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ApPLICATION FOR CONSTRUCT�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8810 <br /> rl DEMOLITION fl COMBINATION I-1 BUILDING I-7 MECHANICAL �l PLUMBING fl SIGN <br /> PROJECT ADDRESS <br /> 1934 Grand Avenue Z�� rNor+e <br /> OWNEN <br /> MAIL/�DDFESS ��TM <br /> Carl Pearson 3805 Federal Avenue EveretTM 98z03 7P pHONF <br /> �ENANT MMLADORESS <br /> C TM 7�� PMONE <br /> IIRCHITECT OP OESIGNER MAiI ADDAE55 <br /> Roger Olin Conat. _ P.O. Box 3216 . Everett 98203 337-762�1ONC S1�TEuc�NSE. <br /> ���� zir <br /> GENER�LCONT��CTIX� MUL��E55 <br /> �i� PHONE STATE UCENSE� <br /> MECHAtNCALCONTR�CTOR M�ILADORE55 <br /> GTV <br /> GIT�' ZIP <br /> PHONE STATE LICENSE� <br /> MUMBINGCONTR�f,TOR MMLADDRESS <br /> Robinson Plbg Inc. 607 SE Ev Makl Wy 4k26, Everett 98208 355-6171 ROBINP*272C2 _ <br /> GONTMCTPRICEOF WORN HEATING SYST�M: f:l GAS fl ELECTRIC fl <br /> CONTACT PERSON AND PNONE N0. <br /> DESCPIBE WORK AND SOUARE FOOT�GE INVOWED <br /> Tri lex sprinkler <br /> I HEREBY CERTIFY THAT I HAVE READ ANU EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> rnoposeo�se oF euuwr+ct PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OP <br /> WORK WILL BE COMPLIED WITN WHETHER SPECIFIED HEHEIN Ofl <br /> LEG�LDE CRIPTION�FPROPERn'�SHON'�BEIOWORATT�CHTYfOLOPIES) AUTHORITY TOTVIOLA EAOR CA�CELET EOPROVISION OF AINY <br /> �QT� BLOCN � OTHER STATE OR LOCAL LAW RE6ULATING CONSTRUCTION OR THE <br /> PERFOFMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNEA OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPIICATION IS MA�E AND I COMPLY WITH Th1E STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> PNILELTiVf LD.NUMBER <br /> , ,_�I ��,;,t� r ��4�_ <br /> �57q��7�pN IO�N LENDEN.ADDNESS.TELEPHOME NVMBER X �TE <br /> 51 A URE <br /> GITV BUSINESS IICENSE NO. <br /> PLUMBINO MECH�NICAI FEE <br /> FEE NO. TYPEOFEGU�PMENT <br /> NO. TYPE OF FlIITURE OR ITEM p,�C—q�{NDLO UNRS—H.P. � <br /> WATER CLOSET(TOILET) � FORCED AIR SYSTEMS—B.T.U. M E.A� � <br /> BATHTUB � HEAT PUMP � <br /> LAVATORY(WASH BASIN) ' � <br /> � UNIT HEATEFS—B.T.U. M <br /> SHOWER , ' <br /> � CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP � VENTILATION FAN <br /> DISHWASHER � <br /> � RANGEHOOD � <br /> LAUNDRY TRAY ' ' <br /> � WATER HEATER � <br /> CIOTHES WASHER , WOOD STOVE <br /> URINAL � MET�1L FIREPLACE(WOOD BURNING) ' <br /> DRINKING FOUNTAIN ' � <br /> , FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN i GAS F�REPLACE � <br /> BACKFLOW PREVENTERS ' ' <br /> , GAS RANGE , <br /> SINK(SERVICE—BAR,ETC.) , GAS PIPING <br /> � <br /> � EXHAUSTFAN � <br /> i � <br /> � SUB TOTAI S � <br /> SUB TOTAL $ i pERM1T S ' <br /> PERMIT S TOTAL FEE S � <br /> TOTALFEE S ' <br /> FOR OFFICE USE ONLY: �E� necemr No <br /> PI�NCB[CNNUNOfR `/ �` <br /> fqONT SF.TP�CK REAfi SFTB�LN S�DE SETBRCN � �j� � � <br /> VALUATION FEE <br /> V�CANi SIIE FEES , <br /> USEZONE IOT�REA � <br /> f1YE$ I1N0 gp��p�NG � <br /> NO OF OWELLING SI2E OF AIDORI � _ <br /> NEIC+IITLIMIiATION �N�tG PU1MffING T <br /> i <br /> BASEMENT �-- <br /> MECIIANICA� <br /> OCCIIPANCY NO Ot SIOAIES OCGUPANT LOAD 1 <br /> GROUP I1\ES I1Np � <br /> AD�IIIONAI.PLAN CH(.CK <br /> FIPEAIAFMREO'D REASON �� ��� .`L-� <br /> omen 57 heads w , <br /> FIRFS�RINK RFASON ST�lE0UIL01NG5URG11�OfiG — <br /> vtnr+snrrnovennv CITYOFEVERETT runucwon�s ____--;— <br /> TYPE Of CONST � <br /> ��� A TAX CODE AS 3 05 7o7A1 <br /> DAIE �I � /� <br />