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62019 <br />APPLICATRomi FOR CONSTRUCI.ON PERMIT <br />CITY OF EVEREl'i • BUILDING DIVISION <br />-200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />....�..... Fl nnuRINATInN 1-1 RUILDING 1 MECHANICAL 1 PLUMBING 1 SIGN <br />PROJECT ADDRESS <br />407 Madison Street <br />n Hpn MAILADDRESS CITY ZIP PHONE <br />Royale Homes <br />13725 Broadway Avenue <br />Snohomish <br />9829U -)brs-ZUit <br />TENANT <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />ARCHITECT OR DES" VER <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL n:X PIESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENSE F <br />Royale Homes <br />13725 Broadway Avenue <br />Snohomish <br />98290 568-2071 <br />MECHANICAL CONTRACTOR <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENSE II <br />PLUMBING CONTRACTOR <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENSE. <br />607 SE Ev Mall <br />Way #26 Everett 98208 355-6171 <br />ROBINP*272C2 <br />Robinson P1bg.jnc. <br />CONTRACT PRICE OF WORK <br />HEATING SYSTEM: Fl GAS 177 ELECTRIC Fl <br />$1690 00 <br />DESCRIBE WORK AND SQUARE FOOTAGE IMIOLVED <br />CONTACT PERSON AND PHONE NO. <br />SFR Sprinkler System <br />1 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 />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN On <br />SFR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH TWO COPIES) <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />LOTBLOCK OF <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 LAW 18.27 RCW AND 296.200 WAC. <br />�'✓ �' <br />PARCEL TAX I.D. NUMBER <br />CONSTRUCTION LOAN LENDER. ADDRESS. TELEPHONE NUMBER <br />X� O AIt <br />SIGNATURE <br />CITY BUSINESS LICENSE NO. <br />PLUMBING <br />MECHANICAL <br />FEE <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />NO. TYPE OF EQUIPMENT <br />T <br />' <br />WATER CLOSET (TOILET) <br />A/C—A/HNDLG UNITS—H.P. <br />, <br />' <br />FORCED AIR SYSTEMS —B.T.U. M E.A. <br />, <br />BATHTUB <br />, <br />LAVATORY (WASH BASIN) <br />, <br />HEAT PUMP <br />' <br />' <br />' <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />KITCHEN SINK 8 DISP <br />i <br />CLOTHES DRYERS <br />' <br />DISHWASHER <br />' <br />VENTILATION FAN <br />LAUNDRY TRAY <br />RANGE HOOD <br />' <br />' <br />CLOTHES WASHER <br />' <br />WATER HEATER <br />WOOD STOVE <br />URINAL <br />i <br />METAL FIREPLACE (WOOD BURNING) <br />; <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />' <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />; <br />GAS FIREPLACE <br />' <br />SINK (SERVICE — BAR, ETC.) <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />' <br />, <br />1 <br />SUB TOTAL $ <br />' <br />SUB TOTAL $ <br />PERMIT $ <br />, <br />PERMIT $ <br />' <br />TOTALFEE $ <br />' <br />TOTALFEE $ <br />' <br />FOR OFFICE USt UNLT: <br />RECEIPT NO. <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />VALUATIONFEE <br />USE20NE <br />LOTAREA <br />VACANT SITE <br />n YES FI NO <br />OCHECK�SERFEE <br />HEIGNT LIMITATION <br />UNITSF DWELLING <br />SIZE OF BLDGITIORIES <br />I _ <br />OCCUPANT LOAD <br />BASEMENT <br />I <br />GROUP <br />fI YES fl NO <br />ADDITIONAL PLAN CHECK <br />' <br />FIRE ALARM REDD <br />REASON <br />20 ; 00 <br />OTHER (15 Heads) <br />, <br />FIRE SPRINKLER REO'D <br />REASON <br />STATE BUILDING SURCHARGE <br />, <br />PUBLIC WORKS <br />' <br />TYPE OF P.ONST <br />PUNS APPROVED By <br />CITY OF EVERETT <br />JM <br />LOCAL SALES <br />20 100 <br />TAX CODE IS 3105 <br />TOTAL <br />DATE J <br />