Laserfiche WebLink
APPLICATIC-I FOR CONSTRUCT'IN <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />PERMIT OL <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />boLDING DEPARTMENT <br />259-8810 <br />❑ DEMOLITION Li COMBINATION ❑ BUILDING ZIP <br />MECHANICAL ❑PLUMBING <br />CITY p HMONE <br />OWNER MAIL ADDRESS I�Z EVe.'2E'l"i <br />TITAJyI L A -Is lA7L�< nN+t ( u.TtY EVEkEri ZIP PHONE <br />TENANT MAIL AODflESS <br />.A ram. - C, lmr c Cm.iC Ilia <br />ZIP PHONE STATE LICENSE# <br />GENERAL CONTRACTOR MAILADDRESS 10" SWICING Sr CITV <br />SEAi'Ci-E <br />1 PDCE Cf2l,L-rcL.LE2 LEWIS SUITE 31�D 98104 %2%-OS�O - <br />STATE LICENSE# <br />MECHANICAL <br />eo N <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ALTERATION _ ❑ REPAIR <br />CONTRACT PRICE OF WORK (�O M --.- - <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />n n ct L le, L <br />.6 -ram orn L <br />PflOPOSED USE OF BUILDING <br />Rifs—CA YkA ITT <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES) <br />BLOCK OF <br />PROJECT ADDRESS <br />J <br />R <br />N SINK 8 DISPASHERRY TRAYES WASHERLNG FOUNTAIN DRAIN <br />BACKFLOW PREVENT <br />_ ROOF DRAINS —RAIN <br />SINK (SERVICE —BAR <br />FEE <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK I REAR: <br />SIDE <br />(20c.) <br />❑ SIGN <br />❑ DEMOLITION ❑ WOODSTOVE/FRPL INSERT ❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. <br />r _ t?-1 t 4_522-1') ASS <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />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 COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296,200 WAC. <br />X &_ZDV 95 <br />SIGNATURE GATE <br />FEE <br />AIR SYSTEMS—B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. <br />HOOD <br />HEATER <br />METAL FIREPLACE & <br />FIREPLACE INSERT <br />HEAT PUMP <br />TOTAL <br />FEE /LD I RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />- <br />BUILDING - <br />TYPE OF CONTS. ALLOW ABLE <br />TYPE OF CONST. ACTUAL <br />OCtuvnxtY NO. OF MILLING UNITS <br />GROUP <br />PLUMBING <br />i <br />'OF BLDG. <br />NO. OF STORIES <br />BASEMENT <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />OCCUPANCY LOAD <br />FIRE SPRNKLERS RED <br />HEIGHT LIMITATION <br />D ;1 <br />Co <br />SPRINKLER <br />STATE BUILDING SURCHARGE <br />' <br />i <br />REASON FOR SPRINKLERS <br />INTAKE BY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />PUBLIC WORKS <br />LOCAL SALES <br />�� <br />..,iIAn <br />TAX CODE IS3105 <br />TOTAL <br />nJ <br />