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QF Q CATI%,.,A1 FOR CONSTRUC-6.01III PERMIT <br />CITY OV EVE_RETT • BUILDING DIVISION <br />>\ Or 3200 CEDAR STREET • EVERETT, WA 9H2O1 • 259-8810 <br />C'E`.. <br />[)E no�%! <br />COMBINATION FI BUILDING MECHANICAL I 1 PLUMBING SIGN' <br />PRO. SS %( \ / <br />630 ''3th St SW, Everett, WA <br />owtirP NAILAMRIfRE (.I N' Trt' ^—_-MON�_ <br />.rnee Co Bldra 4320 196th SW Lynwood, WA 98036 (206)745-3776 _I <br />�fe��ttuTn`klez ContracN Annncss —nTF ilo - PHONc NWRtSFr7085 <br />1VW Rea. Fire SEcr Inc 1625 Ethridge Ave, Olympia, WA 98506 (206)754-6475 <br />ATI(tHrtfGT IXIIIFFIGNCII MAII AfNrnC5�5 [j((Y],�' j �— PIIONC <br />Gr� 1NTOAUIC'FAS" 7.f32T� — <br />2N' PHONE R1All 11GFN9fF <br />MFMF .IIAIACAL CTWTMCIOn MAR ADDIIESS CITY !IP PIIONF STAIII llC'TNSf i --- <br />I'llglnWG COI11RAfi(NI '-MAIL AIKKiCb9 CITY NP PIIONC SIAIFIICLNGEi <br />LYWfRACT PfVGF Or wonK — — —j <br />_ _ _ HEATING SYSTEM: U GAS I. I ELECTRIC I I,—_-_� <br />IK:nCOINL WOgK ANU H)11AnC TLbIAGC MIV0I VFD CONIACTP'1 NANDPHONRNO. <br />Jerry A lynch (206)754-6475 <br />I HFREOY CERTIFY THAT I HAVE READ AND EXAMINED TIVS <br />oaoAc`D ueF Dr nmunv� "--' ' APPI [CATION AND KNOW THE SAME TO BE 1RUC AND CQRRECT. ALL <br />Single family residences Du lex PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />LLOAI Of.SCIVPI1OYCl1 I'NOPFRIYIBNOYMbLLOWO uTWO OOIHFAI WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NO7 PRESUME 10 GIVE <br />PtOrx_ ._ .uF_ AUTHORITY TO VIOLATE OR CANCEL 1HE PROVISION OF ANY <br />PNICUL TAK I D. NUMAFN <br />C(NIE I nll(:n01l LOAN I UIlk=1 A00nEss TfI CPH(N F NII4bdl1 <br />OTHER STATE OR LOCAL LAW REGULATING CON5Tnum ION OR TIIE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI7ED BY 111E <br />OWNER OF THIS PROPERTY TO PERFORM THL WOnK FOR WHICH <br />APPLICATION 19 MADE AND I COMPLY WITH IRE STATE <br />CONTRACTORS LAW 1527 RCW AND 290.200 WAG. —. <br />X �i 1 <br />01 Y PV;INCSS I ICENSE NO. --• .-- T <br />MECHANICAL jT <br />NO. _TYPE OF FIXTURE OR ITEM _ FEE i NO. TYPE OF FIXTURE OR ITEM —� FEE <br />WATER CLOSET (TOILET)_ --�_ A/C - •AMNDLOUNITS —H.P._ <br />BATIITUD 'I. FORCED AIR SYSTEMS—B.T.U. M C.A ' <br />�. <br />VAI O V (WA, H BASIN) <br />_ I <br />—~_ <br />--i— <br />HEAT PUMP <br />SHOWER _ <br />KITCHEN SINK_ 6 DISP _ <br />OISHWASHFR� <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAI-- <br />-_ <br />UNIT HEATER! <br />- <br />CLOTHES DRY <br />—�� <br />VENTILATION <br />RANGE HOOD <br />- <br />__-— <br />I <br />.._y <br />i <br />__ 'r— <br />I <br />WATER HEATE <br />— - <br />WOOD STOVE <br />DRINKING FOUNTAIN_ <br />FLOOR DRAIN_ __ <br />METAL FIRE PL <br />._ <br />FIREPLACE IN <br />DACKFLOW PnEVENTERS <br />OAS FIREPLAC <br />SINK (SFRVICE — BAR, ETC.) <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />I <br />' <br />— <br />SUB TOTAL S <br />FOR OFFICE USE ONLY, <br />fnUNI SFTnACK I TIFAq r <br />USCTONC <br />VACANT SITE <br />rlYLb II Nu <br />nFIO1rt LWIIA1ION NO NWCL4ING Sae OF qI DON..I. <br />LIMIT <br />OCC.I�PANCY IrDOr ATDNLB W:cUMN110AD b/bLMFNi <br />11�:gM0111 f1YCb I NO <br />fIOC ALANM RCO D nLASOH ' — _ .— <br />fine SPRIIIKLCn IIf OTiO'ri <br />IYPL OF CON IL <br />_ I LA1 1 <br />by aTY of EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />:RS <br />i <br />AN <br />I <br />ICE (WOOD BURNING) _ <br />ERT W( OOD�BURNINO) <br />F <br />L <br />I <br />I <br />I <br />I <br />I <br />SUB IOTAL 6 <br />' <br />PERMITT i i <br />TOTALFFE S — — <br />FI AN CHECK NUMBR <br />fkQbo 2 <br />FEES <br />VALUATION <br />-- <br />_ <br />nHAlKNO <br />. <br />PLUMNING r--• <br />MFCNANICAI <br />APOINONAL PLAN CIIECK <br />--• <br />011lCn — <br />GIMP )IIILOWG SUnCHARGE— <br />I'UntIC W0111,11 <br />TOTAL <br />10 <br />