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APPLICATiI.�I FOR CaNSTRUCI.ON PERMIT <br />CITY OF [VERETT • BUILDING OIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-9810 <br />f I DEMOLITION f I COMBINATION ' i BUILDING I I MECHAN�CpL i I pLUMBING I I SIGN <br />PROJECT ADDRESS <br />201 92nd Plr.ce S.E. <br />•.••�_�� Men enonFss nrv nr rnorir <br />Peter Reineke, inc. ]2414 h0[h Ave. SE Evere�t 98208 388-5774 <br />iFNINT Mql �OfN�I'S5 l:I1V 7�P P�IONt <br />�M:�tlTCCTOR��51(iNfR M�II�ODqFSS fI1V )m PNpNf - <br />�ENCMIC(k1It1�CiM MM111�DRf55 t,lv ��� ip PIIONf $Idfllf.fNSF• <br />PDR Cuetom Homes 12414 4Uth Ave. SE Everett 98208 388-5774 <br />MFQUNIC4 [ON�Mf.fOR MA1� �pppF55 GfV 7it' PIIONf ST41f IICFNSf � <br />PIIIIUPINGCOIIIII�CIIX1 N�il �D!)f1F55 Cl�v --- lln -. .---� pilON! ----'� ci��f Itl.FNSf � <br />Robinaun P16g.,Inc. 607 SE Ev Mnll Way 1126 Everett 98208 355-6171 R06INF+272C2 <br />r.or+rnecr rnir.e or wrx�K -- <br />IlF.5f:f119F WOIIN IND S(pURF FOOTMiF INVMVEO <br />iea�� oescnmtiori or vnorenn isiqvm eeiow on �rr�cr� <br />lOT_ RI(%:K pr <br />PARCEI T�% I D MMIBER <br />CONSTt1UCTI0N � OAN l ENDF11. �0(NiF55. fFlEl'110NE MIMflFl1 <br />TVpE OF flXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATOi7Y (WA,r� pA51N) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />URINAL <br />ORINHINO fOUNTAIN <br />FLOOR �RAIN <br />_ SUB TOTAL E <br />PEPMI7 E <br />TOiAI FEE� <br />FOR OFFICE USE ONLY: <br />ff10NiFFTP�fk Pf�OSfTp�f.K SIOF.SFiPM.N <br />USF70NF lol�nr• veCeNl5lif <br />___ i�VFS i'� Nn <br />IIP(i11111MITATION NO Of UWfLIING SIIF Of qlf%191 <br />IINiIS <br />MFNi <br />IIVES �t Np <br />nnr srmNK� Fn nro n <br />HEATING SYSTEM: i i GAS i i ELECTRIC f I <br />f.ONt�Ci l'F(1SpN�Nfll'110NF ND <br />I HEREBV CERTIFV THAT � I1AVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO 8[ TRUE AN� CORRE�T ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TF{IS TYPE OF <br />WORH WIL� BE COMPL{cD WITH WHETHER SPECIFlED HEH[IN C7'1 <br />fJOT. THE GRANTING OF A PERMIi DOES NOT PRESUME TO OIVE <br />AU7HORI7Y TO VIOLATE OF CANCEL THE PROVISION OF ANV <br />JTHEF STATE OR LOCAI LAW REQULA7INO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORRED BV THE <br />OWNER OF THIS PROP[RTV 70 PERFORM THF WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS lAW 1827 qCW AND 296200 WAC. <br />� �/v/a� <br />S10 lUf1F O�IF <br />QfY pU5MFS511CFMSf NO <br />MECNANICAL <br />NO. TYPE OF EO <br />rv� — wnrv� <br />FORCED AIR <br />HEAT PUMP <br />UNIT HEATEF <br />CLOTH[S DP <br />— B.T.U. M E.A. <br />— B.T.U. M <br />VENTILATION FAN <br />RANGE HOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE <br />FIFEPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPINQ <br />EXHAUST FAM <br />�URNING� <br />I PERMIT S <br />I TOTAL FEE S <br />PI�N(I?C�kNU�Njf1��pf1 �� ffF RFf(iP�NO <br />FEES VA�UATION <br />nunrnr�c ------- -- <br />PI�IEIpMfl <br />Nf t'l1�NIC�1 <br />--- �f1fH110N�1 PI�Nf:��Cf,N <br />_ _ nn�rn (16 Heade ) <br />-,�nn minnim<-�c�mCrunar <br />orcor+sr rinNcerrnovrnnr CITYOFEVERETT r��arn-w�,r�w� <br />�-��K LOCALSALES -- -� ------ <br />_ u�rt. ,/Q TAX CODE IS 3105 TOTAL <br />FEE <br />