Laserfiche WebLink
APPL,ICATIC-'1 FOR CON�TRUCT'�)N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATING SYSTEM: ❑GAS 3�j ELECTRIC ❑ <br /> 259-8610 <br /> X7 DEMOLITICN ❑ COMBINATION �I BUILDING 17 MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAILADDRESS CITV ZIP PHONE <br /> E.B.C. Associates P.O. Box 1179 Stanwood, W� 98292 (206) 629-4536 <br /> TENAN" MALLAOORE55 CITV 21P PHONE ' <br /> Social Securitv 8625 Everareen Way #108 Everett Wa. 98203 (206) 348-0437 <br /> ARCHITECi OR OESIGNER h1FIL A�DflESS CITV ZIP PMONE <br /> II� Connell Desiqn Group 6920 220th SW #204 Mt Lake Terrace Wa 804 670 6706 <br /> GENERALCONTRACTOR 61AIL�ODRESS CITV ZIP PHONE STATELICENSEtl <br /> Owner <br /> MECHANICFLCONTFFCTOR MAILAODRESS CITV ZIP PHOHE STATEUCENSEk <br /> N/A <br /> PLUM�INGCONTRFCTOF MNLq�DflE55 CITY ZIP PHONE STATEUCENSEtt <br /> N/A <br /> CONTRACT PRICE OF WORK <br /> Approx $8500. 00 <br /> � DESCFIBc WORK AN�SOUARE FOOTAGE INVOWED CONT4CT PERSON AND PHONE N0. <br /> Need To Increase S ace b a rox Gre Welch 6294536 <br /> _#2000 Sq ft ooen area up by demo of <br /> a few walls <br /> I HEREBY CERTIFY THAT ! HAVE READ AND EXAMINED THIS <br /> PROPOS[U USE OF BOILDING APPLICRTION AND KNOW THE SAME TO BE TRUE AND CORRECT,ALL <br /> Of f ice PROVISIONS OF LAWS AND ORDI�!ANCES GOVERNING THIS TYPE OF <br /> LEGAIDESCRIPTIONOFPFOPERN�SHOWNBELOWORAiTACHTWOCOPIES) WORK WILL BE COMPLETEO WITH WHETHER SPECIFIED HEREIN OR <br /> �or e�ocK oF NOT. THE GRANTItv3 OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> Se@ Attached OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PP,OPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE SThTE <br /> PARCELTA%I D NIIM�ER CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> 132804-1-047-0002 <br /> CONSTRUCTION LOFN LENDER,ADORE55.TEIEPHONE NUM9ER <br /> ��A ��„ �I-/7- 93 <br /> PROJECTADDRESS s:ennrune � oprE <br /> 8625 Evergreen Wa �,,,a�s�„Ess���<<:,�„o <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) � AIC—A�'HNDLG UNITS—H.P. <br /> BATHTUB ; FORCED AIR SVSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WqSH BASIN) � UNIT HEATERS—B.T.U. M ; <br /> SHOWER � CLOTHES DRYERS � <br /> KITCHEN SINK 8 OISP - ; VENTILATION FAN <br /> � DISH'JJASh1ER � RANGE HOOD , <br /> LAUNDRY TRAY ; WATER HEATER <br /> CLOTHES WASHER � 'NOODSTOVE ; <br /> URINAL Iv1ETAL FIREPLACE(WOCD BURNING) � <br /> DRINKING FOUNTAIN � FIRcPLACE INSERT ; <br /> F100R DRAIN � HEAT PUMP <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN ; <br /> SINK(SERVICE—BAR,ETC.) � , <br /> � <br /> � � <br /> � � <br /> I —' <br /> � <br /> _ SUB TOTAL S ; SUB TOTAL S <br /> PERMIT $ � PERMIT $ ' <br /> TOTAL FEE S ' TOTAL FEE 5 � <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACK REARSETOFCK SIDESETBACK P�ANCHECKNUM�ER ;EE � RECEIPTNO. <br /> � �`7� I�I � 22 � � � '2� <br /> USEZONE LOTAREA vncanrsiTE FEES VALUATION FEE <br />� �- 8�D � ' - <br /> TYPEOFCaNSi NO.OFSTONES C � YES C� NO BUILDING � i _ <br /> CCCPAHCY p�-0i�'.VELLR:GWi115 _ <br /> i � Ai0 GN�YJUb'� G�°" � PLUMBING � <br /> SREOFBLDG, FI SPRINKLERSREO'D BASEME�IT MEGHANICAL <br /> ❑ YES ❑ NO <br /> OCCl1PANCYLOAO FlR�FLY�R/IREQ'D HEIGMTLIMITATION AD�ITIONALPLANCHECK <br /> �� '--_ <br /> OTHER <br /> REASON __ � <br /> STATE BUILDING SUfiCHARGE ;� <br /> INTAKEOY PLANSAPPROVEDBY CITYOFEVERETT PUBLICWORKS i <br /> �M LOCALSALES ' <br /> DATE �� .� TAX COD[IS 3105 T�TA� �. � � � I—� <br />