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APPLICATICA FOR CONSTRUCI .ON PERMIT <br /> CITY OF ERETT• RDIVISION <br /> 3200 CEDAR STREET • EVERETT,ETT, WA WA 98201 • 259.8810 <br /> I Ip DEMOLITION I I COMBINATION I I BUILDING I I MECHANICAL I I PLUMBING I I SIGN <br /> P22� tlOth Place S.W. <br /> OWNEn MAIL AD(IHF55 CITY )m rI10YE <br /> Rasband Homes, Inc. 1507 Mitchell Road, Lake Stevens, WA 93258 334-1264 <br /> TENANT MAII ADDRESS CITY PIP -- <br /> PHONE <br /> ARCHITECTOn DESIGNER MAILADLMESS CITY ZIP <br /> PNONE <br /> GENERAL CONTRACTOR MAILADDRESS CITY ylp <br /> r110NE STATE IICEN iE/ <br /> Rasband Homes, Inc. 1507 Mitchell Road, Lake Stevens, WA 98258 334-1264 <br /> MECHANICAL CON IRACDRES <br /> TOn AFL Clfl PIP PHONE <br /> SLATE LICENSE• <br /> PLUMBING CONTRACTOR MAIL ApDRESS CITY PM PHONE STATE LICENSE/ <br /> Robinson P1bd. ,Inc. 607 BE Ev Mall Way #26, Everett, WA 98208 355-6171 ROBINP*27202 <br /> CONTRACT PRICE OF VVOnK <br /> HEATING SYSTEM: [-] GAS I"I ELECTRIC 11 <br /> DESCRIBE WORK AND SOUARE 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 /> SFR PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGAL DESCRIPTIONOF PROPERTY(SHOWN BELOW RATTACH TWO COPIES) WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT BLOCK OF 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 /> PARCEL TAXI D NUMBER CONTRACTORS LAZY 18.27 FICIN AND 298.200 WAC. <br /> CANS1RlICRON LOAN LENDER ADDRESS.TELEPHONE NUMBER Xw r <br /> SIGNATURE 1�1 VDAIL (•� <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) I A/C—A/HNDLG UNITS—H.P. , <br /> BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) , HEAT PUMP <br /> SHOWER <br /> ' UNIT HEATERS—B.T.U. M I <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS <br /> DISHWASHER ' <br /> VENTILATION FAN L <br /> AUNDRY TRAY ; RANGE HOOD I <br /> CLOTHES WASHER ' <br /> WATER HEATER , <br /> URINAL ' WOOD STOVE I <br /> DRINKING FOUNTAIN METAL FIREPLACE(WOOD BURNING) <br /> FLOOR DRAIN ' FIREPLACE INSERT(WOOD BURNING) I <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE I <br /> INK(SERVICE—BAR,ETC.) I OAS RANGE , <br /> ' GAS PIPING I <br /> I EXHAUSTFAN <br /> I I <br /> I <br /> I � <br /> I ' <br /> SUB TOTAL $ ' SUB TOTAL $ I <br /> PERMIT $ I PERMIT $ I <br /> TOTAL FEE $ I TOTAL FEE $ I <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK REACT SETBACK SIDE SETBACK PUN CHECK I BF fFF RECEIPTNO <br /> USE ZONE TOT AREA VACANT SITE (,{FEES VALUATION FEE <br /> f YES IT NO <br /> O111101NG <br /> HEIGHT LIMITATION NO OF DWELLING SIZE OF BLOGR I <br /> UNITS <br /> PLUMBING <br /> OCCUPANCY NO OF STORIFS OCCUPANT LOAD BASEMENT MECHANICAL <br /> IT <br /> YES 11 NO <br /> FIRE ALARM RED REASON ADDITIONAL PLAN CHECK <br /> OTHER Sprinkle Heade <br /> 71RESPRINKLEn REO D REASON <br /> STATE BUILDING SURCHARGE <br /> TYPE orCONST PLANS <br /> APPROVED or CITY OFEVERETT PUBLICrNoms <br /> LOCAL SALES <br /> DATE TAX CODE IS 3105 TOTAL <br />