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APPLICATI�"1 POR CONSTRUCT �N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> , 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 <br /> ❑ DEMOLITION O COMBINATION ❑ BUILDINfi ❑ MECHANICAL ❑ PLUMBIN(i ❑ SI(iN <br /> PROJECTADDRESS: 3003 W CASINO RD �p_��J� <br /> �ER 4�IL�Od1E5S cirv �m rnor�c <br /> �OEING CO PO SOR 3707 M/S OH-13 SEATTLE WA 98124 266-3463 <br /> t¢wwt uuienoncss a�v rm—'-- wrzw[ <br /> f3oEi ru�- <br /> ea�cjM�r[ttaap¢s�ar/[n ;� M�nAD0aE55 cin !IP — PIIONF <br /> �ofrR-c(.r�`I JL�A�,I <br /> ENEfUtGONTMLT MMIADOfIF55 tliY ��f PnONE $I�TEIICENSE• <br /> y <br /> YECH�PoGILGONTqRpTq1 M�4�DDRE55 f.IfY IiP PnONE 51�TELICENSE� <br /> PWMEINOCONTRAGTOR uAI�llpppE55 CItY tln PNpNE SfAfEUCENSE/ <br /> CONiMtt FPoGE OF WORN <br /> �- �b O HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> OESCmEE M�OOK�NO SqURE f001 E INVOIVED f.tNlI�CI1`f1150HAND PIqNF.NO <br /> _S 21L �o� b�f=iL� (0 2-'12 3�= LEONARD ASTEMBORSKI 266-3r63 <br /> I HEHEBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> vnao�o us[or mnidra APPLICATION AND KNOW THE SAME TO BE TRUE AND COHRECT ALL <br /> �(��� r �� PROVISIONS OF LAWS AND ORDINANCES 60VERNIN�THIS TYPE OF <br /> �auoesuwtwwarrarcan�s�awNee�owp��n�cNrvpcoviesi WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br /> iot e�oc� oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REODUTINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BY THE <br /> OWNER OF THIS PROPERTV TO PERfORM THE WOqK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> o�qc[�r�v i o.r�we[n CONTRAC70H5 LAW 1827 RCW AND 296.200 WAC. <br /> CONSTRUC➢ONIOMILENDER.AADRESS.TEIEPNW+ENUMeEB K .��L� �. (, (�t.+�p7��,� �/ /Q/H6 <br /> SItS�N�NIIE—�T O�TE <br /> Cltt OUSINESS IICENSC Iq <br /> VLUMlINO MECHANICAL <br /> . � NO. TYPE OF fl1(TURE OR ITEM FEE NO. TYiE OF EOUIPMENT FEE <br /> WATEH CLOSET(TOILE� � NC—NHNDLO UNfT3 � <br /> � BATHTUB ; FOPCEDAIRSYSTEMS � <br /> LAVATORV(1NASH BASIN) � HEAT PUMP � <br /> 6HOWER � UNITHEATERS � <br /> KITCHEN SINK 8 DISP i CLOTHES DRVERS ' <br /> DI6HWASHER , ' <br /> RANGEHOOD , <br /> LAUNDRV TRAV ; WATER HEA7ER � <br /> CLOTNES WASHEH � WOODSTOVE , <br /> URINAL � MEfAL FIREPIACE(WOOD BURNIN6) � <br /> DRINKINO fOUNTAIN ; FIREPLACE INSERT(WOOD BURNIN6) ; <br /> FLOOR DRAIN � GAS FIFlEPLACF. r <br /> BACKFLOW PREVENTEHS ; GAS RANGE � <br /> SINK(SERVICE—BAR,ETC.) OAS PIPING , <br /> ' EXHAUSTFAN <br /> � � <br /> � � <br /> � � <br /> � � <br /> ' <br />� SUBTOTAL f SUBTOTAL S ; <br />'I PERMIT f i PERMIT f <br /> i ?OTAIFEE f � TOTALFEE f � <br /> FOR OFFICE USE ONLY: <br /> FRONTSEIB�LI( REAq$f.iBACk SIDE6FiB�LK P�ANCII[CItN114p�11 �EF Off.FIPtNO <br /> ����- <br /> USE20NE tor�ne� V�L�I1t51tf FEES VALUATION FEE <br /> OYE6 ❑MO Othl01N6 ;��, <br /> MEIONf UMIiQICN NO OF DWElLINO SIIE 0�llDNf.l <br /> UNIf$ / � � ntuumr+o ' <br /> l7 ---- 4 <br /> tN�NLr MO O�S�MfS OGCUP�NflOAO B�SE4FHf � <br /> O MFOInHif.el <br /> ❑vf3 MO - � .— <br /> flRESPPoNKIEqPEOD �F�SON �DdIIOHq PIANCnlf.M � <br /> ;�,E S ,E�C Sr[,. J(cr c� , -- --- —:-- <br /> owen <br /> I <br /> iIREMMMqE�'0 REAip1 / _— <br /> y�,� � S Tq, ���E� $iME011Il�INf SunCne110C � \� <br /> _ i J <br /> TYPEOCf,ONSI ninNsen qy¢oer CITYOFEVERETT runur.wnnKs ' <br /> //_ ,�✓ '� LOCAL SALES ------ — --'— <br /> o�rE _ `f � TAX CODE IS J105 TOTAL ; <br />