1611 EVERETT AVE 2016-01-01 MF Import

APPLICATIC�7 FOR CONS�RUCT )N PERMIT � TO BE COMPLETED IN BLACK INK—PLEASE PRINT BUILDING DEPARTMENT HEATING SYSTEM: �j GAS ❑ELECTRIC ❑ 259-8810 I DEMOLITION I ' COMBINATION BUILDING k MECHANICAL PLUMBING ' SIGN OWNER MAILADDRESS QTV =IP PHONE AL/�N ,�E/LI�IIJ�T ,�'d'�•'� E'v�ece�-�- �ve F`e�e1-� w!�- �t4'a.o1 ��fl I7�0 fEN Ili MqILA00PE5S CITY ZIP PMONE � � �� ' � 2 s9"�3;�� A HITECTORDESIGYER MAILAD�R CIN ZIP PHONE GENERAICONTRRCTOR MAILAD�RESS CITV ZIP PHONE STAIELICENSER MECHANICALCONTRACTOP IAqILADDRESS ��iV 21P PHOYE STATELICENSE� �F`7,�IL �l/�ST.�,Q S Cai�� G 3 y �o��S t,U 7�/ r3oJ �i� ,v r�n.r e UMBIAGCONTRACTOR MAILADDRE55 CITV ZIP PHONE STATELICENS[• /�/ �� �s�in/ h 9�L13(o LLASSOF WORK / �J(� NEN' '�� ' ADDITION � I ALTERATION . . REPAIR � �..�MOLITION � WOODSTOVE/FRPL INSERT � BUILDING RELOCATION Q n CONT CT PERSON AND PHONE NO. CONTRACi PPICE OF WORN (J O� �( D � 7�� ' C � ,� DESGRIBE N09K AND SOURRE FOOTAGE INVOLVEO PROFOSE�USEOFBUILOING i HEREBY CERTIFY THAT � HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL LEGALDESGRIPTIONOFPROPERTV�SHOWNBELOWOPAI�A;MFOUNCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNWGTHISTYPEOF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR LOT _ OLOCK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE 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 BV THE OWNEH OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH — APPLIC�TION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 1827 RCW AND 296200 WAC. I�� X '��.,�� -y-qa PRQIECT PDD3"c55 9cNAlueE onr[ Li1Y BUS W ESS IiCENSE NO PLUMBINfa MECHANICAL NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE WA1 ER CLOSE7(TOILET) � � A/C—NHNDLG UNITS—H.P. BATriTUB FORCED AIR SYSTEMS—B.T.U. M E.A. LAVhTORY(WASH BASIN) � UNIT HEATERS—B.T.U. M ; SHO`NER � CLOTHES DRYERS � KITCHEN SINK&DISP ; VENTILATION FAN 71SHWASHER � RANGE HOOD , LAUNDRY TRAY ; WATER HEATER � CLOTHES WASHER � WOOD STOVE ; _ UfiINPL ' METAL FIREPLACE&CHIMNEY � DRINK!NG FOUNTAIN � FIFEPLACE INSERT ; FLOOR DRAIN HEAT PUMP , BACKFLOW PFiEVENTERS GAS PIPING � R70FDRAINS—RAINLEADERS EXHAUSTTii� UDD� ; S�NK ISEFVICE—BAR, ETC.) � � � — ' � SUB TOTAL S ; SUB TOTAL 5 — PERMIT $ PERMIT $ — — TOTAL FEE $ ' TOTAL FEE S ��— FOR OFFlCE USE ONLY: fRONTSETBACK REARSETBACK SIOESETBACK PLANC��UMBE� FEE RECEIPTNO. T usez�Ne IOTAREA VACANTSITE FEES VALUATION FEE BUILDING 7VPEOFCONiS.ALLOWABIE SYPEO(CONSiRCiUAL Octuv�.utr HOIXmriwxcuvns 49�� FLUMBING � SIZE OF B�DG. NO.OF STORIES BASEUENT MECHANICAL i OCCUPANCY IOAD FIRE SPRNKLERS REO'D HEIGHT LIMITATION ADDITIONAL PLAN CHECK � SPRINKLER i REASON FOR SPPINRLERS STATE BUILOING SURCHARGE ; INTpNEBV PLAN 1P�BY CITY OF EVERETT PUBLIC WORKS i LOCAL SALES ' TAX CODE IS 3105 TOTAL ;