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,�. _.. <br /> APPLICATI�,N FOR CONSTRUC'r �ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STFEET• EVERETT. WA 98201 • 259-8810 <br /> f i DEMOLITION f I COMDINATION i i BUILDING MECHANICAL � � pLUMBING I I SIGN <br /> PROJECT ADDRESS <br /> 10908 7th Avenue S.E. <br /> owNen Man eM�ness em m� rno�rt <br /> Selb j1k7S g rn P7 ar � c. r+ n oA�'l <br /> rrN�vt a Mnn nnnnres �Z 2 Z�GGr �/Y�� '� �r� '�y)� 7�7 2��J <br /> nnaur[cTonoesmnrn Manenuness �nv n� m�oaF ��'�j��--- <br /> ceNenaicovrnncra� Men�oonE55 an �m rrioNe 5t�tei.iccNSe. <br /> Selby Johneon Construction 3425 96th Place S.E. , Everett, WA 98208 33B-8600 <br /> MF.CNeNIC�L COM04CTOR MRILA��RF55 CITY 71P P!IONE $1ATE LICENSE� <br /> PLUMBINGCONTR�CiOl1 MnqnU0RF55 CI1Y Im pr10NE STAIFLICENSE/ <br /> Robineon Plumbing, Inc. 607 SE Ev Mall Wy, N26, Evorett, WA 98208 355-6171 ROBINP#272C2 <br /> coNrn�cr rnice or wonK <br /> 2810.00 HEATING SYSTEM: fiGAS fIELECTRIC fl <br /> � DESCRIPF WORIc�NO$OUMiF.�OOTAGE INVOI VEO CANi�Ci PFf150N�Np PIIONL NO <br /> Duplex - S rinkler <br /> I ViEREBV r,ERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> � nqOPO5E0 USE OF BUILUINO APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> , PROVISIONS OF LAWS AND ORDINANCES GOVERNIN6 THIS TVPE OF <br /> � WORK WILL BE COMPLIEU WITH WHETHER SPECIFIED HEREIN OR <br /> IFO�LOfSCRIPTIONOFPf10PER�Y�SNOWNpElOW0i1�iTACNiWOCOPIES� N01. THE dqANTIN(3 OF A PERMIT DOES NOT PRESUME TO GIVE <br /> iot niocK or AUTHOFITV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REOUTATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOR12ED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> rAncei uK i o.rniMnen CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> CONSTRUCTONlORNLENCIER,A[10RESS.TELFPNONENl1MpE11 x ����/ i��� y/3�9.7 <br /> SICN�t111�F --�� DA [ � <br /> f.iiY BUSINFSS IICENS[NO <br /> PLUMBINO MECHANICAI <br /> NO. TVPE OF FlXTURE OR ITEM FEE NO. TYPE OF FI%TURE OR ITEM FEE <br /> WATER CLOSET(TOII.ET) � A/C—AMNDLG UNITS—H.P. � <br /> BATHTUB � FORCED Alq SVSTEMS—B.T.U. M E.A. � <br /> LAVATORV(WASH BASIN) i HEAT PUMP i <br /> SHOWER � UNIT HEATERS—B.T.U. M � <br /> KITCHEN SINK d DISP � CLOTHES DRVERS ' <br /> DISHWASHER � VENTILATION FAN � <br /> IAUNDRV 1RAV ; qANGE HOOD � <br /> CLOTHES WASHER � WATER HEA7ER <br /> Ui11NAL � WOOD STOVE <br /> _ DFINKING FOUNTAIN � METAI FIREPLACE(WOOD BURNINO) i <br /> FLOOR DRAW � FIREPLACE INSERT(WOOD BURNINO) � <br /> BACKFLOW PREVENTEqS ; GASFIREPLACE ' <br /> SINK(SEFVICE—BAR.ETC.) GAS FANGE ' <br /> i <br /> ' OAS PIPING ' <br /> i EXHAUSTFAN i <br /> i i <br /> i i <br /> � T— <br /> SUB TOTAL S � SUB TOTAL E ' <br /> PERMIT S --, PERMIT S -�— <br /> _ �— <br /> ?OTAL FEE S TOTAL FEE E ' <br /> FOR OFFICE USE ONLY: <br /> fRONTSFTP�CN f1fAf15GT0�f.h SIDESFLA�CN PUNCIIFf.NNU40�f1 fEF PFf,EIPTNO <br /> � 20 �- � . <br /> usezor+e ioT�ne� v�c�r+rsne fEES VALUATION FEE <br /> r i res i i ao eminn+r, � <br /> I�EION7 LIMIT�TION NO Of OWELLING SIIE Of BL!%'irt I � <br /> UNIB PI IDAAMC � <br /> OCCUPRNCV INJq9rwif5 (H:CIIPANtIO�U P�SFMFNI Mf.CN�NIUL � <br /> GROIIP <br /> f1VE5 II NO <br /> i <br /> FiRF�URMPWD flF�$ON �DD�IION�IPI�NCRECN � <br /> _ omm SpPlIIkler (28)he de �29 9_ <br /> flRf SPRINNIERREO'fl RF�S(NJ � <br /> SI�iC fl19l�IHC SUPCIIMOE j <br /> rrrv ar cor�sr vuNs n novenev CITY OF EVEREfT runur vronks � <br /> M LOCALSALES � <br /> unrr �5� TAX CODE IS 3105 TOTAL G -�gr�-- <br /> -- --� ---�- - --._-_ _------- -- <br />