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APPLICATIG.1 FOR CONSTRUCT�JN PERMIT <br /> CITY OF EVERETT•BUILDING OIVISION �C���� <br /> 3200 CEDAR STREET• EVERETT,WA 98201 •259-8810 <br /> O OEMOLITION ❑ COMBINATION � BUILDINO ❑ MECHANICAL ❑ PLUMBINa L7 SIGN <br /> PROJECTADDRESS: 3003 W CASINO RD �/r -7r:'7- <br /> OYMER 4�R�ODf1E53 Z�ry t�r ����L <br /> BOEING CO PO BOX 3707 M/S OH-13 SEATTLE WA 98124 266-3463 <br /> TEN�NT YqlAUp1(SS CIIY )m � PnOHF <br /> �� IN� <br /> �nc�*tctano[smrren M�II/iW0E55 nrv 7�� — PNONF <br /> A�si rr✓ <br /> OENE11�lGp/TM�/LTOR MuI�ODf1E55 Cifv )�t' PnONE CGfEII�ENSE• <br /> �TI�JT�N <br /> MELNI1MLµCONTR�CTq1 MMl�ODRE55 f.ITV pP PIIONC ST�TE uCENSE� <br /> PLUMlINOCONTR�CTdi NU�App11E55 CIfY 11P PNpNE ST�fEIICENSE� <br /> CONTRACT iR10E Oi W011M <br /> HEATING SYSTEM: O GAS ❑ ELECTRIC ❑ <br /> OF6CIillE W011R I11A 6ql�qE ippT�W E MVOIVED ffMllllf.T t'flISAN�Hff 1'110NF NO <br /> �/[.�> JF.U6 c v/�Aa f.'.�' /'�5 /•.�7 F. �^ LEONARD ASTEMBORSKI 266-3�63 <br /> .2 i j��t n s.J-= <br /> I HEHEBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> onoroseO usE a eutorwo APPI.IC4TION ANO KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF lAWS AND ORDINANCES OOVEFNINO THIS TVPE OF <br /> � WORK WILL UE COMPLIEO WIiH WHETHER SPECIFIED HEREIN OR <br /> IEO�lOELCPMTIONOfM101'ERfY�5110WNBElOWp1�RACNTWOCdMES) NOt. THE ORANTINO OF A PERIAIT DOES NOT PRESUME TO OIVE <br /> iot e�ocK or AUTHORIiV TO VIOLATE OR CANCEI THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REODUTINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTMORI2ED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORN FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLV WITH THE STATE <br /> PMCEI TAItID MMIBER CONTRACTORS LAW 1827 RCW AND 288.200 WAC. <br /> CdllTRUCTIdI LO�II LENOER.�MNESS.iEIF%qNE NUAI6ER .�}T=y����/ �j�(.M..fyl� ' (p/� /�� <br /> )l' <br /> _ SqHMVIiE J D�IF <br /> CIIY Bp91NE55 LICENSC NO <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FlKTURE Op ITEM FEE NO. TYPE Of EpU1PMENT FEE <br /> WA7ER CI.OSET(TOILET) � NC—/VF{NDLO UNfT9 � <br /> BATHTUB ' FORCEDAIRSYSTEMS � <br /> UVATOiiV(WASH BASIN) � HEAT PUMP , <br /> sHOWER ' UNIT NEATERS i <br /> KITCHEN SINK 6 DISP ' CLOTHES DPYERS ' <br /> � � <br /> DISHWA3HER � RANOE HC10D i <br /> LAUNDRY TRAY � WATF.R IIEATER � . <br /> CIOTHES WASHER � WOODSTOVE , <br /> URINAI � MEfAL FIREPIACE(WOOD BURNINQ) � <br /> DRINKINO FOUNTAIN � FIREPLACE INSEflT(VJOOD BURNINO) � <br /> FLOOR DRAIN � OAS FIFEPLACE � <br /> BACKFLOW PREVENTERS ; GASRANG[ � <br /> SINK(SERVICE—BAR,ETC.) OAS PIPINa � <br /> ' E7(HAUST FAN <br /> � -'�— <br /> -- , � <br /> SUB TOTAL f ' SUB TOTAL f <br /> PERMIT f � PERMIt f � <br /> TOTAL FEE S � _ TOTAL FEE S '�_ <br /> FOR OFFICE USE ONLY: <br /> FRdIT3ETIlACK RE�RSFTB/�LR SIOE6E78�CM Pl�NC11FCKM14flf11 ffF REf.FlPfNO <br /> _s� 9-�0 <br /> us¢ta�e iot�nr� yA�ANiSIfE FEES VALUIITION FEE <br /> �_ OrEB 0 No nU�o�vn 277��0 1 � <br /> IIEIONT UMIT�� N 1p pi pWEllINO 51�E O�B100R1 -- i <br /> v �N,« 2� o <br /> rurunwa <br /> OCCW�NC1' M"iMlIMEb OCCUMNIl0�0 l�SE NI --+ <br /> / M{C11�NI(�I i <br /> •3 3 �7 �.Eg R�+� -- - ' �- <br /> iIREBPFINKLERPEO'U �f�3�y� — ADbibONq M�NG�If.h . �O� �O . <br /> YES CNSG p/�0 ----- -- <br /> omen <br /> FIRE�IAPM REO'0 HF��f1N __ � <br /> y�5 J�CQ, star nunrnnr snn,:�una[ � -h <br /> . --_ _'—��– <br /> IYPEOff.ON_S�/ rieaser ovmer CITYOFEVERETT runnrwonev <br /> V N q LOCAL SALES --- — ------- ----- -----t— <br /> o,re � � - / TAX CODE IS 3105 T07AL .�- ; J � <br /> -- ---------- `_ <br />