2601 EVERETT AVE 2016-01-01 MF Import

APPLICATIQ�1 FOR�CONSTRUCT"1N PERMIT � 1`j v!�-�1�NS PC3�11 i-I�'� G74 �� y�PLETED IN BLACK INK—PLEASE PRINT ( � BUILDING DEPARTMENT HEATING SYSTEM: ❑GAS U ELECTRIC ❑ 259-8810 ' � DEMOLITION � i COMBINATION I I BUILDING I�I MECHANICAL KPLUMBING I I SIGN ONTlER MN�ADDRG55 CRY ZIP PHONE Gw�.zesYL. T�s�.,-�s�'�S 26 G l �✓a�c�Tl`R✓e� �d 2z�' 1ENnN1 M4ILAODRESS CITV ZIP PHONE �qC1117EGT OR DESIGNEfi IANL AODfiF.55 CITY Zlp PHONE GEN[MICONfR�CiOR MMLAODPESS CITY ZIP PNONE STATEIICENSEt 61CCII�NIC4L LONIR�CIOR AIMI�ODf1E55 QTY ilP pHONE SUTE LICENSE I PLUMOING CON RACTOP MML�ODRESS CITY � 21P PNONL STATE LICENSE/ P �e�,,e.k PC�� po, 6�xsz9 Nt�,��s�,ll� 98270 ��-2�a Pz�.eNPri�-�mg CLASS OF WO K - � � NEW �ADDITION I I ALTERATION I I REPAIR C I DEMOLITION I I WOODSTOVE/FRPL INSERT I.] BUILDING RELOCATION CONTACT PERSON AND PHONE NO. CONiR4CT 1'RICE Of WORN �ESCRIBE WOPN AND SOOARE FOOTAOE INVOLVEO Paoroseouseoveuaoiuc . I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT.AlL LE3AL DESCNIP110N Of PROPERTY�SHOWN OELOW Ofl ATTACH FOUR COPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH WHETNER SPECIFIED HEREIN OR ior o�ocK oF NOT. THE ORANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFOHM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. X� � 3-i-9s PROJEGi/1D�HE55 SaNel RE w1E O/ ✓E+ C�YBUSWESSu PLUMBING MECHANICAL NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE _� WATER CLOSET(TOILET) � A/�IVHNDLG UNITS—H.P. �— BAiHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. � � _� LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M ; SHOWER � CLOTHES DRYERS � KITCHEN SINK 8 DISP � VENTILATION FAN ' DISHWASHER � � RANOE HOOD � LAUNDRVTRAY � WATER HEATEA � CLOTHES WASHER � WOOD STOVE ' URINAL ' METAL FIREPLACE 6 CHIAINEY �— DRINKING FOUN7AIN ; FIREPLACE INSEFlT ; FLOOR DRAIN � HEAT PUMP i BACKFLOW PREVENTERS � GAS PIPING ' r ROOF DRAINS—RAINLEADERS � EXHAUST FAN � � SINK(SERVICE—BAa,ETC.) ; � � ; � �-- � , � , � , SUB TOTAL $ � SUB TOTAL $ ' PERMIT $ � PERMIT $ � TOTAL FEE $ ' TOTAI FEE $ � FOR OFFICE USE ONLY: FRONTSEI��CK REARSEiB�CK SIDESETBACK PLANCHECKNUMBER FEE RECEIPTNO. use zoNe �or nr�en VACANT SITE FEES VALUATION FEE BUILDING � � 7YPFO�LONISALLOWABLC IY{'EOfCONSI.�t10AL acuru�cr Mp.ppAIIuxcU9n5 � �p�P PLUMBING I I 52EOFOLDG. NOOFSTORIES BASEMENT MECHANICA� i _ � OCCUPANCY IO�U FIIIE SI'RNKLERS REO'U HEIGHT LIMITATION ADDITIONAL PLAN CHECY, i i SPRINKLER i n�nsorv Fon sanir�e�ens STATE BUILDING SURCHARGE � INiANE OY r�nNs nrrnoveo nr CITY OF EVERETT PUBLIC WORKS � LOCALSALES ' TAX CODEIS 3105 rora� ;