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�Zo'f7 - <br /> APPLICATIQ"� FOR CONSTRUCT�N PERMIT� <br /> CITY OF EVERETT•BUILDING OIVISION <br /> 3200 CEDAR STREET•EVERETf,WA 98201 •259-8810 <br /> Q pEMpL1T1pN ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUAABING ❑ SIGN <br /> PROJECT ADDRESS: z�07 Grand Avenue <br /> py�p M��Op�E55 att i�r R�ONE <br /> Dennis Carlson 718 15th Avenue S.E. , Lake Stevens, WA 98258 334-3677 <br /> iE/MM� yM�pp{�55 G1Y I�P PNOME <br /> 11Pp�TEGip10ESKiNE11 IWl�00RE55 CITY 7�I` R�p1E <br /> QE1IEWyCpNiMGTOR MUL�0011E55 dfY 7R Pi10NE �f�TEIICENSE• <br /> Dennis Carlson 718 LSth Avenue S.E. , Lake Stevens, WA 98258 334-3677 <br /> �pi�tKta+rn�cron w�n�oot�55 arv 7m v�qr� ST�TEUCENSE� <br /> RU�NpCQIIp�C70R YAIL�DDRE55 '--' GItY� "'—'— '�'71P '--" —'—'fi10NE ---'ST11TElICENSE• '— <br /> Robinson P1bg. ,Inc. 607 SE Everett Mall Way 1i26, Everett, WA 98208 355-6171 FOBINP*272C2 <br /> CON���OF�` HEATING SYSTEM: O GAS ❑ ELECTRIC ❑ <br /> B0.00 <br /> o¢lc��wowcao saw�c foorrae�noweo coni�cT rcnsor+�ru nrorrt w <br /> 4 Unit S rinkler 5 st� .- <br /> I HEREBY CERTIFY THAT I MAVE READ AND EXAMINED THIS <br /> APPLICATIOH AND KNOW THE SAME TO BE TRUE AND CORRECT ALL � <br /> �o���� PROVISIONS OF UWS AND OROINANCES OOVEHNNM THIS TYPE OF <br /> WORK WILI BE COMPLIED WITH YVMETHER SPECIflEO HEREIN OR <br /> �y�pEycnrnp�oFpiqrEpniyqwnsEtowoq�n�cr�two�s� NpT. THE ORANTIN6 OF A PERMNT DOES NOT PRESUME TO 6IVE <br /> �m �� �_ MUTHORITY TO VIOLATE OR CANCEL THE PROVISION Of ANY <br /> OTHER STATE OR LOCAL LAW RE6UUTINO CONSTAUCTION OA THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTFiOR1ZE0 81'TNE <br /> OWNER OF THIS PROPERTY TO PERFORM THE W01MC FOR WHICFI <br /> APPLICATION IS MADE AND I COMPLY WITH TME STATE <br /> �g��p M��p CONTRACTORS LA/W�1827 RCW/�AND 296.200 WAC. <br /> Cd!(IIlICT10N/QWlEM0ER.1100RESS.tELERId1EMl4lER x IJR��fIE �Y_/ II�� f <br /> � � TE <br /> _ CIfVBU51NE55lIC[NS[NO <br /> __"_—_.__.._..__'_ "_.'__ __ _ ' '___ '—'_'___._' __" _'__—_'._.____—'—'_ <br /> ��6 MECNANICAI <br /> N0. TYPE Of FlXTURE OII ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCIOSET(TOILET) � NC—NF1NDLaUNffS � <br /> -- g�TM� ' FORCEDAIRSYSTEMS � <br /> UY�TORY(WASH BASIM � HEAT PUMP ' <br /> &pyrEq � UNIT HEATERS � <br /> KITCFIEN SINK L DISP i CLOTHES DRVERS ' <br /> DIBMWASHER � RAN6EF100D ' <br /> � <br /> U���Y � WATER HEAiER � <br /> ClOT1E8 WA.4MER � WOOG STOVE �_ <br /> �� � METAL FIREPLACE(WOOD BURNING) �_ <br /> FIREPIACE INSERT(WOOD BURNIN(i) � <br /> � pRMMCINO FOUNTAIN � � <br /> FLOOA DRI11N � GAS FIHEPLACE � <br /> BACKFLOW PREVENTERS � GI1S RANGE � <br /> BMIK(SEFNICE—BMi,ETC.) � GAS PIPIN(i ' <br /> � EXHAUSTFAN <br /> � <br /> � � <br /> i i <br /> � <br /> � <br /> � <br /> SVB TOTAL f ' SUB TOTAL f ' <br /> PERMIT S � PERMIT f � <br /> T0TI1L fEE f ' TOTAL FEE 3 <br /> FOR OFFlCE USE ONLY: <br /> iROtlf 9ElSlIL1( 11EM SETMCR NDE SFilACIc 1R�N CIIECN M1MBfR fFF PECEqt NO <br /> �gE� iot�a[� VACANTSITE �� fEES �LUA On N PEE <br /> ❑r¢s ❑rro � <br /> mmo�r. � <br /> IIEqNTLNATI1i1LN NOOFOWEll1116 912EOFlL06R1 i <br /> VYIfC Pl11WING � <br /> � <br /> � <br /> p�pJpI1NL'/ Iq Of SI(MES OLCUP�IMT LO�D l�SEMENI Y[CN�N�f.�l � <br /> ��R ❑YES O MO � <br /> FIi1E6PMJKLlPREO'D RF1150N �U[„IION�IR�NCNlf.k , � _ <br /> on�en(do Heads)� �,v � �- <br /> flRENMMREV'D REASON <br /> STAIE�UIlO�Nf•SIII1f,11RfME � <br /> I <br /> r-- <br /> TYPEOFCONST M.�NSAPi'110V y�r CITYOFEVERETT rupnr,rrcmns-- _ ' <br /> �� LOCAL SAIES G�-��� <br /> o��t - /4 - �J TAR CODE IS J105 totAL_ <br />