617 58TH PL SE 2016-01-01 MF Import

APPLICATIC 1 FOR CONSTRUCT 3N PERMIT TO BE COMPLETED IN BLACK INK—PLEASE PRINT BUILDING DEPARTMENT HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ 2598810 DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN OWNER MAIL ADDRESS M/M Carman Bl V f � 911 �y982/73 PHONE i NE Y1 TENANT MAIL ADDRESS LIN ZIP ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAR ADDRESS CITY ZIP PHONE STATE LICENSE Millco Const.. Svs. P.O. Box 249 Lynden 98264 354-5044 MECHANICAL CONTRACTOR MAIL ADDRESS CITY IIP PHONE STATE LICENSE PLUMBING CONTRAOTOR MAIL ADDRESS CITY PHONE STATE LICENSE 6 Robinson Plbg. 607 SE Ev Mall Way #26 Everett98208 355-6171 ROBINP*27202 CLASS OF WORK X NEW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVE>FRPL INSERT I I BUILDING RELOCATION CONTRACT PRIDE OF WORK 1425. 00 CONTACT PERSON AND PHONE NO. DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED PROPOSED L74OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS SFR APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH FOUR COPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF LOT BLOCKDF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. PROJECT ADDRESS xNgpRE DATE 617 58th Place S.E. LH IUSMFSS IiCEHSL ND PLUMBING MECHANICAL NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H.P. BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. ) I LAVATORY(WASH BASIN) I UNIT HEATERS—B.TU. M' ' SHOWER ' CLOTHES DRYERS KITCHEN SINK 8 DISP ; VENTILATION FAN I - f DISHWASHER RANGE HOOD LAUNDRYTRAY I ' I WATER HEATER I I CLOTHES WASHER ' WOOD STOVE I URINAL ' METAL FIREPLACE 8 CHIMNEY I DRINKING FOUNTAIN I FIREPLACE INSERT FLOOR DRAIN ' ' HEAT PUMP BACKFLOW PREVENTERS ; GAS PIPING ROOF DRAINS—RAINLEADERS I EXHAUST FAN SINK(SERVICE—BAR,ETC.) ' I I I I I I I SUBTOTAL $ ; SUBTOTAL $ ' PERMIT $ I PERMIT $ TOTAL FEE $ ' TOTAL FEE $ FOR OFFICE USE ONLY: TBNT REAR SETBACK SIDE SETBACK PLAN CHECK NUMBER FEE q RECEIPT NO LASE ZONELOT AREA VACANT SITE FEES I VALUATION ON FEE— L E LWABLETYPE OF LONS.AtyPf OF CORSI ACTUAL BUILDING aCC11PAA[Y AO aDWfuMG units GA PLUMBING i SIZE OF BLDG_ NO OF STORIES BASE/TENT MECHANICAL OCCUPANCY LOAD FIRE SPRNKLERS REOD HEIGHT LIMITATION ADDITIONAL PLAN CHECK I I _ SPRINKLER (12 heads) REASON FOR SPRINKLERS STATE BUILDING SURCIIARGE INTAKE Bv PUNS aoPRovfD BY CITY OF EVER ETT pUBUC WORKS LOCAL SALES ? �> JM TAX CODE IS 3105 TOTAL 9 an_