Laserfiche WebLink
9U'l�� <br /> AP�LICI�TI�"''i FOR CONSTRUCT`�N PERMIT <br /> G P TO BE COMPLETED IN BLQCK INK—PLEASE PRINT � <br /> � <br /> BUILDING DEPARTMENT HEATING SYSTEM: �GAS ❑ELEGTRIC ❑ <br /> �59-8810 <br /> ❑ DEMOLITION ❑ COMBINATION X] BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWHER MFILADDRE55 CITV ZIP PHONE <br /> MGMAR_ WA T.imitad PartnPrshin 'i90-lORth Avo N_F. Rallam�a J$Qfl4 453 0324 <br /> TENANT MAILADDRE55 CITV ZIP PHONE <br /> StyleSetters, Inc. P.O. Box 2327 Everett 98203 348 3883 <br /> HRCNITECTORDESIGNER MAILADDRESS QTY ZIP PHONE <br /> Tim Burpee Same as St�;leSetters <br /> GiNERAI.CONTRACTOR MAILAODRESS /'�TV ZIP '/ PHOA J� TATELICECNSEY <br /> No selection at this time ���(�y�,�. ��Z�1 �G,��OG�G UC C� �� <br /> MECHANICA'_CONT9FCTOR MAILADDRE55 CITV 21P PHONE STATELICENSEp <br /> ------- �' a�- 9�1 � � 20 lo l024�-1/771j <br /> PWMBINGCONTRACTJR MAILADDRES. qTV ZIP PHONE STATELICENSEO <br /> ------- T�'�- (� !' O Z � �10 o n <br /> CONTflACT PRICE OF WORK <br /> $15, 500.00 <br /> DESCRI9E WORN AND SOUAflE FOOTAGE INVOLVED CONTACT PER504 AND PhONc N0. <br /> 1Jon structural re for relo at 'on f A1 Strand 450 2409 <br /> ±:etail space to a 1440 sq. foot space two doors <br /> no,-«_�___,�. <br /> caithin new space. • <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSEDUSEOFBUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORiiECT.ALL <br /> S}lo in Center 0xlStin PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGP:DESCRIF•TIONOFPROP[RTV�SIIOWNBELOWORA7TACHTWOCOPIES) WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT — BLOCK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> See attached OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR�iHE <br /> PERFORMANCE OF CONSTflUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PA7CELTA%I.D.NOMBEq CONTRACTORS LAW 7827 C AND 296200 WAC. - <br /> 4.102 - 000 - 001 - 008 <br /> CONSTRUCTION LOAN�ENOER.ADDRESS,TELEPHONE Nl'MBEP <br /> Owner Financed _ 5/4/y3 <br /> PROJECTADDHESS sic une oeie <br /> 4823 Evergreen W3y CIiYBO5iNE55ULEN5EN0. � <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WAT[R CLOSET(TOILET) � A/C—AIHNDLG UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SYS7EMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M � <br /> SHOWER ' CLOTHES DRYERS � <br /> KITCHEN SINK 8 DISP � � VENTILATION FAN ; <br /> � DISHWASHER � RANGE HOOD � <br /> LAUNDRYTRAY ; WATERHEATER " <br /> CLOTHES WASHEP. � WOOD STOVE � <br /> URINAL ; METAL FIREPLACE(WOOD BURNING) ' <br /> DRINKING FOUNTAIN � FIREPLACE INSERT � <br /> FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN � <br /> �SINK(SERVICE—BAR,ETC.) ; � <br /> � � <br /> � � <br /> SUB TOTAL $ ; SUB TOTAL $ ' <br /> PERMIT S � PEFMIT 5 � <br /> TOTAL FEE $ ; TOTAL FEE $ ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK RE�=���� � S�OE SETBACK PLAN CMEOCK�NJJMBER FEE''I ' � RECEIPT NO. <br /> y / � 6 <br /> USEZONE LOTAREA VACANTSITE � FEES VALUATION FEE <br /> Z. ❑ YES NO BUILDING �5 � � �7 �`-' <br /> TVPEOFCONSL NO.OFSTORIES o[cuaai�cr xo.arow[wxeuxrts i <br /> '/7'rN ' �"W° � PLUMBING i <br /> 11 1 �� <br /> SIZEOFBLDG. FIFESPRINKLERSREO'D BASEIAENT MECHANICAL ' <br /> I�'0� . I • �- ��7f l5�T1M� ❑ YES ❑ NO � <br /> ADDITIONAL PLAN CHECK � <br /> OCCUPANCYLO�D ' FIREALARh1FE0'U HEIGMTLIMITATION � <br /> i <br /> OTHER � <br /> . PEAS N �/ �/� <br /> n,,,n���j� CV(�� ��'��.��ct��-,� L���s��t TATE BUILDING SURCHAFGE y c� <br /> !.MW � <br /> INTAKEBY PLANSA{'PROVEDBV CITYOFEIIERE7T PUBLICWORKS �— <br /> JM LOCAL SALES <br /> DATE �� � TAX CODE IS 3705 TOTA� �7S ;S(� <br />