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APPLICATIC I FOR CONSTRICT )N PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: ❑ GAS ❑ ELECTRIC J _SPRINKt,FR <br />259 8810 <br />DEMOLITION <br />I COMBINATION <br />BUILDING <br />MECHANICAL PLUMBING SIGN <br />OWNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />Blank & Blank Properties <br />P.O. Box 2266 <br />Everett, WA <br />98203 355-4725 <br />TENANT <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />MAIL ADDRESS <br />ZIP PHONE <br />GENERAL CONTRACTOR M>IL ADDRESS CITY ZIP PHONE STATE LICENSE <br />Blank & Blank Properties P.O. Box 2266 Everett, WA 98203 355-4725 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE Y <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE <br />Robinson Plumbing Inc. 607 SE Ev Mall Way #26, Everett, WA 98208 355-6171 ROBINP*272C2 <br />CLASS OF WORK <br />Z NFW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVE/FRPL INSERT BUILDING RELOCATION <br />CONTRACT PRICE OF WORK $900.00 <br />CONTACT PERSON AND PHONE N0. <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Sprinkler <br />PROPOSED USE OF BUILDING <br />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 />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER 01: THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 10.27 RCW AND 296.200 WAC. <br />x �' -/D -_Jy <br />LEGAL DESCRIPTION OF PROPERTY ISHOWN BELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK OF <br />PROJECT ADDRESS <br />1706 Scenic Drive <br />SIGNATURE DAIF <br />CITY PUSPNESSUCFN5F NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A'C-A/HNDLG UNITS-H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS-B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS-B.T.U. M <br />SHOWER <br />' <br />CLOTHES DRYERS <br />KITCHEN SINK & DISP <br />VENTILATION FAN <br />_ <br />DISHWASHER <br />' <br />RANGE HOOD <br />LAUNDRYTRAV <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE & CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />_ <br />BACKFLOW PREVENTERS <br />i <br />GAS PIPING <br />ROOF DRAINS-RAINLEADERS <br />I <br />EXHAUST FAN <br />SINK (SERVICE -BAR. ETC.) <br />I <br />I <br />SUB TOTAL $ <br />SUB TOTAL 5 <br />PERMIT $ <br />I <br />PERMIT $ <br />TOl"ALFEE $ <br />' <br />TOTAL FEE $ <br />CAC ACCIPC I ICC f1M1 V. <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />EEE <br />�1l�TOCJ <br />RECEIPT NO. <br />�►�a�c) <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />-- <br />TYPE OF CONTS, ALLOWABLE <br />TYPE OF CONST. ACTUAL <br />GGLLPAACY <br />NOOFVNEUAYCUVIl <br />UPWP <br />PLUMBING <br />r- <br />SIZE OF BLDG. <br />NO. OF STORIES <br />BASEMENT <br />MECHANICAL <br />y- <br />ADDITIONAL PLAN CHECK <br />OCCUPANCY LOAD FIRE SPRNKLERS REO'D HEIGHT LIMITATION <br />SPRINKLER (8 heads) <br />20 f 00 <br />REASON FOR SPRINKLERS <br />T <br />STATE BUILDING SURCHARGE <br />INTAKE BY PLANS APPROVED BY <br />CITY OF EVERETT <br />PUBLIC WORKS <br />' <br />LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />20 1 <br />