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APPLICATILA FOR CONSTRUCI.ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET •EVERETT, WA 98201 • 259-8810 <br />F] DEMOLITION I I COMBINATION BUILDING MFCMAN7P`A1 r of uumun elr_u <br />PROJECT ADDRESS <br />920 Rucker Avenue <br />OWNER MAILAUUHLSS CITY 71P minrrr <br />Martin Construction 20927 28th Ave. W. Lynnwcod, WA 98036 775-6236 <br />TENANT PHONE <br />MAIL nODRE Ss <br />CITV IP <br />ARCHITECT OR DE9 NER MAIL ADORES$ CITY 711, mmNc <br />uencnAi CUNRIACTW, MAIL ADDRESS qiV ;II' PHONE STATE LICENSE <br />Martin Construction 20927 28th Ave. W. Lynnwood, WA 98036 775-6236 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE <br />PLUMBINGCONTRACTOR MAN ADDRESS CITY 7IP PHONE STATE LICENSE. <br />Robinson Plumbinn. Inc. 607 RE FAT MR11 wn,, MOA Pirnnn-+ TJA 7GC_LT t nnnr..nunnn nn <br />CONTRACT PRICE OF WORK <br />_ _ <br />— � � V <br />HEATING SYSTEM: I I GAS ';ELECTRIC F1 <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />4-Plex <br />CONTACT PERSON AND PHONE NO <br />Gay Peterson -61 1 <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 ORNOT. THE GRANT114G 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 LAW 18.27 RCW AND 296.200 WAD. <br />/ <br />X <br />SIGNATURE DATE <br />PROPOSED USE OF BUILDING -- <br />multd-family <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH TWO GORIEST <br />LOT BLOCK. OF <br />PARCEL TA%I D. NUMBER <br />CONSTRUCNON LOAN LENDER. ADDRESS. T'LEPHONE NUMBER <br />CITY BUSINESS LICENSE 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 />4 <br />WATER CLOSE (TOILET) <br />2 '00 <br />A/C —A/HNDLG UNITS —H.P. <br />4 <br />BATHTUB <br />2 : 00 <br />FORCED AIR SYSTEMS — B.T'.Il. M E.A. <br />LAVATORY (WASH BASIN) <br />2 100 <br />HEAT PUMP <br />'4 <br />SHOWER <br />KITCHEN SINK & DISP <br />28 ; 00 <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />DISHWASHER <br />28 ; 00 <br />VENTILATION FAN <br />I <br />LAUNDRY TRAY <br />I <br />I <br />I RANGE HOOD <br />CLOTHES WASHER <br />28100 <br />INATF`P L.:At LH <br />28 -00 <br />URINAL <br />' <br />_ <br />WOOD STOVE <br />_ <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />i <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />BACKFLOW PREVENTERS <br />' <br />GAS FIREPLACE <br />' <br />SINK (SERVICE — BAR, ETC.) <br />GAS RANGE <br />�— <br />_ <br />GAS PIPING <br />' <br />i <br />EXHAUSTFAN <br />i <br />SUBTOTAL $ <br />28;00 <br />SUBTOTAL S <br />68�00 <br />PERMIT S <br />20100 <br />PERMIT $ <br />I <br />TOTALFEE S <br />188'00 <br />TOTALFEE $ <br />28 '00 <br />T FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REM SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER FEE <br />RECEIPT NO. <br />_VACANT <br />USE 20HE <br />for AREA <br />SITE <br />FEES <br />VALUATION <br />FEE <br />nVEs n NO <br />BUILDING <br />i <br />HEIGHT LIMITATION <br />N0. OF DWELLING <br />SIZE OF BLDG/T.l. <br />PLUMBING <br />n ' <br />i <br />UNIT$ <br />OCCUPANCY <br />NO OF STORIES <br />OCCUPANT LOAD <br />BASEMENT <br />GROUP <br />MECHANICAL <br />I i <br />I <br />nVE$ n NO <br />ADDITIONAL PLAN CHECK <br />I <br />I <br />FIRE ALARM AEG <br />REASON <br />OTHER <br />i <br />FIRE SPRINKLER RED <br />REASON <br />$in1E BUILDING SURCHARGE <br />I <br />TYPE OF CONST <br />PLANS APPROVED BY <br />' <br />CITY OF EVERETT <br />PUBLIC WORKS <br />LOCAL SALES <br />TOTAL <br />II <br />DATE <br />TAX CODE IS 3105 <br />