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82012 <br /> APPLICATIOR FOR CONSTRUCT�N PERMIT <br /> CITV OF EVERETT•BUILDING DMSION � <br /> 3200 CEDAR STREET•EVEREIT�WA 98201 •(425)257-8870 <br /> ❑ DEMOLITION ❑ COMlINATION ❑ BUIIDINO ❑ MECHANICAL ❑ PLUMBINQ ❑ $�QN <br /> PROJECTADDFESS: 5134 Elm Street <br /> aw.rtn r.rt�oon[ss arc nr r�ort <br /> 1ti-Star Homea 3924 204th St. S.N. L nm+ood WA 98036 (425) 775-2468 <br /> iCM�M YM NNylE55 GtY � ��F <br /> •I�CMrtt101�pE5�GNEn 4�tlAWnESS C�rv Pr MqMF <br /> GfNC1UlCOM�p1Cip1 Y41�OO�F55 CIfY T1' IM1YM $�M[LIC[NSF• <br /> Tri-Star Hanes 3924 204[h S[. S.H. L nnuood WA 98036 (425) 775-2468 <br /> YELN�MGlCd11111C10R 4W/.DOR55 QlV I�� PIqNF $i��FIICFNSF• <br /> MU4lni6CONIP��ION 4��l�Oqif55 CItY n0 W�D�[ Sf��EI�LFHSi• <br /> Robinaon P16g.,Inc. 607 SE Ev Nall Wuy f26 Evere[[ WA 98208 (425) 355-6171 ROBINP*272C2 <br /> CONt"AB1�""0C°r�"" HEATIN(i SYSTEM: ❑GAS O ELECTRIC ❑ <br /> otscweF wanK�r�o sou•nc�oo*�cc vvwv[n co-n.cr mrsw ua rr�o.h r�o <br /> FIRE SPRINKLER SYSTEM <br /> 1 HEREBY CEATIFY 7h�T I HINE REI1D �ND E%�MINEO TMIS <br /> APPLIC�TION/JJD NNOW THE SAME TO BE TRUE ANO f.ORRECT ALL <br /> rnpns[ousc or e�nowa PROVISIONS OF UWS AND ORDINAHCES GOVEFN�NG THIS TVPE OF <br /> SFR WO�iK VALL BE COMPL�ED MATH VMETNER SPECIFIF.0 HERE�N OH <br /> iFc�ioEscmm�wor�+qr[n*ris�o+meE�awa�n�cnrv.ocowcsi NpT, TNE �R�Ni1NG OF 11 PENMR OOES NOT PRESUME TO OIVE <br /> iQ �«5 p AUTMORITV TO VIOIATE OR CANCEL THE PROVISION OP ANV <br /> OTHER STATE OR LOC/�L l�W REODUTIN(i CANSiRULT10N OR TME <br /> PERFORMMlCE OF CONSTRUCTION.THAT 1 AM�U7N0111ZED BY TME <br /> OWNEH OF THIS PROPENTY TO PERPORM THE WONK FOR WHICM <br /> APPUC�TION IS M�DE AND I COMPLY W�TH TME ST�iE <br /> �F` �� o M�F� CON(MCTOPS L W 1827 RGW AND 2%200 W�C. <br /> fM151M1UCIroNIO�NlfME1�.4IME55.lElERqMEM1M�FP j� �I ��� `�D [f I''-"" <br /> SifM�l �[ <br /> p1YlV9�FSS lIL(MSC NO <br /> PLUYBINC YECHIINIC�L <br /> NO. TYPE OF Fl%TUIIE OII REM FEE NO. NPE OF[OUIP►IpIT FEE <br /> W�TER ClOSET(TOI�ET) MC-NMNaG UNff3 <br /> BRTHTUB FOPCED AIR SYSTEMS <br /> LAVAfOilY(WASH B�SIN) HEAt PUMP <br /> SHOWER UNIT HEATERS <br /> NITCHEN SINK 8 DISP CLOTHES ORVERS <br /> DISHWASMER FiAN�E HOOD <br /> L�UNDRV 7RAV WATER HEATER <br /> CLOTNES W�SHER WOOD S70VE <br /> URINRL METFL FIREPLACE�VJO00 BUHNIIIG) <br /> ORINNING FOUNTAIN FIREPUCE INSERT�`NOOD BURNING) <br /> FIOON DA�IN G0.S FIREPULE I <br /> BACRfLOW PREVENTERS GASRANGE <br /> SINN(SERVICE-BAR,ETC.) GAS PIPING I <br /> — - E%NAUSTFAN <br /> SUB TOiAL S SUB TOTAI S <br /> PERAl1T S PERMIT S <br /> TOTALFEE S TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> 1�(W1YlP�CK ��NSFIpKK LOESFIML4 1'IMICI�ECF P fFF IMf.F���MO <br /> '�"`�9 <br /> uscrorr im.�cn v.ce��vrt FEES _ V11LW1ilON FE�_ <br /> OrFs O M� qU�p� <br /> 1�(�O��IIN���Iq`� �'OVUv.'tll�MG SilEdNUWI M1i��M1 <br /> UMip <br /> OCCVf�\I:� Ml'�Stlw15 OCN��NIIO�D l�3iM[NI VfLNUM?I __ <br /> aitOW' O�{S OM <br /> •Cdl%ri4A�MC��lL� <br /> liNLSP�➢NnILPPEOO M�SQ4 � <br /> OI✓[R �1] �ICa(�8� 2�'.Q� <br /> fiPUlMM11W'O �f�TO'. <br /> [411 flIM1lUM651NICPLM! <br /> �rr�rncai�� n�Ns�rrnovrnm CRYOFEVERETT nrMr.aon.z _ <br /> � LOCALSALES 20.00 <br /> oe�t IG� SY TA%CODE IS J105 70711L _ <br />