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APPLICATIGii FOR CONSTRUC7 .JN PERMIT <br /> CITY OF EERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259.8810 <br /> fl DEMOLITION ( I COMBINATION I I BUILDING 11 MECHANICAL 1 PLUMBING I I SIGN <br /> PROJECT ADDRESS <br /> 305 80th Place S.W. <br /> OMIT; MAII ADDRESS CITY ZIP PHONE <br /> Rasband Homes, Inc. 1507 Mitchell Road Lake Stevens 98258 334-1264 <br /> TFNANT MAII ADDRESS CITY <br /> 71P PIONE <br /> ARCIBTF.CT OR DESIGNER MAII ATKME55 CITY ZIP <br /> rNONF <br /> GENERAL CONfIIACfIXi MMlADDRESS LI1Y ZIP PRONE STATE IICFNSE <br /> Rasband Homes, Inc . 1507 Mitchell Road Lake Stevens 98258 334-1264 <br /> AIECNAMCAICONTPACTOR MMIADMF.SS CITY ZIP <br /> PHONE STATE LICENSE F <br /> PLUMBING CONTRAf,TOR MAIL ADORES$ CITY IIP <br /> PHONE STAYF.LICENSE F <br /> coNrnAcr TRICE of wanK <br /> a 1 Way /26 Everett 98208 355-61 1 ROBINP*272C2 <br /> $1385.00 HEATING SYSTEM: 11 GAS 11 ELECTRIC I I <br /> DESCRIBE WORK AND SOIIARF.FOOTAGE INVd VED CONTACT PFFISON AND PHONE NO <br /> SFR C rinkler 5yatem <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> rROPOSED USE a RIALDINO APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> SFR PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGAL DESCRIPTION OF rROPERTY ISNOWN BELOW OR ATTACH TWO COPIES) NOT. <br /> WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OFI <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT BLOCK Or 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 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 /XA41(LL � , II&I CI <br /> 51ONATURE /� ATE <br /> CRY BU5INESS LICENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. _TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLO UNITS—M.P. , <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) 1 HEAT PUMP <br /> SHOWER <br /> UNIT HEATERS—B.T.U. M , <br /> KITCHEN SINK 6 DISP ; CLOTHES DRYERS ' <br /> DISHWASHER ' <br /> ' VENTILATION FAN , <br /> LAUNDRY TRAY ; RANGE HOOD I <br /> CLOTHES WASHER ' <br /> 1 WATER HEATER , <br /> URINAL ' WOOD STOVE 1 <br /> DRINKING FOUNTAIN ) METAL FIREPLACE(WOOD BURNING) <br /> FLOOR DRAIN ' FIREPLACE INSERT(WOOD BURNING) --i— <br /> BACKFLOW PREVENTERS GAS FIREPLACE <br /> SINK(SERVICE—BAR.ETC.) . GAS RANGE , <br /> ' GAS PIPING <br /> EXHAUSTFAN , <br /> I <br /> SUBTOTAL ISUBTOTAL E �— <br /> PERMIT E , PERMIT E , <br /> TOTAL FEE E ' TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> rRONT SETBACK REAR SETBACK SOE SETBACK PIANCIIFCKMIMnrntFFFnrCFIPT NO <br /> _usE zoNE 10r AnEAVACANT SITE FEESION FEE <br /> I IYES (I NO BUILDING <br /> REPORT LIMITATION NO OF DWELLING SIZE Or BI DOIIOCCUPANT LOAD DA%MFNTMFClIAMCAI <br /> IIvi6 11 NOTIREALARMREOO REASON ADGI11ONA1.PI AN CHECK i <br /> On1En <br /> I <br /> nnFsrmNKlenneon REASON (13 heads) D 1g1-pp <br /> STATE RUn VINE SIInC.IOWT <br /> TYPE orCONST r1AnsAPPnovrnBY CITY OFEVERETT MRICWORKS <br /> JM LOCAL SALES <br /> DATE 11 Z4 /f TAX CODE IS 3105 TOTAL I 0 <br />