114 FOREST CT 2016-01-01 MF Import

� -- APPLICATIOrd FOR CONSTRUCT�ON PERMIT CITY OF EVERETT•BUILDING DIVISION 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 f7 DEMOUTION f-1 COMBINATION fl BUILDING �1 MECHANICAL rl PLUMBING fl SIGN PROJECT ADDRESS f ' 8 M U�c.r�n �c,v� OWNER MMLA�DRE55 Cltt 21P PHONE ��Cx.�C £cL G�a � 222 £Ir �c.cR' QQ2a� 3S� 88 3'3 TENANT MAIIADDRE55 CITV 21P VHONE �HCHITECTORDESIGNER MAILA��PE55 GITY ZIP PHONE GENERAL CONTRACTIXi MAILAOURESS CIiY 21P PNCNE STATE LICENSE� 5�€ 1 < < c �< < � MECHRNICRLCONTRACTOR MAI�AODRE55 CITY 21P PHONE STATEUCENSE� PLUMBING CONTRACTC� MRIL ADDRE55 CITY ZIP pHONE STATE LICENSE• CONTR�CT PRICE OF WORN HEATING SYSTEM: pd GAS Cl ELECTRIC f l DESCRIBE WORK AND SOUARE FOOTAGE INVOLVED CONT�CT PERSON AND PHONE N0. Q kc�c 35r7-s'87� 3-8833 q 1 �L I HEREBY CERTIFY THAT I HAVE READ ANU EXAMINED THIS crroroseo SE OF BUILOING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND OFlDINANCES rpVERNING THIS TYPE OF LECv1LDESCRIPTIONO�PqOPEPiY�SHOWNBELOWORATTACHTWOCOPIES� W�RK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN pR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE �ot�,_e�ocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTflUCTION OR THE /1!�/'L PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOqIZED BV THE OJJNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHIf,H APPLICATION IS MADE AND I CCMPLY WITH THE STATE PARCELTA%I.D.NUMBER CONTR RSLA 1B. CWAND'296200WAC. CONSTRUCiION LO�N LENDER.ADDRESS.TELEPHONE NUMBER xCRI�`;��L�A� II�'I/ �7 J 61 IITURE � OATE CITY BUSINESS LICENSE NO. PLUMBINd MECHANICAL NO. TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF�ECUIPMENT FEE WATERCLOSET(TOILET) � A/C—q/FINDLGUNITS—H.P. � BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. � LAVATORY(WqSH BASIN) � HEAT PUMP , SHOWER � UNITHEATERS—B.T.U. M � _ KITCHEN SINK&DISP i CLOTHES DRYERS ' DISHWASHER � � VENTILATION FPN � LAUNDRYTRAV ; RANGEHOOD CLOTHES WASHER � WATER HEATER , URINAL � WOOD STOVE � DRINKING FOUNTAIN ; METAL FIREPLACE(WOOD BURNING) � FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) —�— BACKFLOW PREVENTERS ; GAS PIREPLACE i SINK(SERVICE—BAR,ETC.) � GAS RANGE , ' GAS PIPING � i EXHAUST FAN , � � i , i , � , SUB TOTAL $ � SUB TOTAL $ � i PERMIT $ , PERMIT $ i TOTALFEE S � TOTALFEE $ � FOR OFFICE USE ONLY: FRONTSETBACK qEARSE7BRCN SIDESETBRCK PlANC11ECNNUMBER FEE RECEIPTNO. USE20NE �OTFREA V/CRN�SITE FEES VALUATION FEE IIYES fl NO B111L01NC � i HEIGHT LIMITATION NO (M D'YELLING SIZE OF BI�GRI � UNI�S � PLL'MBING � � OCCUP�NCY NO Of$10PIE5 OCCUPANT LOAD BASEMENT MECNnNICAL � GPOUP f1YE5 17 NO - i FIRE At�HM PEO'D RF.r150N AODI110NAL PLAN CNFCN _--i- OIIIER � FIRE SPRINKIER REO'D qF.ASON � STATE BULLUMG SURCHARGE TYPE OF f,ONST PLANS APPROVED BV CITY OF EVERETT �IIALIC WORNS LOCALSALES on,E TAX CODE IS 3105 TOTAL ;