Laserfiche WebLink
APPLICATI�M FOR CONSTRUCT�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> _ S�P1�� 3- <br /> BUILDING DEPARTMENT �HEATING SYSTEM: J GAS ELECTRIC J __ ���� <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL ! PLUMBING SIGN <br /> OWNER MniL AD[1RF.55 CITY 21P P4pNE <br /> RAO PARTNERS 659 Muckleshoot Circle La Conner WA 98251 (206)466-5555 <br /> iF.N4NT MMLRDORE55 CiTV ZIP iMONE <br /> �RCHrtECTORDE5IGNER MAIL�P�RFSS CITV 2iP "HONE <br /> PAUL DRAG 659 Muckleshoot Circl�_ La Conner, WA 98257_ (206)466-5555 6233 _ <br /> GENERRLCONiR�CLOR MMI RO'�R[55 CITY ZIG VIqNF ST�lE UCPI511� <br /> owner __ __ __. <br /> MEGN�NIC�ICONiR�GTOR M�IL��OPESS Cliv 21P VNONF. Si��E1.C[hSE� <br /> ❑WMBINOCONTR�CTOP M�IL�DCRESS CIiY 11P PNONE ST/TElI:E115E� <br /> GONTR�CTPRICEOFWO < - --- ------- <br /> n/a <br /> oesc eFwoRKr�o naeF u eir�v��nQS Wtth a total Of c�'�q�yas�r���cvo�206) 466-5555 <br /> Cons`�ruct �_Y un� Y�u _ _______ _____ <br /> 22,590 square feet. _ __ ___. __ __ <br /> _ i HEREBY CERTIF� THAT I H,4VE READ AND EXA111NED THIS <br /> rno os ouse pv eunnn� APPLICATION AND KNOW THE SAME TO BE TRUE ANU CORFlECT.ALL <br /> RIUS t�fami ly residential PROVISIONS OF LA1VS AND ORDIIJANC[S GOVEFININO 1HIS TVPE OF <br /> IEG�Lr��ESLRIPTIONUFPROF3RTY�SNOWNBEIOWORATL�CNM'OCOi'IES� WORK WILL OE COIAPLETED W�TH WH[THEH SPECIFIEp HEREfN OR <br /> ioT L� - BIOCN ov BeVEP� IIORI2S{LES _ NCT. THE GRANTING OF A PE'9MIT DOEFi NOT PNrSUNE TO GIVE <br /> — AUTHORIiV TO VIOLATE OR CANCEI TNE PROVISIONS OF ANY <br /> Di V. N1, according to P�8t5 therof recorded OTIiER STATF OR �OCAL LAW REGULATING CONSTFU(:TION OF THE <br /> -- --'Cppq�� PERFORMANCE OF C UCTION.THAT I AM AUTHCRIZED BY iHE <br /> in �0� . 1� Of P�8t5 page �4 record of Snohomish OWNER OF 7HIS P PE V TO PfRFORM THE WOPK I"OR WHICH <br /> ----- APPLICATION B M E AND I COMPLY WITH THE STATE <br /> P�RCEL T�N i D NUAIflEF � Q��IT RS I. 27 RCW A 296200�NAG. <br /> 3935-D00-029-0001 ^ / r_ <br /> CONSTRUCTI LO�NIFNDER.�UDRESS TELELHONENUM�ER ds �9t�� P' t 6jj/�fr9� <br /> Interna�onal Bank 9709 3ra Ave. t 9 8� � � � L <br /> PROJECTADDRESS � s"""' ^F -- o„F <br /> (�5 West C�sino Road ��.A��S��Fs�����s � -- <br /> PLUMBINO �IECNANICAL <br /> NO. TYPE OF FINTURE OR ITEM PEE NO. TYPE OF EOUIPMENT FEE <br /> T <br /> � WATER i'LOSET(TOILET) � A/C—A HNDLG UNITS—HP. _ __ <br /> BA7HTUi1 FORCE 0 AIR SVSTEMS--B.T.U. _ M E.A. __y__ <br /> LAVATOF V(WASH BASIN) i UNIT HcATERS-8 T.U. I�A � <br /> — — — --T— <br /> SHOWE.F _ � CLOTFESDRVERS __ _ _ <br /> KITCHF.N SINK 8 DISP VENT4AilON FAN _ _ f <br /> DISHWAS��ER RANCiE HOOD ____ � <br /> LAUNbRV TRAV � _ WATIER HEATER __ __ ___i_. <br /> CLOTHES rVASHER WIX1D STOVE _�_. <br /> UFIN4L MEIAL FIREPLACE(WOO�BURPIING) _�_ <br /> DRINKINGI'OUNTAIN ___ __ FIR2:PLACEINSER7____ _�__ <br /> FLOOR DR/JN � HEAT PUMP _____ ' _ <br /> BACKFLOW PREVENTERS GAS PIPING ___ � .__ <br /> qOOF DRAINS—RAINLEADf:RS _ _ E%HAUST FAN ___ _ __ <br /> SINK(SERVICE—BAR.ETC.) _ _ _ _.--- -i-- <br /> ___ �� �T� <br /> _� ` T <br /> SUB T07AL E ; _ SUB��OTAL S _� <br /> PEFIMIT E r PI_RMIT S <br /> TO'fAL F2E E TOTAL FEE S <br /> FOR OFFICE USE ONLY: � �'`���' � <br /> FRONTSI"-TBALN NE�RSETB�CN SIDESETB�CN PIANCNEGANl11ddER �EF. RECEiPINO <br /> oZQ ZU � s'��.� �� �J�_ <br /> use ie wreae� vecnNrsite FEES VALUATION FEE <br /> � �3 �� ��j S � Pj YES � NO Bui�DiNG��✓ �,�0, h�� �3?, �J r�D3o`L C�v � <br /> IYVi Of CON51 NO 0 TORIES atuo�w+ xa w ow¢uxcvh�*S <br /> I � � ���"'� �Z PLUMBINC <br /> ✓ <br /> SiTEOFOtU: I!RfS�N�NNlEFSREOD B45E MECHANICAL ' <br /> �S - VES � � NO — L— <br /> OCCUP�N69 LO�O FIR,/E AI�RM RE00 NE�GNT uMITnt10N ADDITIONAL PIAN f,HECN <br /> / ES J'� OTHER <br /> ne�sor� <br /> STAiE BUILDING SURCHARGE � ^ <br /> INT�NE BY PUNS �ROVED BV CITY OF EVERETT PUBLIG WORK$ <br /> �%� LOCAL S11LES <br /> nnrc [�_ '� � _9 TAX CODE IS 3105 TOTA� �v 3' � / / <br />