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SIc io <br /> APPLICATI�.N FOR CONSTaUCti .ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> fl DEMOLITION f 1 COMBINATION f I BUILDIN�3 f 1 MECHANICAL Il PWMBINO �l SION <br /> PROJECT ADDRESS <br /> 926 E. Ceaino Road <br /> OYINEq M�IL��ORF55 CIIY IiP PIIONF <br /> TEN�NT MMUUDRF.55 CITV 71P PIIONE <br /> �RCNITEC70ROESIONER M�II.�bDRF55 CItY )m PIIONE <br /> OENEP�ICONtt1�CTOR M�IL�IN1f1E55 CItY ]IP PIIONE ST�TELICENSE� <br /> Withere Conetruction, Inc. 21611 45th Ave. S.E. , Bothell, WA 98021 481-459k <br /> MECH�NIG0.CONTPACTOR MML�DDRE55 Cltt lIP PINNE SiRE LICENSE I <br /> PWMBINQCONTR�CTOR MnIVWRE55 CIIV 21P PMONE STQELICENSE� <br /> Robinson P1bg. ,Inc. 607 SE Ev Mall Way N26, �erett, WA 98208 355-61�1 ROBINP*272C2 <br /> cor+rnnct omce nv wonK <br /> 1000.00 HEATING SYSTEM: fl(3AS fl ELECTRIC ❑ <br /> OESCRIBE VIORk�N�SOU�RE FOOUOE INVOLVEO GONUCT PERSON�ND PNONE NO <br /> eprinkler <br /> I HEREBV CERTIFV THAT I HAVE READ AND EXAMiNED THIS <br /> PPOPOSED USE OF BUIIdN� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT.ALL <br /> PROVISIONS OF LAWS AND ORDIN 4NCES QOVERNINO THIS TYPE OF <br /> SFR WORK WILL BE COMPLIED WITH WHETFIER &PECIFI[0 HEREIN OH <br /> LEOALOESCRIPTIONOFPROPENIYISNOWN9ELOWOR�TTACNTWOCOPIES) NOT. THE aRANTINO Of A PERMIT DOES NOT PRESUME TO OIVE <br /> ior e�ocK or AUTHORITY TO VIOLATE OR CANCEL THE PNOVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE <br /> PEFFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROFERTV TO PERFORM THE WORK FOR WHICH <br /> APPIICATION IS MADE AND I COMPLV WITH 'HE STATE <br /> PNICELLVf 10.MIMBEN CONTHACTORS LAW 1827 RCW AND 298.200 WAC. <br /> CONSTRUCTION 10�N 1 ENDER,ADDAE39.TELEPHON[NUMBER - '/ / J'�[J/ ���-7J <br /> 61GN�tU U�TE <br /> CITv PUSINESS IIGENSE NO. <br /> PLUMlINQ MECMANICIIL <br /> NO. TYPE OF flXTURE OR ITEM FEE NO. TYPE OF FIKTURE OR ITEM FEE _ <br /> WATER CLOSET(TOILET) � !JC—MiNOLO UNITS—H.P. � _ <br /> BATHTUB ' FORCEDAIRSYSTEMS—B.T.U. M E.A. ' <br /> LAVATORV(WASH BASIN) i HEAT PUMP � <br /> SHOWEF � UNITHEATERS—B.T.U. M ' <br /> KITCNEN SINK d DISP ; CLOTHES DRYERS i <br /> DISIIWASHER � VENTILATION FAN ' <br /> IAUNORV TRAV ; RANOE HOOD � <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAL ' WOOD STOVE ' <br /> DRINKINO FOUNTAIN � METAL FIREPLACE�WOOD DURNINO) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNINO) � <br /> BACKFLOW PREVENTERS i 6ASfIREPLACE i <br /> SINK(SERVICE—BAR,ETC.) OAS RANOE � <br /> � OAS PIPING ' <br /> , E%HAUSTFAN � <br /> —�-- <br /> i ' <br /> i ' <br /> � ' <br /> -� <br /> � ' <br /> SUB TO7AL E ' SUB TOTAL E ' <br /> PERMIT E � PERMIT E � <br /> TOTAL FEE E � TOTALFEE E ' <br /> FOR OFFICE USE ONLV: <br /> FRONT SETRACK REM S=TB�CN SIDE SE7fi�CR �UN CNEC NUMAFR fFE RECEIPT NO <br /> � �r(�1 .,�C� //�3'J� <br /> USE 20NE ior ene� v�ceNT sire FEES VALUATION FEE <br /> fiYES fl NO gpIl01N0 <br /> HEIONT UMIi�TION NO OF DWELUN(3 SIIE OF BID�RI <br /> UNI15 p�UM11iNO <br /> OCCIIP�N(.v NCOfSfORIES OCCUP�NTLO�D BASEMENi MECIUNIC�L <br /> OR011P <br /> flYES f1 NO � <br /> IIFE�I.ANA'AEO'D RE�SON �DOIiION�I PLAN CMECk <br /> o.�,ER(SPRINBLER 10 HE S) 20 00 <br /> FIqE5W11NHLERREO'0 PE�SON <br /> STAiE BIIIL�INO SU1iC11AR(iE <br /> TYPE(�GONST ruws�r�n��ovEoev CITYOFEVERETT rueucwonKs � <br /> ���� � LOCAL SALES <br /> o�tE TAX CODE IS 3105 TOTAL <br />