Laserfiche WebLink
TAB Et,e.s vm <br />CITY OF <br />everett <br />259-8745 <br />C "INSTRUCTION <br />PERMIT <br />PERMIT NQ: _ 265 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ® MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Stewart Title Co. Si 3224 Wetmore Everett 98206 259-4233 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE A <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LILENSB A <br />Evergreen <br />St. Sheet Metal 3411 Hayes <br />Everett 98201 252-3114 <br />EVERGSS315 R3 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE E <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION C ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION Of WORK <br />2 HVAC Systems <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Offices <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF IAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />AlGNA ORE OF CONTRACTOR. AUTHORIZED AGENT. OR OWNER DATEI <br />X �-. �'-" 7..( J� <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK _ OF <br />JOB ADDRESS <br />3224 Wetmore <br />PLUMBING <br />ME&AkIbAL <br />NO. <br />TYPE OF FIXTURE OR ITEM FEE <br />AID. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />I <br />2 <br />A — A/HNDLG UNITS — H P <br />18 <br />BATHTUB <br />REFRIGERATION UNITS — H P EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — B T.0 M.P. <br />SHOWER <br />GAS FIRED AC UNITS — BTU. <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTEMS — B T.U. M EA <br />DISHWASHER <br />WALL HEATERS --B T.(I. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B T.0 M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />eACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR. ETC) <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL <br />F <br />I <br />SUBTOTAL <br />PERMIT <br />f <br />PERMIT <br />i <br />F <br />TOTAL FEE <br />S <br />TOTALFEE <br />3 <br />FRONT SETBACK <br />REARF=TBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA VACANT <br />SITE <br />DYES ❑No <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />SIZE OFR GG <br />NO OF STORIES <br />MAY OCC LOAD <br />MECHANICAL <br />05%29%87 1:0)F'h <br />00014545%3 <br />ail <br />FIRE SPRINKLERS REQUIRED ❑YES LINO <br />INVESTIGATION FEE <br />F#01h3 <br />STATE BUILDING SURCHARGE <br />NECH 4 - <br />.00 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />S.H. <br />PLANS CHECKED BY <br />_ <br />APPR FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />33100 <br />PFRMIT VALIDATION <br />WHEN PROPERLY VALIDATED pN THIS SPACE) THIS IS YOUR PERMIT <br />Ln <br />CG <br />N <br />00 <br />T— <br />,IDDRLSS Fit <br />