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APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA98201 •257-15810 <br />DEMOLITION COMBINATION ❑ BUILDING (J-MECHANICAL PLUMBING SIGN <br />ICJECT ADDRESS 624 IXII It ST-SW <br />... .11 CMt ss <br />C." <br />rT- <br />"CHIT <br />1 & 1 QUALITY CONST <br />TE.11 unr gpaf 59 <br />CITY <br />f'P <br />FYMC - <br />..C-tic I CK C5fGKP WLLACCKk SS <br />CITY <br />t! <br />pgPt <br />'iOA AIµ C O•IIPeC 11. EHA, PCCPL SS <br />CITY <br />!O <br />P6}A STAR LKCMEA <br />MEO•ANC.L COWPACICI MAIL AIXWE 55 CITY IS <br />PIOHE ST.rt� K[ Sf. <br />-!!72C2 <br />ROBINSON PLUMBING INC., 29330 124TII <br />AVE N.C•., ARLINGTON <br />99223 <br />(360)403.7462 RO-B`i-N <br />KWSNO CCHIAAPa1 MAIL AIX tS5 <br />CITY <br />SV <br />PHONE SLTELUNSte <br />.: •pPAp e.{f CH HCA, <br />S2200 <br />I HEATING SYSTEM: <br />n OAS n P[ Prmp — <br />rl EiP at n CH. Ar,C tCVAPF IO IAGf vrypLvfC <br />CCHIACT K FACII AHP PHI W <br />KEN ROBINSON-ELMSLIC (360)403.7462 <br />INSTALL FIRE SPRINKLER SYSTEM IN NEW SFR <br />Lc ;Ds¢..x -r euLo+nr <br />SINGLE FAMILY RESIDENCE <br />R WI CIE SCAAIKPI Cf eACe[ATY ISHC IN SELCM ON ATTACH ISKSCOe[SI <br />Lc• _ I'm. a <br />I HEREBY CERTIFY THAT I 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 GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL UN REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICI <br />APPLICATION 15 MADE AND I COMPLY WITH THE STATE <br />CONTRACT IORSLAW IE 2T RCW ANO 2%200 W <br />I�`�1{'IC� � <br />..Dal •.. 10 ,NPBI. <br />'HSTAfr2hLCANIINCFA ACWE65 Ttl[DrgrZ ruMB[P <br />' <br />STATE <br />CITY WHIASS I{EHSE MO <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />NO. 1 TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET ITOILETI <br />AC — AHNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />_ LAVATCRY(WASH BASIN) <br />NEAT PUMP <br />5HOY/ER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />'i CLOTHES WASHER <br />WOOD STOVE <br />I URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNINGI <br />1 FLOOR DRAIN <br />OAS FIREPLACE <br />' BACKFLOW PREVENTERS <br />GASRANGE <br />SINKISERVICE—BAP. ETC) <br />OAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL f <br />PERMIT E <br />PERMIT $ <br />_ <br />TOTALFEE S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: fY n I A 1. IV•IL <br />s[TBK. <br />PEA. SEIM. <br />sCf It IBAc. <br />III CHECA MMBfA <br />rit <br />A(et"ITw <br />ItAS <br />Lot APT. <br />ACM., SITE <br />-YES 1No <br />FEES <br />VALUATION <br />FEE <br />PnaHG <br />n, , �, I.a nT.prl <br />M M pR4orn <br />yrN,t <br />SlE p BLOCh <br />Kwe+q <br />r sTass <br />xcwHIt ICAO <br />SASEufNt <br />-rt3 3NC <br />I Di SDH N•Lf. HE00 <br />AEASCH <br />ACCITKPµ KAN CHECK <br />OIHE. <br />STATE WKL SCP:HAPCE <br />••T—". <br />D,.NS. s. <br />n.R <br />CITY CIF EVERETT <br />LOCAL VEF!E <br />TAX CODE IS 0105 <br />ewL-Ia wags <br />TOTAL <br />FA <br />