Laserfiche WebLink
Oak A <br /> APPLICATIGA FOR CONSTRUCT PAN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> Fl DEMOLITION I I COMBINATION 11 BUILDING 11 MECHANICAL i I PLUMBING I I SIGN <br /> PROJECT ADDRESS <br /> 314 80th Place S.W. <br /> OWNER MAILADDRFSS city 71r PHONE <br /> Benchmark Guild Corp. , 6947 Coal Creek Prkwy SE #116 Renton 98059 641-2737 <br /> TENANT MAIL ADDRESS CITY 71P PHONE <br /> ARCHITECT OR DESIGNER MAIL ADDRESS ORV 71r PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY 71P PHONE STATE LICENSE• <br /> Benchmark Guild Corp. 6947 Coal Creek Prkwy SE #116 Renton 98059 641-2737 <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY 711, PHONE STATE LICENSE A <br /> PLIIMBNn CONTRACTOR MAIL ADDRESS CITY IIP PHONE STATE LICENSER <br /> Robinson P1bg. ,Inc. 607 SE Ev Mall Way #26 Everett 98208 355-6171 ROBINP*172C2 <br /> CONTRACT PRICE O WORK$ifign nn -- <br /> HEATING SYSTEM: I 1 GAS F I ELECTRIC Il <br /> DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED CONTACT PERSON AND PHONE NO <br /> sprinkler system single family residence <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 /> SER PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN On <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 Or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION CF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION,THAT I AM AUTHORIZED BY THE <br /> OWN'-'R OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL TAXI O NUMBER CONTRACTORS LAW 18.27 RCW AND 288.200 WAC. <br /> CONSTRUCTION IDAN LENDER.ADDRESS.TELEPHONE NUMBER X —a .1/iJ�/�— <br /> SIGNATURE T CALF <br /> CITY BUSINESS LICFNSE NO <br /> PLUMBING MECHANICAL _ <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. _TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) ' AID—A/HNDLGUNITS—H.P. )— <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) H HEAT PUMP H <br /> SHOWER ' UNIT HEATERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP ; CLOTHES DRYERS i <br /> DISHWASHER 1 VENTILATION FAN ' <br /> LAUNDRY TRAY RANGE HOOD ; <br /> CLOTHES WASHER 1 WATER HEATER H <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAIN ' FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ; <br /> SINN(SERVICE—BAR,ETC.) H GAS RANGE H <br /> OAS PIPING ' <br /> 1 EXHAUST FAN H <br /> I H <br /> 1 1 <br /> 1 H <br /> 1 H <br /> SUBTOTAL S ' SUBTOTAL E <br /> PERMIT $ H PERMIT S 1 <br /> TOTAL FEE S ' TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETRACK REAR SETBACK SIDE SETBACK PI AN CHECK NUMBER r ^�)�N RFCrIPI NO <br /> 5 1 <br /> USE zow LOT AREA VACANT FIRE FEES VALUATION FEE _ <br /> I VES 11 NO <br /> IIEIOIIT LIMITATION NO OF DWELLING SIZE Or flI DONT 1 <br /> UNITS PIIIMDING i <br /> OCCUPANCY I W D SLMA(5 IX:LUPANI(OAU BASEMENT MFCIIANICAI. <br /> OUP <br /> I IrES II NO - <br /> FIRE ALARM nEOO nFA50N ADANONAI.PI AN CIIFCK <br /> -1— <br /> OTHER(1Q Heads) 00 REASON <br /> STATE RIIKONG SIIRc11ARGE <br /> TYPE Or CONST PIANS Arrnovrn By CITY OF EVERETT ruRUC WORKS <br /> �M LOCAL SALES t— <br /> DATE /2 9 TAX CODE IS 3105 TOTAL I <br />