Laserfiche WebLink
APPLICATICod FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •259-8810 <br />X DEMOLITION I COMBINATION K BUILDING 11 MECHANICAL 1 PLUMBING I I SIGN <br />PROJECT ADDRESS <br />tEvE•F?�c'7-7- M<}LL wily j=-VERBTT' <br />OWNER MAIL ODRESS <br />-GIVY ZIP PHONE <br />iENaNTEi3FVLNNV 13O 1 IT `U% :31 00KLYN'AttA, 'ell <br />,,ort�L-SS43C <br />o0 <br />RS5-6c1ATE5 I('7 5-11m»11-F 9Va. E. SF TTL E W�j 9�(02 <br />ARC IITFCT OR UESIGNER MAIL ADORE$$ <br />c'RH•fiT/V,E <br />clTv nr <br />�"oNSTRUGT/0N <br />m1oNe <br />G NELIAL CONTPACiOR <br />MAIL ADDRESS CITY <br />J� <br />]Ir <br />PIIDNE <br />.STATE LICENSE• <br />MECHANICAL CONTRACTOR MA(^IL, ADDRESS gPRj5lc <br />CITY <br />Secgi+IC <br />%Q ST <br />if#. <br />FHUNE <br />AF ,CECE <br />PLUMBING CONTRACTOP <br />C-j <br />MAIL ADDRESS <br />v&<-Ls <br />CITY ZIP <br />P110NE <br />.STATE LICENSE <br />CONTRACT PRICE <br />0 <br />,'2 (C <br />HEATING SYSTEM: 11 GAS I I ELECTRIC 11 <br />DESCRIBE WORK AND SOU ARE FOOTAGE INVOLVED <br />• <br />T e5 /V r4 NT 1 n'I PR a vE^'1�^r <br />f.ONTACT rFR$ON ANp PNONF. NO <br />SFZYc THag''2f}5 <br />206 32� 06¢ <br />i NTD NEW R EF S T T <br />rq I//,p oq N <br />/ <br />— l Z500 0) PER PLANS <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROPOSED USE OF BUILDING <br />R E ST tj 0 R j' }3 — Z <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH TWOCOPIES) <br />LOT <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />BLOCK OF <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION 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 />CONTRACTORSLAW 118.27 RCW AND 296.200 WAC. <br />"'/,/" <br />PARCEL TM I D NUMBER <br />CONSTRUCTION LOAN LENDER. ADDRESS. TELEPHONE NUMBER <br />q <br />X E/ ✓ Y/ / 1 <br />SIGNgTURE • <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. OF EQUIPMENT <br />_NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />I <br />_TYPE FEE <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />A/C —A/HNDLG UNITS —H.P. 1 <br />FORCED AIR SYSTEMS — B.T.U. M E.A. ' <br />2 <br />HEAT PUMP <br />SHOWER <br />' <br />UNIT HEATERS -- B T.U. M 1 <br />KITCHEN SINK 8 DISP <br />; <br />CLOTHES DRYERS <br />DIS ASHER <br />VENT(.. ION FAN <br />LAUND TRAY <br />' <br />I <br />RANGE FID <br />CLOTHES SHER <br />WATER HEATtQ <br />URINAL <br />WOOD STOVE <br />1 <br />DRINKING FOUN IN <br />; <br />METAL FIREPLACE OOD BURNING) <br />' <br />' <br />4 <br />FLOOR DRAIN <br />FIREPLACE INSERT (W OD BURNING) <br />—�— <br />BACKFLOW PREVENTERS <br />; <br />GAS FIREPLACE <br />2 <br />SINK (SERVICE — BAR, ETC.) <br />-�— <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />_ <br />1 <br />SUB TOTAL S <br />SUB TOTAL S <br />PERMIT S <br />1 <br />PERMIT S <br />; <br />TOTAL FEE $ <br />I <br />TOTAL FEE $ <br />....-� w� Vac UP1Lr: <br />FRONT SFTBACK <br />USE ZONE <br />REM SETBACK <br />1 Oi AREA <br />SIDE SETBACK <br />VACANT .SITE. <br />r1ANCHFCK NIIMDFR _ FEE ,/ <br />�j!/ ` /'/J -�/L-� <br />FEES VALUATION <br />PEC.FIPi NO <br />FEE <br />(IVES I NO <br />DUILDIN' <br />_ <br />l %,L�/, <br />-/�`"t-� <br />NE IGMLIMITATION <br />NOOFDWELLING <br />UNITS <br />SIZE OF BLLrg1 <br />1 <br />/ 1 <br />PLUMBING <br />OCCUPANCY <br />NO OF STONES <br />OCCUMNT LOAD <br />^ <br />G/( <br />BASEMENT <br />AYES �N0 <br />MECHANICAL <br />_ <br />' <br />FIREALARP gEOD <br />REASON <br />ADDILIONM.PLANCHLCK <br />i <br />Ak <br />(- <br />0'HER <br />I <br />FIRE SPR�IN�KIER REOD <br />REASON <br />.STATE BUILDING SURCHARGE <br />TYPE OFroNsr <br />PLMSMr vsnar <br />CITY OF EVERETT <br />LOCAL SALES <br />ruBur.wonKs <br />— <br />1— <br />v` ' • <br />DATE YS' <br />TAX CODE IS 3105 <br />TOTAL <br />J' <br />