Laserfiche WebLink
� I� �' everett <br /> APPLICATIOIr FOR CONSTRUCTI.rN PERMIT I <br /> fMEvsrprean TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITY OF <br /> everett HEATING SYSTEM: U GAS O ELECTRIC ❑ — <br /> BUILDING DEPAATMENT <br /> 259•0810 <br /> ❑ DEMOLITION i I COM8IMATION XX BUILDING � 'MECHANICAL i i pLUMBIN(i I I SI(iN <br /> owr,En� unnnooness cnr zm PNONE <br /> Queing Com.pany 3003 W Casino Rd. Everett 98204 342-Of371 <br /> M�II�ODf1E55 CIIY 21P PIIONE <br /> TEN�ner <br /> �11CHITEGfORUE6WMER M�IL�DDRESS GIIY 21P P110NE <br /> Team Enyineerina 1107 SW Grady Wa y, Renton 3B��+�+ 226-7A32 <br /> GENERALCONTRACiOR M�RADDRESB CIIY ZIP PHdlE IiCENSE� <br /> Wright Schuchart Harbor Co. , POB 3734, Seattle 98124 342-1953 WRIGHSH219C0 <br /> IAFCIUNICALCONTMCIOR M�0.ADDNE35 CIfV ZIP P110NE IILENSE� <br /> pIIAMWOI'ONTR�GT011 YAR�DORE55 dtY IIP FIN]NE LICENSEI <br /> C1A880F M/ORN <br /> � I NEW I I ADDITION IXXpLTERATION � � REPAIR ' � UEMOLITION I I WOODSTOVE/FRPL INSERT I i BUILDINO RELOCATION <br /> coNucr rensow u+o rrwwe No <br /> co,,,,6�e�i,peexti�ug Estimate E464,000 _ Leonard Astemborski 266-3563 <br /> °E���n�"�ec��an°�`�0rearrai�ye work area (3700SF) <br /> vnoroseouseoFeunowo I HEREBV CERtIFv THAt I HAVE READ AND EXAMINED THIS <br /> Offi ce and nfa - no change —1,�I',A 1 L �I l 1 LICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> IEyLLDESCRIPTIDNOFGIkWEHTY15110WNBElOW011�TT�CHiWOC �es� -'� PROVISIONSOFLAWSANDORDINANCESOOVERNIN(3THISTVPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or e�xK a NOT. THE 6RANTINO OF A PERMIT DOES NOT Pi7ESUME TO OIVE <br /> AU7HORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW HE6ULATIN4 CONSTRUCTION Ofl THE <br />� PEHFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STAtE <br />� CONiRACTORS LAW 18.27 RCW AND 298200 WAC. <br /> SION�NREOFCp/1R�C10110N�UI110R12E0�0Ellf O�TE <br /> vra�ct�ooness � x ���to'H-iwf I /"'3�n•►'�' !� /�'�r f. PANMe/62 <br /> Bld 40-51, 3003 W Casino Rd, Everett 98204 APP�i eNrscnreu ESSLICENSENON/O SME89N�ME /o/a tj0 <br /> ��� MECHANICAL <br /> Np, TYPE OF flXTUNE OR REM FEE N0. TYPE OF EGUIPMEN7 FEE <br /> WATER CLOSET(TOtLET) � A/C-AIHNDLO UNITS-H.P. � <br /> BATHTUB ; FORCED AIH SYSTEMS-B.T.U. M E.A. ' <br /> LAVATORV(WASH BASIN) i UNIT HEAtERS-B.T.U. M i <br />� SHOWER ' CLOTHES URYERS ' <br />� KITCHEN SINK 8 DISP � VENTILATION FAN � <br /> OISHWASHER � RANOE HOOD � <br /> UUNDHV TRAY ; WATF.R NEATER ' <br /> � <br /> CLOTHES WASHER � WOOD STOVE � <br /> URINAL ' METAL FIREPLACE 8 CHIMNEV ' <br />' DRINKINd FOUNTAIN � FIREPLACE INSERT � <br /> FLO�R DRAIN HEAT PUMP ' <br />� BACKFLOW Pf7EVENTERS ; OAS PIPING ' <br />' ROOF OflAWS-RAINLEADERS E%HAUST FAN � <br /> SINK(SERVICE-BAA,ETC.) � � <br /> — � <br /> T <br /> I � <br /> 1 � <br /> I � <br /> I � <br /> SUBTOiAL S ' SUBTOTAL S ' <br /> PERMIT S � PERMIT S � <br /> TOTALFEE S ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRpiTSETBACN �IEQISETBACN SIOESEIBACN PIANGNECItNOMBEII �EE AECEIPTNO <br /> r/L1 7 S-ip <br /> ur,�xor+e ior�nee VAL�NISIIE FEES VALUATION PEE i <br /> a���o;Na � o v� �iy � so <br /> TYPEOffANISMLOW4IE IYMqCONS`IiCIIIAI ��ww¢v rn�MIrM1liMiailS - --- - ' <br /> �+�` �I �"m ..',��.� PLl1MBING <br /> ---� <br /> �g �g�p� t fqAF I,qOnlE9 �EMENt MECHANICAL � <br /> �_�__ Y N� � <br /> OCCUP JCY �C FlRFSPRNNlERS11E00 11EI�IIflIMI1�Ild! � �OUITIONALPLANCIIECK a iy,3 � <br /> AI ��� � �/ � � . <br /> I�_�_CLl,/i.�'�.c'..r.� �F� OTNER � ; <br /> � <br /> �tr:'�AVIf;qSoqlr:YlEf�3 � t <br /> ST�TE BUILDING SURCH�R6E �,5'a <br /> ;:1T/J(E BY PUNS pOveoBr CITY OF EVEHETT PUBLIC WORKS ; <br /> LOCAI SALES <br /> TA)I CODE IS 3106 TOTAL �� �43 <br />