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APPLIGATIA FOR CONSTRUCTIMN PERMIO:Irr <br />CITY OF EVERETT • BUILDING 01VISION <br />3200 CEDAR STREET • EVERETT, WA 9F201 P 257 0010 <br />DEMOLITION COMBINATION ❑ BUILDING C MECHANICAL PLUMBING SIGN <br />PROJECT ADDRES° 63061 ST ST SI:(LOT"— j <br />PDR ENTERPRISES <br />'(•..•� 41R •C011{ff CITY I• PHo-w <br />u._.•I -;. fY SO•KP 4•s.00"Iff{ CITY 1. PMp( <br />rF•.[^..:]'.'x.:'CP 4•:l•DPPEf{ CITY lA MCMF SINE SCEME. <br />4[ ROBINSON PLUMBING INC., 29330124TH AVE N.CITY 10 <br />E.I ARLINGTON 95223 (3�3.7462 RNAMbC2 <br />,,,Me •. �•PA:iCP 4•R POOxF55 CITY 1. n.}( 111.111 lKSNSS• <br />.•.IPA.1 YPC[ G POM. f2000 <br />HEATING SYSTEM: 0GAS ❑ELECTRIC <br />'.1' :P �[ rq•• Ax9 fQ1•P! [Tp+•Ol INYCtvFO <br />C(IMl•C+PIRSpII •Np Rgll( NO <br />KEN ROBNSON•ELMSLIE (360)403.7462 <br />INSTALL FIRE SPRINK! ER SYSTEM N NEW SFR <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE Of <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GI'.E <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION pF AN1 <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION 15 MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORSLAW 1/1827 ACCIN AND 296200 WACQ <br />K }�\J�\( 1'J! /Il/�/ <br />.S[ Y 91110.,4 <br />SINGLE FAMILY RESIDENCE <br />.r.•.a&LpX'4r.0 PPOPITTY mroex show OP•na.. rxO COPKb <br />.• _ex• a <br />•••;[. •u.[ .:,4e[P <br />.!:'tI.'.I..i•M1 tE110IP •PLP!{S R\F•11CY1E MIWIR <br />mpplIptlON! <br />n+nu{rAutKExu xO <br />MECHANICAL <br />_PLUMBING <br />NO. I TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />MC-AMNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY IWASH BASINI <br />MEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK 6 L.SP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />:LOTHF.S WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DR,:KING FOUNTAIN <br />FIREPLACE INSERT IWOOD BURNING) <br />FLO^R DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE - BAR. ETC I <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT S <br />PERMIT E <br />TOTAL FEE S <br />TOTALFEE f <br />FOR OFFICE USE ONLY: O 0 -W <br />.'Ci 9•:. <br />PVPff1{AC• <br />LN MITI <br />nAx CKC...M. <br />rft <br />"cc-, <br />. . .. . <br />lotau <br />r•c•ann[ <br />-Y[{ O M <br />FEES <br />VALUATION <br />FEE <br />FlntPxO <br />-f :-' , v ••+qr. <br />W+a DIY[tt•IC <br />Wl p gpp'l l <br />nuW110 <br />^� <br />... •.: JF':•if <br />OCC4Mx1.O•D <br />YNWxt <br />❑NS cm <br />WCHANCM <br />APpICHAl4•x Cx[C• <br />:::; (.c... •!P P{u0 <br />M•fOx <br />OTx1A <br />it•✓PUPgC <br />P(A1M <br />{tAl{ El•tp10 {tIrCHAN6[ <br />-- .:. <br />nos•=• <br />1 <br />I cNf -� 9 - <br />CITY OF EVER <br />LOCAL SALES TT <br />TAX CODE IS ]115 <br />H <br />MIT:s <br />�--' <br />TOTAL <br />