Laserfiche WebLink
, ... . . .. . .,... ... ... . . .. . ... ... ..v_... .._. . . ,.. . . _ . <br /> APPLICATION FOR CONSTRUCTIVN PERMIT <br /> everett <br /> „�E.B,,,ae� e <br /> CITY OP <br /> everett <br /> BUILDING DEPARTMENT <br /> 259 8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> ocl DEMOLITION I I COMBINATION 1 1 BUILDING I I MECHANICAL i I PLUMBING I I SIGN <br /> OWNER AUILADDRESS dTY ZIP R10t1E <br /> John E. Hughes, D.D.S. , P.S. 3430 Colby Ave. , L�rerett, WA 98201 259-0125 <br /> TENANT MAILADDPE55 CITY ZIP PNOIIE <br /> APCHITELTOR�ESIGNER MRiLAOUPESS CITY ZIP PIIONE <br /> Falken Forshax, 1510 i2th Street, �lrerett, UA, 96201 252-44y1 <br /> GENER�LCONTH�CTOR UNRADDRE55 CITY 2iP PIaNE UCEI/SE1 <br /> ���A��r� <br /> MECHANiC�LGONTPACTOR MRILAUDNE55 CItY ZIP PMONE LICENSE� <br /> PLIIMBMaLONTRACTOfl M�ILADDflESS CIiY ZIP FIIONE LICENSE/ <br /> GLASS OF WORK <br /> I I NEW f I ADDITION I.1 ALTERATION I I REPAIR L%I DEMOLITION I I WOODSTOVFJFRPL INSERT I I BUILOING RELOCATION <br /> TENANT IMPflOVEA1ENT Ofl INTERIOP REAIWEL ONLV CANTACT PERSON AND PNONE NO. /� <br /> CONTR�CTPPILEOFWON(: _ �G�1.n_�'�UhI�PI p..S7 `DIr2S <br /> OESCPIBEWOHKN105W�REPOOTRGEINVOLYCO � � <br /> Uemollsh tNo franw c6ruclmre�� 1�0 :;q, ft. <br /> I rnoro5eouseoFouiionw � I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> � IEGALDESCRIP710NOFP00PER1V(SMOWNBEtOWOOATTACIIFW(ifAPIES) <br /> � ip���18�19�2Qi�K B23 op 1'18f, of (Werett WORK WILL �E COMPLETED WITH WHETIIER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PEFA7IT DOES NOT PAESU�AE- TO G�VE <br /> ' AUTIIORITY TO VIOLATE OR CANCEI THE PROVISIONS OF ANY <br /> Division A OTHLR STATE OR LOCAL LAW HEGUTATING CONS7RUCTION OR THE <br /> / PERFORMANCE OF CONSTRt1CTION.THAT I AM AUTHORIZED BY THE <br /> 3�I Z I C ' I b � �r ApP 1CA IONISS RMA ET A DPE CO PLY WI OH KTHEfl 8TA'TE <br /> l, �J CONTflACTORS LAW 1827 RCW AND 296.200 WAC. <br /> aN.N 31 Z�/z•IZ� CuI�L' Sh:NAIUREOFCINI7ROG�f1AUi1lORIZ[OAGENT GA1E ��y y/ <br /> v'i n <br /> \/,�,�,� `. ..�.,� A)� �`iT`l'i:ll i"X•!��i�i DWYilE6�� <br /> ��{�U c'-C�(.�9 g� X i- ��L�i L-�. /ly �c...� Uu�.1 <br /> PROJ GT A�ORE55 d�� �� 2' <br /> ��•�.Q�^�y�- �"( C � 72J APPIIC�NTSCIlYDU51NE5S110EN5ENOANpOl151NE55N4ME <br /> '! I li'(Z' <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TVPE OF E�UIPMENT FEE <br /> WATEFCLOSLT�TOILET) � AIC—A/HNDLGUNITS—H.P. T_ <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. —;— <br /> LAVATORY(WASH BASIN) � U�IT IIEATERS—B.T.U. M �_ <br /> SHOWER � CLOTfiES DRYERS <br /> � KITCHEN SINK 8 DISP i VENTILATION FAN i_ <br /> DISNWASHER RANGE 11000 � <br /> � LAUNDRYTRAY � WP•fEflHEATER ' <br /> CLOTHES WASHER —'— WUOD STOVE � <br /> URINAL ' METAL FIREPLACE 8 CIiIMNEY ; <br /> � DRINKING FOUNTAIN i PIREPLACE INSERT ; <br /> FLOOR DRAIN --�— IiEAT PUMP _ �- <br /> � BACKFLOW PREVENTERS ; GAS PIPING _�_ <br /> ROOF DfiAINS—RAINLEADERS � EXIiAUST FAN � <br /> ISINK(SERVICE—BAR,ETC.) ; �— <br /> � � <br /> -- —,— <br /> — � <br /> , .— � <br /> i � <br /> --�— <br /> i � <br /> SUB TOTAL $ ' SUB fOTAI $ ' <br /> PERMIT S --� PERMIT $ �._ <br /> TOTALFEE 8 ' TOTALFEE 8 ' <br /> fRONTSETBACK REAp5ET0ACN SID[SEiOFCK PIFNCII'CNNIIldBGR fCE RGGCIPTIlO <br /> ....— -I�1��--- �1 I Z[c 3 - <br /> usE zor+�_ � �oT�nEn WCANT SIIE FEES VALUA710N FEE <br /> I I YES I I NO BuaDiNG � <br /> � <br /> TYPfOFfANSfAlOW�BIE lYPEOFLON5I.�CID�L Ouur�xcr xouo'mw�wuuns � <br /> 4RWP p�UMBING � <br /> ��— <br /> 1 <br /> siieoro�oo. �+o.oFsionie� DAiGMENT MLCIIANICAL ' <br /> 1 I YES I I NO — — — —�— <br /> OCCUPANGY IOAD FIRE SPANNLERS REO9 HEIGMT LIMITATION dTl IER <br /> I I YES LJ NO STATE OUILDING SURCHARGE ; <br /> ❑E�SON FOR SPRIHNLERS -----�� <br /> STATEENEflGYSURCHAHGE � <br /> i <br /> APM.ICRTIOHACC.9Y PUNSAPPflOVE110Y CITY OF EVERETT pl1UlIC WORKS <br /> LOCAL SALES <br /> TAX CODEIS 3105 rorn� <br />