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,110�/ <br /> APPLICATIC''"1 FOR CONSTRUCT�N PFRMIT <br /> CITY OF EVEIlETT• BUII_DING DIVISION � <br /> 3200 CEDl1R STREET�EVERETT,WA 98201 • 259•8810 <br /> I I DEMOLITION I 1 COMBINATION I I BUILDING Il MECHANICAL f-I PLUMBING fl SIGN <br /> PROJECT ADDiiESS <br /> 8009 U er Rid e Road <br /> ovn�en Mn�inneness c•nr �m rnor+e <br /> Blank 5 Blank Properties P.O. Box 2266 Everett, WA 98203 355-4725 <br /> iennur - Mn�innonrss---- -r���Y--- -- nr nroi�e -- <br /> nncnnec�onnrsir.uen uminonnesc - �rnr ----- nr r�wrue <br /> CEN[RnlCOui��C10R MA4�DDPESS ft�v 7�P PIIONf: STATELICENSE� <br /> BLank 6 Blank Properties P.O. Sox 2266 Everett�_WA 98203_ 355-4725 _ <br /> IlF.GH�NIGLfONiR4C70P MRIL�UDRF.SS Plh' ]V PIIONE SiA1f:UCENSE� <br /> �LVMBIt�CCOHIn�CIOfi MNLMDqEFS nir IIP PIIUHE uiATf:UGENSE� <br /> Robinson P1bg. ,Inc. 607 SE Ev ffall Way 1k26, Everett, WA 98208 355-6171 ROBINY�272C2 <br /> cor+�nnct rruce or wonK - � <br /> S1180.00 _ _ HEATING SYSTEM: CI GAS ❑ELECTRIC ❑ <br /> OF.SCmPF.WOqK AND SOU�f1E FOOT�GE INVOLVE� CO'l1�CL Pff150H�II01'110NE NO <br /> �v�t� S�nrinklrr �.ernm ____ <br /> I IIEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> — ------ APPLICATION AND KNOW THE SAME TO BE TiiUE AND CORRECi ALL <br /> rnora�n use or emioiNa PROVISIONS OF LAWS AND ORDINANCES GOVERNINO THIS TYPE OF <br /> SFR _______ _ WORK WILI BF. GOMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> iecntoescmm�p�orPnoren*v(suownnFiowonnimcirnvoconec� NOT. THE GRANTING OF A PERMIT �OES NOT PRESUME TO OIVE <br /> iot o�xK or_ __ AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTFIEF STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br /> f EfiFORMANCE OF CONSTRUCTION.THA7 I AM AUTHORIZED BY THE <br /> OWNER OF THIS PHOPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> rnnce�rnx i o.r+uueEa -- CONTRACTORS LAW 1827 RCW AND 298200 WAC. <br /> coNsmucnon iorn te�men,nooness,reieruor+e eur.mrn X����1`/� /1 �l/U �� <br /> SGN�IURE 64tE � <br /> CRY BUSINESS UCENSE N0. <br /> PLUMBING MECNAN�CAL <br /> NO. TYPE OF flXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WAtER CLOSET(TOILET) �— AIC—A/HNDLO UNITS—H.P. � <br /> ' BATHTUB � FORCEDAIRSYSTEMS—B.T.U. M E.A. _�_ <br /> LAVATORY(WASH BASIN) -� HEAT PUMP � <br /> SHOWER _ �__ _ UNITHEATERS—B.T.U. M � <br /> KIiCHEN SINK 8 DISP i CLOTHES DRYERS � <br /> — - -- --�+---- —'-- —T— <br /> DISfiWASHER � VENiILATION FAN � <br /> --'-- — <br /> LAUNDRYTRAY ; FANGEHOOD i <br /> CLOTHES WASHER i WATER HEATER � <br /> URINAL ; WOOD STOVE ' <br /> DRINKiN(3 FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOH DRAIN _ _�_ FIREPLACE INSERT(WOOD BURNINO) ' <br /> �— <br /> BACKFLCW PHEVENTERS ; GAS FIREPLACE __� <br /> SINK(SERVICE—BAR,ETC.) � OAS RANGE � <br /> __!_ GAS PIPING �_ <br /> � E%HAUSTFAN � <br /> — �— i <br /> __ _.--__L_.. _ 1 <br /> 1 � <br /> 1 <br /> 1� � <br /> I <br /> SUB tO1�AL S _ � SUB TOTAL S __� <br /> PERMIT S � PERMIT S � <br /> � TOTAL FEE S ' <br /> __ TOTALFEE $ ___�_ <br /> FOR OFFICE USE ONLY: <br /> rnorncetnncH nennsetnncK sin[setnnrk rinucnecKvuMnrn ree ner.emruo. <br /> usezoue iotnnFn vnr,nv��nr - Ja E�� VALUATION FEE <br /> nrrs n uo nunnmr. �-- <br /> � <br /> u[iclil UAnrnllOrl 110 OP OW[LUN�i SIZF.Or nitMltl —'-- �— <br /> IRJIIS f1114pIN�3 � <br /> _ �— <br /> OCCUPANCV lal Of SIdP{5 OCWMNI LO�O �P:SFMflli-- '—-- M1��CIINl�CAL <br /> GfiOUP <br /> flYES 11 t!O � <br /> FIRE�l�f1MP[OD �[ASON ' ' �DD�IION�tPUNGIIECH �_ <br /> omrn �11 Heads) 20 00 <br /> nnesrniHKienneon — nensoru - �- — �-- <br /> sinirnunnwc suncnnnc� <br /> trreorcor+s� r�rrusnr iDyennv CI?YOFEVERETT rnmir.wones 1_ <br /> ��" LOCAL SALES <br /> _ onr '1- _ ; .�ti� TAX CODE IS 3105 TOTAL 20 00 <br />