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62018 <br />APPLICATIOd FOR CONSTRucirs4N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •259-8810 <br />177 DEMOLITION 171 COMBINATION Fl BUILDING F1 MECHANICAL Il PLUMBING Fl SIGN <br />PROJECT ADDRESS <br />405 Madison Street <br />DWNER MAILADDRESS CITY ZIP PHONE <br />Royale Homes 13725 Broadway Avenue Snohomish 98290 568-2071 <br />TENANT MAILADDRESS CITY ZIP PHONE <br />ARCHITECT OR DESIGNER MAILADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAILADDRESS <br />CITY <br />ZIP PHONE STATE LICENSE <br />Royale Homes <br />13725 Broadway Avenue <br />Snohomish <br />98290 568-2071 <br />MECHANICAL CONTRACTOR <br />MAILADDRESS <br />CITY <br />ZIP PHONE STATE LICENSE <br />PLUMBING CONTRACTOR MAILADDRESS CITY ZIP PHONE STATE LICENSE <br />Tf1L_ T_., 911-7 cT: P" M, ll W." d"A Rvorahf 9A208 355-6171 ROBINP*272C2 <br />CONTRACT PRICE OF WORK <br />H3ATING SYSTEM: Fl GAS n ELECTRIC Fl <br />$1850.00 <br />— <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />CONTACT PERSON AND PHONE NO. <br />sprinkler system SFR <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 />PROPOSED USE OF BUILDING <br />SFR <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OU <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LEGAL DESCRIPTION OF PROPERTY ISHOWN BELOW OR ATTACH TWO COPIES) <br />DF <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />LOT BLOCK <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 />- <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.20D WAC. <br />PARCEL TAX I.D. NUMBER <br />1P <br />X �L�y b1,101% <br />NUMBER <br />CONSTRUCTION LOAN LENDER, ADDRESS, TELEPHONE <br />SIGNATURE T DATE <br />CITY BUSINESS LICENSE NO. <br />PLUMBING <br />MECHANICAL _ <br />NO. TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />' <br />A/C —A/HNDLG UNITS —H.P. <br />' <br />BATHTUB <br />; <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />' <br />T <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP <br />SHOWER <br />' <br />UNIT HEATERS—B.T.U. M <br />KITCHEN SINK 8 DISP <br />i <br />CLOTHES DRYERS <br />i <br />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />; <br />RANGE HOOD <br />' <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />URINAL <br />' <br />WOOD STOVE <br />DRINKING FOUNTAIN <br />i <br />METAL FIREPLACE (WOOD BURNING) <br />i <br />FLOOR DRAIN <br />' <br />FIREPLACE INSERT (WOOD BURNING) <br />BACKFLOW PREVENTERS <br />i <br />GAS FIREPLACE <br />SINK (SERVICE — BAR, ETC.) <br />GAS RANGE <br />GAS PIPING <br />i <br />EXHAUSTFAN <br />I <br />' <br />SUB TOTAL $ <br />; <br />SUB TOTAL $ <br />; <br />PERM!T $ <br />PERMIT $ <br />I <br />TOTAL FEE S <br />TOTAL FEE $ <br />' <br />cno nccirc ucc nul V. <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER�I <br />99 <br />FEE n <br />z <br />RECEIPT NO. <br />USEZONE <br />LOTAREA <br />VACANT SITE <br />FEES I <br />VALUATION <br />FEE <br />BUILDING <br />I <br />f1YE5 fl NO <br />HEIGHT LIMITATION <br />NO, OF DWELLING <br />SIZE OF BLDG/TI. <br />i <br />UNITS <br />PLUMBING <br />i <br />OCCUPANCY NO OT StORIES <br />OCCUPANTLOAD BASEMENT <br />MECHANICAL <br />GROUP <br />I <br />IT YES fl NO <br />ADIATIONALPLAN CHECK <br />FIRE ALARM RED <br />REASON <br />OTHER (15 Heads) <br />20 I DO <br />FIRE SPRINKLER RED <br />REASON <br />) <br />STATE BUILDING SURCHARGE <br />PUBLIC WORKS <br />i <br />TYPE OF CONST <br />PLANS`iPPOVED BY <br />CITY OF EVERETT <br />`. <br />LOCAL !TALES <br />20100 <br />/2 ��/ <br />TAX CODE IS 3105 <br />TOTAL <br />DATE <br />