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APPLICATI�N FOR CONSTRUC'�bN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-0810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING p MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRESS d931GLGNWOODAVG <br /> OwN[R WM1�ppRE55 GfT t/� pp�� <br /> UAN JORDAN CONSTRUCTION <br /> iENANi N41A00RE55 CIIY jp pp�� <br /> ARCIIRECTOPpESGNEP 4AM1/.WN[55 CIiY ZW Nq11E <br /> GENE(1KCONiPACip� M��L�OO�C55 CIIY IP RroN[ Si�tEUCEHSE• <br /> YCC111N�CKCANiMCip1 YM�W11C5$ CIIY p <br /> ROf31NSON PLUMI3ING INC.,29330 I?J7'll A\'li N.li.,AItLINGI'ON 98?�3 (3G0)�1�5J62 RO•IT�-'IVI��C2 <br /> ttUMBItqCONiR210N ME�L�OOPESS LI�Y Zm RqNE Si�fELILENSE� <br /> GONi11AGT PPICE OF KqIM <br /> S'_730 HEATING SVSTEM: ❑GAS O ELECTRIC ❑ <br /> oesrnioE wa+.uro-ou.nc roorwc mva�Eo covuc.rcnsw�nno vr <br /> ��°ROUINSON•IiLMSLIG (360W03-746? <br /> INSTAI.L PIRE SPRINKLIiR SY51'8 - <br /> I HEflEBV CEPTIFY THAT I NAVE READ AND E%AMINED TMIS <br /> veovoseouse os am�m APPUCATION AND KNOW THE SAME TO DE TRUE AND CORRECL ALl <br /> SINGLG PAMII.I'RGSIUIiNCL PROVISIONS Of LAWS ANb ORDINANCES GOVERNING TMIS TYPE OF <br /> WORK WILL BE COMPLIEO WITM WMETHER SPECIFIED HEREIN OR <br /> LE00.pE$CNPIKKiCi1'qOYEPiY�51qNT1�ElOWOflATiLCMT19LOPIES) NOL THE GRANTING OF A PEP.MiT DOES NOT PRESUME 70 GNE <br /> ior eiocK ar AUTHORITY TO VIOLATE OR CANCEL THE PROyISION OF ANY <br /> OTHER STATE OR LOCAL LAW RGGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AA7 AUTHORIZED OY THE <br /> OWNER OF TMIS PPGPERTY TO PERFORM THE WORK FOR NRiICM <br /> APPLICATION IS MA�E AND i COh1PLY WITM THE STATE <br /> PMCELTAM IU.INMOCR CONTRACTOIRS rLA B 27 RnCW AND 296200 WAC. <br /> CdlSiFULTqNIOuIlEWE0.�DD�ESS.TEIERqxENUM0Ff1 X_ C �Y�1 �J�^-'I �/2Y/V� <br /> SqNeNI1F D.UE <br /> PtY BW WESS IXENSE 1q. <br /> PLUMBING MECNRNICAL <br /> NO. TYPE OF FIXiUHE Oq ITEM FEE NO. TYpE OF EOUIPMENT FEE <br /> WATEPCLOSET(TOILET) i NC—a'HNDLGUNITS <br /> OATHTU6 ! FOfiCEDAIRSY5TEA15 i <br /> LAVATORY(WASM BASRJ) HEAT PUTAP <br /> SHOWLR � UNITNEATERS <br /> KITCHEN SINK 8�ISP CLOTHES DRYERS <br /> Di5HWA5HER RANGE HOOD <br /> LAUNORYTHAY WATERHEATER <br /> CLOTHESWASNER i WOODSTOVE <br /> URWAL j METALFIREPLACEQYOOO�URNING� i <br /> DRINNING FOUNTAIN FIREPLACE INSERT(WOOD BURNI�G) <br /> FLOOH ORAIN GAS FIREPWCE <br /> BACKFLOW PREVENTERS � GASRANGE <br /> SINK�SERVICE—BAH,ETQ) i �ASPIPING <br /> I E%HAUSTFAN ; <br /> i <br /> � � Y' ' II�,\Ilti <br /> i � <br /> SUD TOTAL S � SUB TOTAL 5 � <br /> PERMIT 5 PERhIR 5 <br /> TOTALFEE 5 TOTALFEE E � <br /> FOR OFFICE USE ONLY: KOL - 0 <br /> fROM5ET6ACN REApSCIB�CK SIpESEiB�CN PLVICNCCItNUMBCII !E[ PECflPi1q. <br /> OSEIONE mt�e[� v�tu�rsn[ FEES VALUATION FEE <br /> ❑YFS O NO BUM1URq � <br /> r�[ic��ltiu�inlqN 1qOFpwFwrvO SIIEO�BI�Qrt�. <br /> UNifS <br /> RV461fq <br /> GC�CUIpu�CY IqCi51pF�E5 OCCIIPANlLOM B�SE4ENi uEC�uN�CAL <br /> DYES p Iq <br /> FiRESPIiINxIEPFE00 PEASON MO�ipN4PlANC11ECN <br /> OiNEfl <br /> f�NEMAnN11C00 P[ASpry <br /> SUfE OUitDRq SUBLNMOE <br /> TYPEOfCOt15i Rµy�Ip11 CUOY CITYOFEVEHETT %IBlCW0111(5 <br /> / . LOCALSALES <br /> w.e Q TAX COOE IS 3105 TO7AL <br />