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.JG�Iy <br /> APPLICAT11.rd FOR CONSTRd1CZ .QEN PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT. WA 98201 • 259-8810 <br /> rl DEMOLITION �I COMBINATION I I Bl11LDING �l MECHANICAL I� PLUMBING f 1 SIGN <br /> PROJECT ADDRESS <br /> 3112 12th Street � I� <br /> OWNER MNLADDR[55 CITV IP PIIO�'= <br /> Fine Line Construction 1831 Co1by Avenue Everett 9$201 252-2500 <br /> TEN�NT MAILAOORE55 CIiY 2iP PHONE <br /> AFCHRECTOROESIGNER MAILADOPE55 CITY ZIP PHONE <br /> GENERALCONTP�CTOR MAILAD�RESS CI1V ZIP PNONE STATELICENSEx • <br /> Fine Line Construction 1831 Go1by Avenue Ewerett 98201 252-2500 <br /> MECNANICALCONTP�CTOR M�ILA��RESS CITV ZIP PlIONE STATELICENSEd <br /> PIUMBINGCG:lTFACTOR MAILAODRESS Cltt ZIP PHONE STFIEI.ICENSE� <br /> Robinson Plumbing, Inc. 607 SE Ev Ma11 Way �f26 Everett 98208 355-6171 ROBINP�2']2C2 <br /> CONTRACT PRICE OF WORK <br /> $1700.00 HEATING SYSTEM: fl GAS Cl ELECTRIC fl <br /> DESCR!BE WORKAND SOIIARE FOOTAGE INVOLVFD CONTACT PERSON ANU ofIONE N0. <br /> sprink1er s.ystem <br /> � �� • I HEREBY CERTIFY THAT I HA`/E READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> � . PROPOSED USE OF BUILDING PROVISIONS OF LAWS AND OR�INANCES GOV�RNING THIS TYPE OF <br /> � . SFR WORK WILL BE CUMPLIED WITH WHETHER SPE^IFIED HEREIN OR <br /> � LEGALDESCRIPTICNOFPPOPERTY�SHOWNOELOYlORATTACIITWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PiaESUME TO GIVE <br /> . �oT BLOCK oF_ AUTHORITY TO VIOLATE OR CANCEL THE PRUVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF COtJSTRUCTION.THAT I AM AUTHORIZED BY THE I <br /> O�VNER OF THIS PROPERTY TO PERFORM THE WORK FpR WHICH � <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEITA%I.D.NUMBER CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> I I p^�/////����] '�(n' y^/ � <br /> CONSTflUCTION LOAN I.ENOEA.ADORESS.TELEPHONE NUMDER x---c-d�'�"—'� 5�-./ <br /> SIGNATURE oAT� <br /> � CRV BI151NESS LICENcE N0. <br /> PLUMBING MECHANICAL <br /> NO. TYPF OF FI%TURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATERCLOSET(TOILET) � A/C—A�HNDLGUNITS—H.P. � <br /> ' BATHTUB ; FORCEU AIR S'fSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH�ASIN) � HEAT PUMP � <br /> SHOWER � UNIT HEATERS—B.T.U. M ' <br /> KITCFIEN SINK& DISP I CLOTHES DRYERS � <br /> �•-- <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRY TRAY ; RANGE HOOD i <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAL WOOD STOVE <br /> DRINKING FOUNTAIN � METAL FIREPLACE(WOOD BURNING) � <br /> FLOOR DRAIN � FIREPLACE INSERT(WO00 BURNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ; <br /> SINK(SERVICE—BAR, ETC.) � GFlS RANGE � <br /> ; GAS PIPING ; <br /> i EXHAUST FAN i <br /> � i <br /> � � <br /> _ ' <br /> , � <br /> SUBTOTAL S ; SUBTOTAI S � <br /> PERMIT S � PERMIT S i <br /> TOTAL FEE S � TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FPONTSETOACK REnRSFT�ACK SIOESETOACK PLANf,HECKNUMf1ER FEE RECEIPTNO. <br /> �-/9/, ',� <br /> usEzoNe �ornaen vacnrvrstTe FEES VALUATION FEE <br /> — fIYES fl NO BUILOING � <br /> HEIGMT LIMITFTION NO OF�WELLING SIZE OF�LDGRJ. � <br /> UNI15 P�UId�ING � <br /> GROUCANGY NO OGS�OFIES OCCUPANTLOAO BASEMENT IdECHANICA� � <br /> i <br /> f]YES fl NO i <br /> FIFEALAPMREO'0 REFSON P�OITIONALPLANCHECK i <br /> OTHEq � <br /> FIRESPRINNIERREO'D REASON 1 heads 2O'OO <br /> ST1TE OUIL�ING SURGNAflGE i <br /> TVPEOFCONST PLANS�P t�OVED9V � <br /> CITY OF EVER�TT PUBLIC WORKS , <br /> � � TAX CODE SL3 05 TOTAL 20;00 <br /> onTe �G f �GJ� <br />