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el <br />APPLICATICI FOR CONSTRUCTOON PERMIT <br />CITY OF EVERETT A BUILDING DIVISION <br />1200 CEDAR STREET • EVERETT, WA 98201 • 259-8010 <br />DEMOLITION I I COMBINATION I I BUILDING I I MECHANICAL I I PLUMBING I I SIGN <br />PROJECT ADDRESS <br />203 92nd Place S.E. <br />warn MAIL At)nnFS5 CITY 71P rNONF <br />PDR Custom Homes <br />12414 40th Avenue <br />S.E., Everett, <br />WA <br />98208 388-5774 <br />TENANT <br />MAN APrWWRA — <br />-- r11v <br />7" <br />PHONE - -- - - - <br />PHONE _-- <br />A110"Irc? OIDFdONFR <br />MAIL Aoof*SS — <br />---__filr ------ <br />71P <br />GENERAL COfortACTOI <br />MAII. AnnnFSS <br />(1Iv <br />711' <br />PLIOIffi STATE. LICENSE -- --- <br />PDR Custom Homes <br />12414 40th Avenue <br />S.E., Everett, <br />WA <br />98208 388-5774 <br />MFCNANICAL. CONInACTOi <br />MAIL AOK65S <br />CITY <br />71r <br />PIRME STATE. LICENSED <br />r111MpINArnNNUCTIKI <br />MAIL AnDnFSS <br />PIKINE STATE: LICENSEE <br />S2225.00 <br />—EYerett. WA 9820g• 355_6171 ROBINP*272C2 <br />HEATING SYSTEM: Ll OAS ❑ ELECTRIC FT <br />DESCIORF. WOO( AM S01rAmi FooTAoE lNvotvsn -- <br />Sprinkler gLArem <br />---- --- <br />CONTACT M113Ol Alm NKNIE NO <br />rnorosFD USE Or p1A1rnNa <br />SFR <br />--- - - <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 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 IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LM 18,27 RCW AND 296.2/00WAC. <br />l WnF RI(1 C DATE — — <br />LroAt Ef"rrfirlloN or PnOPFnn f-AtOWN FIFI(RV On AnnrNTAvo CorIFS1 <br />LOT RI CIC% or <br />--- - - <br />PAnCFL TAX I0 momeEn <br />COW111)(:11ON LOAN LFNDEG. ADDRESS, TF.LENIONE TRAIOFD <br />CITY BUSINESS tICFNSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />_ <br />L <br />_ <br />AIC — AMNDLO UNITS — H.P. <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />' <br />—�� <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />HEAT PUMP <br />' <br />1 <br />SHOWER <br />' <br />UNIT HEATERS —B.T.U. M <br />' <br />-_ <br />KITCHEN SINK A DISP <br />�— <br />CLOTHES DRYERS <br />t— <br />_ <br />DISHWASHER <br />~_ <br />VENTILATION FAN <br />—T <br />LAUNDRY TRAY <br />' <br />_ <br />RANGE HOOD <br />' <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />I <br />URINAL <br />' <br />WOOD STOVE <br />' <br />_ <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />�— <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />— <br />__— <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />; <br />SINK (SERVICE — BAR, ETC.) <br />OAS RANGE <br />) <br />_�— <br />OAS PIPING <br />EXHAUSTFAN <br />' <br />I <br />I <br />1 <br />1 <br />1 <br />1 <br />BUS TOTAL <br />PERMIT <br />S <br />S <br />i- <br />SUB TOTAL S <br />PERMIT S <br />' <br />1 <br />TOTAL FEE <br />S <br />' <br />TOTAL FEE S <br />' <br />FOR OFFICE USE ONLY: <br />F{IONI SETpACN <br />RFM REIRACK <br />WE BF.TMl1l <br />MAN CIIFFCCK/NNO I Ion C—R7 <br />FFF <br />IIFCFIRT NO <br />USE=ONF <br />tOTAnFA <br />VACAI41 sI1F <br />rlv(5 11 OKI <br />FEES <br />VALUATION <br />FEE <br />pIAIDINn <br />-- <br />IWO(IIIIIIMITATIOI <br />TOO or Dwr I I MIT <br />UNIT S <br />SVF Or RI on,iI <br />--- <br />PO UVIIINn <br />MCf11AWCAL <br />OGRCOIIMNtt'r Iq O SI(KFES <br />OCCUPANT TOAD <br />RASFMENI <br />11YES f1 No <br />--- <br />Ar"tIONAL PLAN C11ECk <br />FIREAUT1MnFOD <br />—1-_- <br />RFASON <br />OASfk! -- _ ______.__.—_ <br />PLANS Arr"TFORY CITY OF EVERETT <br />LOCAL SALES <br />DATE /� TAX CODE IS 3105 <br />01111`0101 Heads) <br />1 <br />20 <br />00 <br />FIRE AN11NK1 F.n RFOD <br />SIMI' piffl"SINCLAME <br />T`PFOr CONST <br />rIIP11CW(KIIT9 <br />— <br />- --- <br />TOTAL <br />2 <br />00 <br />