Laserfiche WebLink
APPLIC.pam FOR CONSTRICTION <br />PERMIT <br />the EveMnien everett <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />25"810 TO BE COMPLETED IN INK- PLEASE PRINT <br />oft ER <br />MAIL ADDRESS <br />CITY 21P <br />PHONE <br />Seventh -day <br />Adventist-Gburch <br />4132 Federal E1.verett 9820P3 <br />252-34 8 <br />TENANT <br />PHONE <br />Seventh -day <br />Adventist School <br />4132 Federal Everett 98203 <br />252-3438 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY 21P <br />PHONE <br />Don Kirkman <br />MAILADDRESS <br />CITY ZIP <br />PHONE LICENSE• <br />GENERAL CONTRACTOR <br />Troy Davie <br />24308AIL�oth Ave.NE <br />Arlington 98223 <br />Davis DN ` 0BL <br />MECHANICAL CON TRACTOR <br />ZIP <br />PHONE <br />To be determined <br />CITY ZIP <br />PHONE LICENSE• <br />PLUMBING CONTRACTOR <br />MMLADDRESS <br />To be determined <br />CLASS OF W ORK <br />"1 <br />rl r'T <br />fl a <br />rl ncuni T.nm 1 wnnnBTOVE/FRPL INSERT <br />❑ BUILDING RELOCATION <br />LN NEW U AUUIIKJn u wlcw.a. <br />TENANT IMPROVEMENT OR INTERIOR REMODEL ONLY <br />— -- -- <br />CONTACT PERSON AND PHONE NO. <br />252-5232 <br />goy E. Lemon (pastor) <br />CONTRACT PRICE OF WORK <br />DEBCR OE WORK AND SQUARE FOOTAGE INVOLVED <br />New construction 5 0 <br />PROPOSED USE OF BUIsmi, <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND <br />THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND <br />SchoolKNOW <br />ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH <br />FTHEEP MROVISIO <br />LEGAL DEBORIpnoN OF PROPERTY( MOWN BELOW OR ATTACH FOUR COPIESI <br />4M6 <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL OF <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTIONOR THE PER• <br />LOT BLOCK OF <br />ANY <br />FORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF <br />ID PROPERTY FOR <br />CTR <br />ANI COMPLY WITHTHE STATE CONTRACTORS LAW 827 BROW AND <br />296.200 WAC. <br />SIGNATURE OF ONTRACTOR ORAUTHORIZED AGENT DATE <br />Y <br />APPLICM INt5 LIGEj ENO. AND gelINESS NAME <br />y� <br />PROJECTADDRESS <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C—AIHNDLG UNITS—H.P. <br />FORCED AIR SYSTEMS— B.T.U. M EA <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />a <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />METAL FIREPLACE & CHIMNEY <br />URINAL <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />SACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />HEAT PUMP <br />GAS PIPING <br />EXHAUST FAN <br />SINK(SERVK:E— BAR ETC.) <br />— <br />ALL <br />SUBTOTAL <br />t �' <br />SUBTOTAL 9 <br />PERMIT <br />$ <br />PERMIT s <br />TOTAL FEE <br />FRONT SETBACK REAR SETBACK <br />$ <br />SIDE SETBACK <br />PLANC <br />TOTAL FEE $ <br />CKN��U� 1 F� O REC'�� IA <br />�� <br />1SEZONE <br />LOT AREA <br />V,CANTSITE <br />RYES O NO <br />FEES`/' <br />VALUATION <br />FEE <br />BUILDING <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />ALLOWABLE/AGTUALf <br />, ( <br />� <br />PLUMBING <br />SIZE OF BLDG NO. OF STORIES MT. <br />OCG LOAD �^ <br />MECHANICAL <br />�i <br />1( <br />HEIGHT LIMITATK)N <br />OTHER <br />FIRE SPRINKLERS REOUIRiD O❑ Y�O <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />PUBLICWORKS <br />AFPLICARONACG BY PLANS AJPPPPIR BY 1 <br />/ <br />'A / <br />I <br />TOTAL <br />