Laserfiche WebLink
APPLICATIC�`�! �OR CONSTRUCT'y7N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM: ❑ GAS J ELECTRIC J <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION COMBINATION <br />OWNER IdAILA0DPE55 � <br />��r�w1�t. ASSo�. 1yc2 SE EVT. <br />i yoy SE C-vERErT MM,I, <br />DESIGNER <br />GENEflA� CONTRAGTOR MAIL A�DRE55 <br />MECHANICALCONTRACTOR MFILA��RE55 <br />'�KK7FW1PIR7LC f[ICfl /V7'� �• rvv �T r <br />PLUMBING CONTRACTCR MAIL AODR:55 <br />CLASS OF W OFK <br />'. NEW ADDITIGN / ALTERATION REPAIR <br />�i3oo•"_ <br />CONTRACT FRICE OF WONK � <br />DESGRIBE WORK AND SOU�RE FOOTAGE INVOLVED I j.A �- <br />R�Pc �r�E H JI►c vN ►T <br />�PRO�P`OSEO USE OF BUILDIIJG <br />cL^Tctl� <br />LEGAL DESCRIPTION Of PPOPERTV �SHOW N BELOW OR ATfACH FOUR COPIES) <br />�or�_ e�ocK oF <br />SQ� ��3 r�,P 2� <br />PROJECT ADDRE55 1 �'I <br />� 5 <br />NO. TYPE OF FIXTi <br />WATER CLOSET (TOIL <br />BATHTUB <br />LAVATORY (WASF! BA: <br />SHOWER <br />KITCHEN SINK & DISP <br />DISHWASHEF <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVEM <br />ROOF DRAINS—RAIN <br />SINK (SERVICE—BAR <br />SUB TOTAL 5 <br />PERMIT $ <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />FRONTSETBAGK REARSETBACK SIOESETBAC <br />USEZONE LOTAFEA VACFNT51T6 <br />TYPE Oi GONTS. � <br />52EOFBLOG. <br />OCCUPANCV <br />REnSONFOF <br />INTAHG pY <br />TYPEOFLONST.ACi11AL <br />NO. OF STORIES <br />P�p��$ APPROVE� F,Y <br />BUILDING )Uvll <br />GTY ZIP <br />�!y EvT '!�? <br />CITY 21P <br />wy Ev+. 98? <br />f.iT\' ZIP <br />CITY ZIP <br />CITY ZIP <br />; N'r 98� <br />cirv na <br />PLUMBING <br />PMONt <br />743-27 22 <br />PNONE <br />232- 4/11 <br />SIGN <br />PHONE <br />PHONE STA7ELICENSEtt <br />PI10NE STATELICENSEY <br />2Sh035G 1'eQFOHhIS¢S2T <br />PHONe STA7ELICENSEs <br />DEMOLITION -. WOODSTOV[/FRPL INSERT � BUILDING RELOCATION <br />GONT�Q P�SON AN� P� N0. '���Q �_�-OI � <br />E�"f ��,i <br />2oco-Zs�-o3s(o -000s <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AiJD KNOW THE SAME TO BF. TRUE AND CORRLCT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEFiNING THIS TYPE OF <br />WORK WILI BE COMPLETED WITH WIiETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NO'f PRESUME 1'O GIVE <br />AUTFIORITY TO VIOLATE OR CANCEL ThIE PROVISIONS OF ANY <br />OTHER STATE OR IOCAL LA4V REGULATING CONSTRUCTIOR OF THE <br />PERFORMANCE OF CONSTRUCT{ON. THAT 1 AM AUTHORI2ED BY THE <br />� OWNER OF THIS PFlOPERTY TO PcRFORM THE WOHK FOR WHICH <br />APPLICATION IS IAADE AND I COMPLY WITH THE STATE <br />� CONTRACTORS LAW 19.27 RCW AND 296.200 WAC. <br />ryp, TYPE OF E�UIPMENT FEE <br />A/C—A/HNDLG UNITS—H.P. <br />FORCED AIR SVSTEMS-13.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRVERS _ <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIRFPLACE 8 CHIMNEY <br />FIREPLACC- INSERT <br />HEAT �UMP _ <br />GAS PIPING <br />EXHAUST FAN <br />PLAN <br />BUILDING <br />accuns;n ��o orow[cnir.om�s <br />caa�,iP PI.UMBING <br />BASEh1ENT MECHANICAL <br />MEIGHT LIMITATION ADDITIONAL PLAN CHECK <br />SPR!NKLER <br />S7A7E �UILDING SURCHARGE <br />CITY OF EVERETf auoi.ic woaKs <br />LOCAL SALES <br />TAX CODE IS 31U5 TOTAL <br />TOTAL 5 <br />�11T S <br />�L FEE $ <br />n <br />�N <br />no <br />N <br />p <br />