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CITY OF EVERETT A BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259.8810 ��Am <br /> 1 1RDEIMOOTLITION I I COMBINATION I I BUILDING I I MECHANICAL I PLUMBING SIGN <br /> P2206 tlOth Place S.W. l <br /> OWNER MAII ADHRFSS IJTY lir PHONE <br /> Rasband Hames, Inc. 1507 Mitchell Road Lake Stevens 98258 334-1264 <br /> TENANT MAIL ADURE53 CITY 71P PHONE <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY 71r PHONE STATE LICENSE <br /> _ Rasband Homes, Inc. 1507 Mitchell Road Lake Stevens 98258 334-1264 <br /> MECHANICAL CONTRACTOR MAIL ADDRESS U•Y 71P PHONE STATE LICENSE <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSER <br /> RobitsoalPlbg. , Inc. 607 BE Ev Mall Way N26 Everett 98208 355-6171 ROBINP*272C2 <br /> CONTRACT PRICE OF WORK HEATING SYSTEM: 1 1 GAS F I ELECTRIC f 1 <br /> 11465-0 <br /> DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED CONTACT PERSON AND PHONE ND <br /> Sprinkler' <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT,ALL <br /> PROPOSED USE OF BUILDING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> RFR 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 DF 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 /> CONTRACTORS LAW 16.27 PCW AND 296.200 WAC. <br /> PARCEL TAXI.D.NUMBER <br /> CONSTRL:TION LOAN LENDER.ADDRESS.TELEPHONE NUMBER <br /> SIGNATI E GATE <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 NC—AMNDLG UNITS—H.P. ' <br /> I <br /> FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> BATHTUB ' <br /> LAVATORY(WASH BASIN) I HEAT PUMP ' <br /> SHOWER ' UNIT HEATERS—B.T.U. M <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS ' <br /> DISHWASHER ' VENTILATION FAN <br /> LAUNDRY TRAY ; RANGE HOOD ' <br /> CLOTHES WASHER I WATER HEATER ' <br /> URINAL <br /> WOOD STOVE ' <br /> DRINKING FOUNTAIN ( METAL FIREPLACE(WOOD BURNING) I <br /> FLOOR DRAIN ' FIREPLACE INSERT(WOOD BURNING) ' <br /> I <br /> BACKFLOW PREVENTERS GAS FIF.EPLACE ' <br /> SINK(SERVICE—BAR.ETC.) I GAS RANGE ' <br /> GAS PIPING <br /> EXHAUSTFAN ' <br /> I ' <br /> , <br /> SUBTOTAL $ ' SUBTOTAL $ ' <br /> PERMIT $ , PERMIT $ ' <br /> TOTAL FEE $ ' TOTAL FEE $ ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETOkCK REAR SETBACK SIDE SETBACK PLAN CII CK R FEE RECEIPT NO <br /> USE ZONE LOTAREA VACANT SITE FEES VALUATION FEE <br /> II YES 11 NO BUILDING <br /> ))EIGHT LIMITATIONUNI1�OWf.ILING SIZE OF BLDG/TI <br /> PLUMBING <br /> OCCUPANCY I NO OF SFURIES OCCUPANTLOAD BASEMENT MECHANICAL <br /> GROUP FIVES a NO <br /> ADDITIONAL PLAN CHECK <br /> FIRE ALARM RED REASpI <br /> i <br /> OTIIE <br /> 01, <br /> FIRE SPRINKLERREO'O RFASON <br /> STATE BUILDING SURCHARGE <br /> TYPE OF CONST PUNS APP" - BY CITY OF EVERETT runuc WORKS <br /> 7 LOCAL SALES <br /> DATE -'I' TAX CODE IS 3105 TOTAL <br />