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APPLICATION FOR CONS7'RUCTIc�N PERMIT <br /> CITY OF EVERETT • BUILDING DIVISION <br /> 3200 CEDAR STflEET • EVERETT, WA 98201 •259-8810 <br /> f� DEMOLITION f l COMBINATION �l BUILDING f l MECHANICAL XX PLUMBING �l SIGN <br /> PROJECT ADDRESS <br /> 11005 16th Avenue S.E. , EYerett <br /> owr+ee Ma�aooness cin zm rr+or+e <br /> Engineers Investnent Co. 183�9 17th P1. i1.W. , Seattle, WA 98177 <br /> TEN�NT M�RppOfif�S CRY ]IP p110NE <br /> ARCIIITf.CTORDE51GNEii MNlA0�RE55 GITV 71P PHONE <br /> GENEP�LCONTRACTOR IAAILAD�f1E55 CIiV ]IP p��pN[ STATEIICENSEv <br /> We.ymeyer Associates 345 N.W. 189th St. , Seattle, WA 98177 96y-112k <br /> MFCHANICALCONTRpCTOii MAR��DRESS CIN 21^ p�{ONE STATELICENSEx <br /> PWM9INGCONiqACTOR MML��DRE55 CITV 21F pHONE STATELICENSE� <br /> Robinson P1bg. Inc. 607 SE Ev Ma11 Way �126, Everett, WA 98208 682-0895 ROBINP{E272C2 <br /> CONTRACT PflICE GF WORK <br /> �Q70.00 HEATING SYSTEM: �l GAS C7 ELECTRIC Cl <br /> DESCf116E WOPK ANO SOUAFE FOOTAGE INVOLVED CONTACT V[RSON PND PHONF NO. <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSE�USE OF If111LDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK INI�L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAlDESCRIPTIONOFPROPERTY�SHOWN8EL01Y0RFTfACHTWOGOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or _e�ocK oF AUTHORITY TO VIULATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PF70PERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WI7H THE STATE <br /> PARCELTAX I.D.NIIMBER CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> CONSiRUCT10NLOANLENDER ADORESS.TELEPHONE NIIM6ER X — <br /> SIGNFTURE DFTE <br /> CITY BUSMFSS LICENSF NO. <br /> PLU�dBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF FI%TURE OR ITEM FEE <br /> � WATER CLOSET(TOILET) ,105� OO A/C—A/HNDLG UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> � LAVATOIY(WASH BASIN) 105� OO HEAT PUMP , <br /> � SHOWER 1O5' OO UNITHEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP k9� OO CLOTHES DRYERS ; <br /> _ DISHWASFIER 49� OO VENTILATION FAN � <br /> LAUNDRY TRAY ; RANGE HOGD ' <br /> CLOTHES WASHER 49' OO WATER H[ATER 5 �OO <br /> URINAL ' WOOD STOVE � <br /> DRINKING FOUNTAIN � METAL FIREPLACE(WOOD BURNING) <br /> FLOOR DRAIN � FIREFLACE INSERT(WOQD BURNING) � <br /> BACKFLOW PREVENTERS ' GAS FIREPLACE ' <br /> SINK(SERVICE—BAR, ETC.) GAS RANGE <br /> GAS PIPING ' <br /> i <br /> i EXHAUSTFAN i <br /> i � <br /> SUB TOTAL S 2; 00 S118 TOTAL 5 5 !OO <br /> P[RMIT S 2O iOO FERMIT 5 i <br /> TOTALFEE < 2 �00 7�TALFEE S 5 ' O <br /> FOR OFFICE USE ONLY: <br /> FRONTSETDACK REMSETOACN SI�EFiSTOACK PUNCIIE�ylAl1E(i FEE RECEIP':NO. <br /> 0 �/ Y�J <br /> usezar+e �or,+nen vncnrirsire FEES VALlPAT10N FEE <br /> T <br /> _ f7YE5 fl NO BUIL�:4G i <br /> i <br /> HtIGIRLIMIiATION IIO.OFOWEWNG SIZEOFBLOG/fl <br /> UNITS ' <br /> PLU1dpIfIC � <br /> i <br /> OCCUPANCY NO.OFSIDFIES OC�UPANTLOaD BASEMEN7 —r— <br /> GROUP �dECHnNICq� i <br /> f]YES fl NO — � <br /> FIRE�LAPM REO'D REASON A�DIt10NA�PLAN CHECK � <br /> i <br /> T <br /> OTI{Efl � <br /> FIRESPiiINKLERREO'� REASON <br /> i <br /> STATE BUILOIM13 SURCH�RGf: i <br /> i <br /> rvrEOFcoNsr ruNsaroaoveoov CITYOFEVE:RETT �ueucwonKs —r— <br /> LOCAL SALES � <br /> onre TAX CODE IS 3105 TOTAL ; <br />