304 80TH PL SW 2016-01-01 MF Import

APPLICATIowd FOR CONSTRUCT SON PERMIT CITY OF EVERETT• BUILDING DIVISION 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 DEMOLITION I I COMBINATION I I BUILDING I I MECHANICAL PLUMBING SIGN P OJECTADDRESS 30 80th Pince S.W. 01Y14H -•An nnnnl ss CITY 71P rHONE D & R Construction 9004 44th Ave. W., Mukilteo, WA 98275 347-6484 TENANT MAIL ADDRESS CITY ZIP . ONE ARCHITECT OG DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAILADDRESS CITY 71P PHONE STATE LICENSE) D & R Construction 9004 44th Ave. W. , Mukilteo, WA 98275 347-6484 MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE/ PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSEE Robinson Plumbing, INc. 607 SE Ev Mall Way 826 Everett WA 98208 355-6171 ROBINP*2 2C2 CONTRACT PRICE OF WORK $1200.00 HEATING SYSTEM: fl GAS 1-1 ELECTRIC n DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED CONTACT PERSON AND PHONE NO SFR Sprinkler I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS PROPOSED USE OF BUILDING APPLICAi IJN AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF RrR WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR LEG/L DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH TWO COPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE Lot BLOCK GF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.TI, J I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERF JRM THE WORK FOR WHICH APPLICATION IS MADE AND 1 rOMPLY WITH THE STATE PARCEL TAX I .NUMBER CONTRACTORS /LAW 18.27 RCW AND 096.200 WAC. CONSTRUCTION LOAN LENDER.ADDRESS.TELE410NE NUMBER X I 1.� (l�W� SIGNA RE FLuT — CITY BUSINESS LICENSE NO. PLUMBING MECHANICAL NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE WATER CLOSET(TOILET) 1 A/C—A/HNDLG UNITS—H.P. 1 BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' LAVATORY(WASH BASIN) 1 HEAT PUMP 1 SHOWER ' UNIT HEATERS—B.T.U. M 1 KITCHEN SINK&DISP i CLOTHES DRYERS ' 1 DISHWASHER I VENTILATION FAN 1 LAUNDRY TRAY RANGE HOOD I CLOTHES WASHER 1 WATER HEATER __ 1 URINAL ' WOOD STOVE DRINKING FOUNTAIN 1 METAL FIREPLACE(WOOD BURNING) 1 FLOOR DRAIN FIREPLACE INSERT(WOOD BURNING) 1 BACKFLOW PREVENTERS OAS FIREPLACE SINK(SERVICE—BAR,ETC.) 1 GAS RANGE 1 ' GAS PIPING ' 1 EXHAUSTFAN 1 1 1 SUBTOTAL S ' SUBTOTAL $ ' PERMIT $ 1 PERMIT $ 1 TOTAL FEE $ ' TOTAL FEE S ' FOR OFFICE USE ONLY: FRONT SEfiACK REAR SETBACK SIDE SETBACK PLAN C IECK NUMBER FEE _. �Y�S RFC7/ 9� dy2oq USE ZONE LOTARI VACANT SITE FES VAS/LEUUA'/TTIIOLJN FEE nYES n NO BUILDING HEIGHT LIMITATION NO OF DWELLING SIZE OF BLDGR I. 1 UNITS PLUMBING OCCUPANCY I NO 01 STORES OCCUPANTLOAD BASEMENT GROUP MECHANICAL OYES n NO ) FIRE ALM REO'D REASON — ADDITIONAL MAN CHECK OCHER sprinkler 16 heals FIRE SPRINKLER REO'D REASON STATE BUILDINU SURCHARGE WPEOFCONST PUNS APPROVED BY CITY OF EVERETT rueucwoRKs CJrM LOCAL SALES — DATE ZJ TAX CODE IS 3105 TOTAL