Laserfiche WebLink
wl'iPPLICATION FO` <br />theEwrpTwn <br />cm <br />CITYoP <br />CONSTRUCTION <br />everett <br />PERMIT <br />BUILDING DEPARTMENT <br />259.8745 <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION UBUILDING ❑ MECHANICAL ❑ PLUMBING <br />Heartwood Development, <br />fY-0 h Avenue N.E., Bellevue, WA <br />98004 <br />455-9250 <br />ARCH I TECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />-Lee Loveland Associates, <br />2815 Alaskan Way, Suite 33, Seattle, <br />WA 98121 <br />441-8960 <br />GENERAL CON TRACTOR <br />CWA, Inc., 1801 - 130th <br />MAIL ADDRESS CITY <br />Avenue N.E., Bellevue, WA 98009 <br />ZIP <br />I E LICENSE <br />W • <br />-3347 CW-AC-OI-*215K2 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />1,40 <br />r <br />❑ NEW ❑ ADDITION D ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />VALUATION OF WORK (COST OF MATERIALS PLUS LABOR) <br />o75,000- Les Schwab Tires <br />Addition of 550 S.F. New Building & Remodel Of Existing 3900 S.F. Of Building <br />USE OF allILDING <br />Retail Tire Sal es/Tire Repair <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUEAND CORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCES GOVERNING THISTYPE <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OFA PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />1iv166 <br />APPLICANTS CITY BUSINESS LIE SE NO. <br />LEGAL DESCRIPTION OF PROPERTYISHOWN SELCW OR ATTACH FOUR COPIES) <br />LOT- BLOCK OF <br />See Plans <br />PROJECTADDRESS <br />yD e (J <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOI LEI) <br />AIR COND. UNITS-H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS-H.P. EA - <br />LAVATORY (WASH BASIN) <br />BOILERS-H,P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS -TONNAGE EA <br />_ <br />KITCHEN SINK A DISP. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS-B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS-B.T.U. M <br />CLOTHES WASHER <br />I EVAPORAT VE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS-RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK SERVICE -BAR, ETC. <br />WOODSTOVE/FIREPLACE INSERT <br />SUBTOTAL <br />SUBTOTAL S <br />_ <br />PERMIT S <br />PERMIT S <br />TOTALFEE S <br />TOTAL FEE $ <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />— A/- A - <br />Z <br />LOTAREA �T <br />A/. p , <br />VACANT SITE <br />DYES ONO <br />RNST. <br />OCCUPA CYG OUP <br />NO.OF DWELLING UNITS <br />0 <br />DQ <br />N .OF STORIES <br />/ <br />MAX CCC LOAD <br />73 <br />i <br />L, I FEE L� RECEIPT NO. ?03 65 <br />o �(FEE/ FEES �7 VALUATION a �/ v <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />!�e7ez-67 <br />1T'- <br />