HF.FOOT�GE INVO�VEO <br /> PFOPOSEDUSEOFBUII�ING i HEREBV CERTIFV THAT I HAVc' READ AND EXAMINED THIS <br /> SFR APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> LEOMDESCRIPTIONOFPROPERiV�SNOWqBEIOWOR�TT�CHFOURCOPIES� PR6VISIOtISUFLAWSANDORDINANCESGOVERNINGTHISiVPEOF <br /> WORK WILL BE COMPLETED WITH WHEiHER SPECIFIED HEREIN � <br /> ioT BLOCK ov NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TU GIVE <br /> AUTHORITV 70 VIOLATE OR CANCEL THE PROVISIONS Of ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> � � PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PEFFORM THE WORH FOFi WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> 1� CONTRACTOFS LAW 18.27 RCW AND 29G.200 WAC. � <br /> �y/�L].�. �� �(/�/92_ <br /> PROJEGI�DDRE55 xN" � " �^1E ' / <br /> 6614 Cad Road ��..a,���Ess,.�,�s�,� <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FURURE OR ITEM PEE N0. TVPE OF EOUIPMENT FEE <br /> 2 WATER CLOSET(TOILET) 14� 00 A�C—AiHNDLG UNITS—H.P <br /> 1 BATHTUB �; OO FORCEDAIRSVS7EMS—B.T.U, M E.A. <br /> 2 LAVATORY�WASHBASIN) I.4� OO UNii HEATERS—B.T.U. M <br /> 1 SHOWER �� OO CLOTHESDAVERS <br /> 1 HITCHEN SINK 8 DISP ]; OO VENTILATION FAN <br /> 1 DISHWASHER ']� OO RAN3EHOOD T <br /> LAUNDRVTRAV 1 WATERHEATER G' SO <br /> 1 CLOTHES WASHER �� OO WOOD STOVE <br /> UFINAL METAL FIREPLACE 8 CHIMNEV � <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP —� <br /> BACKFLOW PREVENTERS ; GAS PIPING <br /> ROOF DRAINS—RAINLEADERS E%HAUST FAN —� <br /> SINK(SERVICE—BAR.ET0.) <br /> � <br /> — � — — <br /> SUBTOTAL a 63; 00 SUBTOTAL S 6' S0 <br /> PERMIT E ZO� OO PERMIT S <br /> TOTALFEE S 83' 0� TOTALFEE a 6� 50 <br /> FOR OFFICE USE ONLY: <br /> FPONTSETBACH RE�RSkTBACN SIpESETBALN PLANCHECNNIIMBER FEE HECEIPtNO <br /> USE 20NE lOT AREA V�C�NT SITE FEES VALUATION PEE <br /> BUILDING <br /> irPE Of LONiS�ILOWABIE IVPk Of CON51�Clll�l accuwqa xo p vxuuec uqns -- — —�— <br /> LqfyjO PLU4BING <br /> SIIE OF BIDO NO JF STOqIES BASEMENT MECHANICRL <br /> OCCUPNICYIO�D fIPE5PfiNNLEP5RE0'D HEIQNTLIMIL�LION ADOITIONALPUNCHECK <br /> SPRINKLER <br /> RE�SON FOR SPRINkLEHS � <br /> STATE BUILOING SURCHAROE <br /> INT�KEBY PUNS�PPqOVEDBY CITYOFEVERETT PUBLICWORKS <br /> LOCALSALES <br /> TAX CODE IS 3105 rou� <br />