7705 EVERGREEN WAY FASHION BUG 2018-01-02 MF Import

APPLICATIC.A FOR CONSTRUCT". PERMIT everett TO BE COMPLET':D IN INK —PLEASE PRINT fA tho Evergreen CITY CIF everett HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ i BUILDING DEPARTMENT !j 259.8810 ❑ DEMOLITION 1 1 COMBINATION I I BUILDING I MECHANICAL 11 PLUMBING I-1 SIGN PLUMBING CONTRACTOR MAIL ADDRESSCITYCITY ZIP PHONE LICENSEI CLASS OF WORK 7/-�,� fl,— , / 'Ilk, f c, T' I , , L �� ❑ NEW EI ADDITION 1 ALTERATION I I REPAIR I 1 DEMOLITION I 1 WOODSTOVE/FRPL INSERT ❑ BUILDING RELOCATION CONTACT PERSON AND PHONE NO CONTRACT PRICE OF WORK —7, L'� DESCRIBE WORK AND SQUARE FOOTAG INVOLVED PROI'OSEDUSEOFBUILDING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS / APPLICATION AND KNOW THE SAME TO BE TRUE AND CORPECT ALL r„j P7 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYFE OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR LEGAL DESCRIPTION OF PROPER (SHOWN BELOW OR ATTACH FOUR COPIES) of NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE LOT.. BLOCK AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. SIGNATURE 7 CCNTRACTOR OR AUTHORIZED AGENT DATE X LICENSE NO.AND BUSINESS NAME PROJECT ADDRE SS APPLICANTS CITY BUEIYESS PLUMBING MECHANICAL NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET) ; A/C—AIHNDLG UNITS—H.P. BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. ' _ LAVATORY (WASH BASIN) UNIT HEATERS—B.T.U. M SHOWER CLOTHES DRYERS KITCHEN SINK R DISP i VENTILATION FAN DISHWASHER ' RANGE H000 ' LAUNDRY TRAY —r ; WATER HEATER CLOTHES WASHER WOOD STOVE ' METAL FIREPLACE R CHIMNEY URINAL DRINKING FOUNTAIN FIREPLACE INSERT FLOOR DRAIN ' HEAT PUMP ' _ BACKFLOW PREVENTERS GAS PIPING ROOF DRAINS—RAINLEADERS EXHAUST FAN_ SINK (SERVICE —BAR, ETC.) ; ; SUB TOTAL $ SUB TOTAL $ , PERMIT $ PERMIT $ ' TOTAL FEE $ ' TOTAL FEE $ ' FUH UFFIGt UJC UNLIT: RECEIPT NO. _ FRONTSETBACK REAR SETBACK SIDE SETBACK PLAN CHECK NUMBER FEE FEES VALUATION FEE__� USEZONE LOT AREA VACANT SITE ; BUILDING TYPE OF CONTS. ALLOWABt E TYPE OF CONST. ACTUAL GCCGP/I.CY NO aDABONGUNIiS ' .nOUP PLUMBING MECHANICAL ' SIZEOF BLDG. NO, OF STORIES BASEMENT ADDITIONAL PLAN CHECK ; OCCUPANCY LOAD FIRE SPRNKLERS REO'D HEIGHT LIMITATION ; OTHER -----------------_ STATE BUILDING SURCHARGE ; REASON FOR SPRINKLERS PUBLIC WORKS i INTAKE BY PLANS APPROVED By CITY OF EVERETT LOCAL SALES — TAX CODE IS 3105 TOTAL ;