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APPLICATI�..� FOR CONSTRUC7 .ON PERMIT/ <br /> CITY OF EVERETT• BUILDING DIVISION e� <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 ` � <br /> � ' DEMOLITION � I COMBINATION � i BUILDING i i MECHANICAL ' PLUMBING I 1 SIGN <br /> PROJECT ADDqESS r, <br /> 1917 lllth Place S.W. <br /> o�»�Fn vnn enonrss r-nr nr r�a��c <br /> Coldmark Enterprises 915 S[itch Roud Lake SCevens, WA 98258 334-9656 <br /> tvNu�r unn no�.nres rnr �i� rr�or�p�-- <br /> �ncra*mronoesinruen Mu�ennr+i-ss uiv-- vir r��ovr <br /> ceHenacor+m•c.on vui.nnness --rnv nr nuor�r st�teucemsc� <br /> Coldmark Enterpriaes 915 Stitch Road Lake S[evene, WA 98258 334-9656 <br /> MECNIINICAlCON1qsCTOR I.IAILRDDnF55 f.ITV 71P p110NF SiREUCENSE� <br /> PIUMPI1aGf.ONitUCiM M�IIRIDRE55 pllY ZiP p110NF. SIALELICENSE� <br /> Robineon Plumbing, Inc. 607 SE Evere[t Mall Way 1i26, Everett, WA 98208 355-6171 ROBINP*272C2 <br /> coNm�cr rmce or wonK <br /> S2950•pp HEATING SYSTEM: iIGAS f� ELECTRIC fl <br /> OESCRIBF NT)RR�ND 30U�nE FOOT�OE INVOIVEO r.o�rterr rrnSON�No rr�o�+e No <br /> sprinkler syetem <br /> I HEREB'/ CERTIFY THAT I HAVE READ AND EXAMINED THI5 <br /> rnoroseo u:F or nunoiNa APPLICA710N AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNINd THIS TVPE OF <br /> Duplex WORK WiLL BE COMPLiED WiTH WHETHER SPECIFIED HEREIN OR <br /> I.EO�LUESCRIPIIONOFPROPERtt�SNOWNBEIOWOi1�iT�CNTWOCOPIE51 NOT. THE ORAWTING OF .1 PERMIT DOES NOt PRESUME TO OIVE <br /> �or p�ce� or_ AU?HORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br /> FERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIIED BY THE <br /> OWNER OF iHIS PROPERTY TO PFRFORM THE WORK FOR WHICH <br /> APPUCATION IS MADE AND I COMPLV WITH THE STATE . <br /> PIIRCEL iAlt I U.NUMBER CONTRACTORS LAW 1827 RCW AND 296200 WAC. I <br /> CONSTRUCTIONLO�NLENDER.ADORESSTEIEPNONENUTABER x�_��i/�(/��Z'( / � <br /> SION��UPF �ti r d •��,E �9S" , <br /> CITY AUSiNF55 LICFNSF NO �' <br /> PLUMBINO MECHANICAI i <br /> N0. TVPE OF FIXTURE OR tTEM FEE NO. TYPE OF FIXiURE OR ITEM FEE � <br /> WATEF CIOSET(TOILET) A/C—NHNDLO UNITS—H.P. � <br /> BATHTUB � FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORV(WASH BASW) HEAT PUMP � <br /> SHOWEH � UNITHEATERS—O.T.U. M � <br /> KITCHEN SINK 8 DISP i CLOTIIES DRVEHS ' <br /> � <br /> _ DiSHWASHER � VENTILATION FAN � <br /> I LAUNDRY TRAV ' RANGE HOO� ' <br /> CLOTHES WASHER � WATER HEATER � <br /> UFlINAL WOOD STOVE � <br /> _ DRINKING FOUNTAIN i METAL FIREPLACE (WOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACEINSERT(WOOD BURNIN3) � <br /> BACKFLOW PREVENTERS � GAS FIREPLACE ' <br /> SINK (SERVICE— BAR,ETC.) OAS RANGE T <br /> ' QAS PIPING <br /> i EXHAUSTFAN � <br /> r "_- — <br /> i 1 <br />� sue Torai s � SUB TOTAL a <br /> PEFMIT S � PEFlMIT S � <br /> TOTAIFFE S � TOTAIFEE E ' <br /> FOR OFFICE USE ONLY: <br /> fqONTSiTPM,N Of�fiSRP�CK 510EFETAFf.N Pl�NC11FCFNpppMPFR ffE RECEIPiNO <br /> ���/ i <br /> use zcx+e �nr nne� �ar,eNr sire FEES VALUATION FEE <br /> fIVES ',� pri — -' <br />, _ NUIIOIN(1 <br /> MEIO/RUMIUTION NOpiOWELLINd SREOfpIOGrtI � <br /> UMiS <br /> ri uumw� ' <br /> Q��ANCY Iq Of SIOP'rE5 CY,CUP�NI LOaO B�SEMENi M[OI�NIC�I <br /> 1 <br /> IIVF.S il NO <br /> i <br /> FINEP�PMREOU f1F�SON �IHll�iON�IPI�NCNECN � <br /> OIHER �35 Heade) 20 � 00 <br /> FlRE5PRINNtERRE00 PF�SON <br /> Si�if PUIlO1NG SI1Rf.lUH(3E <br /> fYPEOFCONSL VIANSRPPPOVFI)P\ � <br /> CITY OF EVERETT runnc wonKs � <br /> JM LOCALSALES — — , <br /> DAtE Q 9[l TAX CODE IS 3105 TOTAL � <br />