Laserfiche WebLink
APPLICATI�N FOR CONSTRUCI iON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 <br /> ❑ DEMOUTION r, COMBINATION n BUILDING C] MECHANICAL rl PLUMBING fl SIGN <br /> PRWECT ADDRESS � <br /> II D9Q Foreat Court <br /> OWNER M�1ILAODRESS �iT1' ZIP PHONE <br /> Design Inv. Realty 21127 Woodinville-Snohomiah Hwy Woodinville WA 98072 481-8585 <br /> TENANT MAILAODRESS CIN ZIP PHONE <br /> ARCHI7ECTORDESIGNER MAILADW1E55 �Itt ZIP PHONE <br /> GENEfl�L CONTAACTOfi M�ILADDRESS GITY ZI!' PIIONE SiATE LICENSE� <br /> Design Inv. Realty 21127 Woadinville-Snohomish Hwy Woodinville, WA 98072 481-8585 <br /> MECH�NICALCONTRACTOR M�ILAUDHE55 CITY ZIF PHONE STAiEIICENSE� <br /> PLUMBING CONTRACTOR MAIL ADDRE55 CIiY ZIP PHONE STATE LICENSE Y <br /> Robineon Plb . Inc. 607 SE Ev Mall Wa ��26 Everett WA 98208 355-6171 ROBINP*272C2 <br /> CONTMCT PRICE OF WORK <br /> g�4an.nn HEATING SYSTEM: f-1 GAS n ELECTRIC f� <br /> DESCRIBE WO�N AND SOUARE FOOTAGE INVOWEO CONTACT PERSON AND PHONE NO. <br /> s rinkler s stem <br /> I HEREBY CERTIFY THAT I HAVE REAU AND EXAMINED THIS <br /> FROPOSED USE OF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN nfl <br /> LEG�LDESCRIPTIONOFPROP£RTYISNOWNBELOWOR�TTACNiWOCOPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or BLOCK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PMCEL TN(I.D.NUMBEH CONTRACTORS LAW 1827 flCW AND 298200 WAC. <br /> CONSTRUCTION LOMI LENDER.IIDDAE55.TELEPXONE NUMBER x II �rJ/ / <br /> SIONATURE vpA7�� <br /> CITV BUSINESS LICENSE NO. <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FlXTURE OR REM FEE NO. TYPE OF EpUIPMENT FEE <br /> WATERCLOSET(TOIIEn � A/C—A/HNDLOUNITS—H.P. � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; . <br /> LAVATORV(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNIT HEATERS—B.T.U. M � <br /> KITCHEN SINK d DISP i CLOTHES DRYERS ; <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRYTRAV ; RANGE HOOD ; <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAL ' WOOD STOVE ; <br /> OHINKING FOUNTAIN � METAI FIREPLACE(WOOD BURNING) � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ; <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE � <br /> ' GAS PIPING <br /> i EXHAUSTFAN � <br /> � � <br /> SUB TOTAL $ ; SUB TOTAL 5 ; <br /> PERMIT $ i PERMIT S � <br /> �— <br /> TOTALFEE S ' TOTALPEE S � <br /> FOR OFFICE USE ONLY: <br /> FRONTSET9ACK PEARSETB�CK SIDESETBACK PUNCIIECKNUMBER FEE RECEIPTNO. <br /> USE 201:E LOT APEA VAGINT SITE F ES VALUATION FEE <br /> -T <br /> - f1YE5 fl NO BVILDING i <br /> HEIGHTLIMIT�TION NO.OFUWELLJNG SIZEOFBLDGRI � <br /> UNIfS PLUM9ING i <br /> _-+_ <br /> OGCp�PANCY NO�f STOWES OCCUP�NT LO�D BASEMENi M[CHRNIf,AL � <br /> flYES fl NO ' - � <br /> FIRE AURM REO D HE�SON ADOITION4L PIAN CHECK � <br /> T <br /> OTHEF (18 Heads) 20 � �0 <br /> FIRE SPRINKLER REO'D HEASON i <br /> STA1E BUIl01NG SURCHr1RGE i <br /> T <br /> TYPE OF f,ONST PLr�NS APPROVED BY CITY OF EVERETT �IiBI lf,WOfiKS � <br /> �� LOCAL SALES - � <br /> oaTe TAX CODE IS 3105 TOTAL 20 I00 <br />