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APPLICATIGA FOR CONSTRUCT.JN PERMIT* <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259 8810 <br />F1 DEMOLITION f 1 COMBINATION I I BUILDING 1 MECHANICAL PLUMBING SIGN <br />PROJECT ADDRESS <br />2320 75th Street S.E. 1:)t 2 <br />nWNFn MAIL AlKmcsc n, rl• rnn•n <br />Bustard, Paul 1373 Blackcap Alley Camano Island WA 98292 387-3120 <br />TENANT MAIL AGDRFSS CITY ZIP PINONE <br />ARCHITECT ON DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE. <br />Withers Const., Inc. 21611.45th Ave. BE Bothell WA 98021 481-4594 WIMCIO99OR <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE A <br />PLUMBING CONTRACTOR MAIL ADDRESS CIFY ZIP PHONE STATE LICENSER <br />Robinaon Plumbinc. Inc. 607 SE Ev Mall Way Everett WA 98208 355-6171 ROBINP*27202 <br />CONTRACT PRICE OF WORK <br />HEATING SYSTEM: 1-1 GAS FI ELECTRIC I-1 <br />DESCRIBE WORK ANO SQUARE FOOTAGE INVOLVED <br />SFR Sprinkler <br />CONTACT PERSON AND PHONE NO <br />1 HEREBY CERTIFY THAT I HAVE READ ANO 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 OR <br />NOT. THE GRANTING 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 />n296.200 /WAG. <br />CONTRACTORS LAW 18.27 RCWILAND <br />'CW <br />N`•y�F / n- — 1 <br />PROPOSED USE OF BUILDING <br />LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH TINGCOPIES) <br />LOT BLOCK OF <br />PARCEL TAX I NUMBER <br />TELEPHONE <br />CONSTRUCTION LOAN LENDER ADDRESS. TELEPNE NUMBER <br />SIGNATURE DATE <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 />WATER CLOSET (TOILET) <br />' <br />AIC — A/HNDLG UNITS — H.P. <br />' <br />BATHTUB <br />' <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />LAVATORY (WASH BASIN) <br />I <br />HEAT PUMP <br />' <br />SHOWER <br />' <br />UNIT HEATERS—B.T.U. M <br />KITCHEN SINK 8 DISP <br />i <br />CLOTHES DRYERS <br />DISHWASHER <br />' <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 />DRINKINd FOUNTAIN <br />I <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />' <br />FIREPLACE INSERT (WOOD BURNING) <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />SINK (SERVICE — BAR, ETC.) <br />I <br />GAS RANGE <br />-- <br />' <br />GAS PIPING <br />EXHAUSTFAN <br />' <br />I <br />I <br />1 <br />; <br />I <br />' <br />SUBTOTAL S <br />' <br />SUBTOTAL S <br />; <br />PEPMIT $ <br />I <br />PERMIT $ <br />TOTAL FEE $ <br />' <br />TOTAL FEE $ <br />' <br />cna EIFCICF I ICP nN1 v <br />FRONT SETBACK <br />REAR SFTBACK <br />SIDE SETBACK <br />PLANCH KNUMB <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />BUIIDING <br />fI YES n NO <br />HEIGHT LIMITATION <br />NO OF LWIELUNG <br />SIZE OF SLOW I. <br />UNITS <br />PLUMBING <br />OCCUPANCY NO OF STORES <br />OCCUPANTLO.. BASEMENT <br />MECHANICAL <br />GROUP <br />OYES III NO <br />ADDITIONAL PLAN CHECK <br />FIRE ALARM REGD <br />REASON <br />OTHER <br />OIL <br />FIRE SPRINKLER REO'O <br />REASON <br />STATE BUILDING SURCHARGE <br />' <br />TYPE OFCONST <br />PLANSA"GVEDBY <br />CITY OF EVERETT <br />PuaucmnKs <br />`m <br />LOCAL SALES <br />; <br />G <br />TAX COUE IS 3105 <br />TOTAL <br />' <br />DATE <br />