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APPLICATILA FOR CONSTRUC7 .ON PERMIT( <br /> CITY OF EVERETTA BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259.8810 <br /> DEMOLITION 1 COMBINATION I I BUILDING I l MECHANICAL I1 PLUMBING SIGN <br /> PROJECT ADDRESS <br /> 214 80th Place S.W. <br /> OWNFR VAII ,[)DRESS CITY IIP PHONE <br /> Raeband Homes, Inc. 1507 Mitchell Road, Lake Stevens, WA 98258 334-1264 <br /> TENANT MAIL ADDRESS CITY IIP PHONE <br /> ARCHITECTORDESIONER MAIL ADDRESS CITY IIP PHONE <br /> GENERAL CONTRACTOR MAILADDRESS CITY IIP PHCNE STATE LICENSEE <br /> Raeband Homes, Inc. 1507 Mitchell Road, Lake Stevens, WA 98258 334-1264 <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSER <br /> PLUMBING CONTRACTOR MAILADDRESS CITY ZIP PHONE STATE LICENSE <br /> Robinson P1bg.,Inc. 607 BE EY Mall Way #26, Everett, WA 98208 355-6171 ROBINP*27202 <br /> CONTRACT PRICE OF WORK <br /> $4 HEATING SYSTEM: Fl GAS FT ELECTRIC CT <br /> DESCRIBE WORK AND SGUARE FOOTAGE INVOLVED CONTACT PERSON AND PHONE NO <br /> SFR Sprinkler <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSED USE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> SFR WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH TWO COPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT BLOCK _GF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PEPFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> PARCEL TAX 10.NUMBER CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> CONSTRUCTION LOAN LENDER.ADDRESS.TELEPHONE NUMBER X� �, �7/L J <br /> SIGNATURE DATE <br /> CITY BUSINESS LICENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) 1 AIC—AHNDLG UNITS—H.P. ' <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) , HEAT PUMP ' <br /> SHOWER ' UNIT HEATERS—B.T.U. M <br /> KITCHEN SINK d DISP _ i CLOTHES DRYERS i <br /> DISHWASHER , VENTILATION FAN ' <br /> LAUNDRY TRAY RANGE HOOD i <br /> CLOTHES WASHER , WATEA HEATER <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN , METAL FIREPLACE(WOOD BURNING) H <br /> _ FLOOR DRAIN ' FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE <br /> SINK(SERVICE—BAR,ETC.) 1 GAS RANGE ' <br /> ' GAS PIPING i <br /> EXHAUST FAN <br /> 1 ' <br /> SUB TOTAL S SUB TOTAL $ ' <br /> PERMIT S I PERMIT E 1 <br /> TOTAL FEE $ I TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK BEAR SETBACK SIDE SETBACK PUN C20 <br /> HEC MBER FEE 7m <br /> fk <br /> USEZONE LOTAREA VACANT SITE FEES I VALUATION FEE <br /> FI YES IT NO BUILDING T— <br /> HEIGHTUMITARON NO OF DWELLING SIZE OF BLDGRI <br /> UNITS PLUMBING <br /> OCCUPANCY NO OF STORES OCCUPANTLOAD BASEMENT MECHANICAL <br /> ❑YES n NO <br /> FIRE ALARM REOD REISON ADDITIONAL PLAN CHECK <br /> OTHER 17 Heade a, <br /> FIRE SPRINKLER RED'D REASON ) <br /> STATE BUILDING SURCHARGF <br /> TYPE OF CONST PLANS AI;PRDVED BY CITY OF EVERETT PUBLIC WORKS <br /> J LOCAL SALES <br /> DATE 9� TAX CODE IS 3105 TOTAL <br />