Laserfiche WebLink
APPLICATIC-�1 FOR CC3NSTRUCT"�1N PERMlT � <br />TO BE COMPLETED IN BLACK INlt—PLEASE PRINT <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC !J — <br />BUILDING DEPARTMENT <br />259-8810 <br />! I DEMOLITION ;; Ct7ML�l%,R'fION ❑ BUILDING 7(MECHANICAL I-1 PLUMBING � i SIGN <br />OWNER I /�dAILADDRE55 CITY ZIP PHONE <br />7ENANT MFILADDRE55 CITY ZIP rnurvt <br />1���c,S /lrG_ /za-,EdC�aErrr�Nct_�,r�✓ f'u�a�Tr' 98zo4}- — <br />ARCNITEGiOR�ESIGNER MBILADORESS CITY ZIP PHONE <br />GENERALCONTRAGTG�: <br />CIiV ZIP PHONE <br />L�ECHANIGALCONTRACTOF tdAILA0DRE55 CITY ZIP �'�ONE STATELICENSE< <br />E%�lCl�(SJN /ir �C1217-C,EDHH I�/�GLES�Rl7 L�/a�vcr�aoi� %f�03(n 77S=�SY%7 �:/'iC_'l7I#"Z/2L7 <br />PWMBINGGONTR�CTOR M�ILADOR'cSS CITV 21P PdONE STATELICENSEa <br />CONTR�CT <br />OESGRIBE WORH AND <br />PROPOSED USE OF BUIL�ING <br />FOOTAGEINVOLVE� <br />LEGAL DF.SCPIPTION OF PROPERTV (SHOW N 6ELOW OR ATTACH iW0 COPIES� <br />ior o�ocK oF — <br />PAFGELTA%I.�.NUTABER <br />/B2F�-06- 3v49-oo0 <br />CONSTRUCTIONLOANLEN�ER,ADORESS,TELEPHONE <br />PROJECT ADDRESS <br />6 z�-L- v.�ra,�T7' 1��� � u�i;y <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITE <br />WATER CLOSET (TOILET) <br />LAVATORY(WASH 6A: <br />SHOWER <br />KITCHEN SINK 8 DISP <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />BACKFLOW <br />SINK <br />FOR OFFICE USE ONLY: <br />FFONTSETBACK REARSf.TBACK <br />USEZONE � ��T <br />TYPE OF CONST <br />SIZE OF �L�G. <br />OCCUPANCYL <br />RE�SOH <br />INTA'rtE BI <br />SUB TOTAL S <br />PERMIT $ <br />TOTAL FEE 5 <br />NO. OF STORIES <br />FIFE SPRINKLERS REO'0 <br />FIRE ALARM RE�'D <br />PL�NS APPROVED BY <br />JM <br />onie C4�1�liN <br />PERSUN AN� PHONE NO. <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 OFDINANCES GOVERNIN3 THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPcCIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONST9UCTION OR THE <br />PERFORM1IANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PEflFOFM THE WORK FOR `NHICH <br />APPLICATION IS MADE AN� I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />NO. TYPE OF EOUIPN�NT <br />AIC—A�HNDLG UNITS—H.I'. <br />FORS;ED AIR SYSTEMS—B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEAT�R <br />WOODSTGVE <br />METAL FIREPLACE (WOOD BURNING) <br />� HEAT PUMP <br />; GAS PIPING <br />i / EXHAUSTFAN <br />SIDE SETBACK PLAN CHEGH NUS7BEB I FEE <br />��gL� <br />VACANT SITE FCw <br />❑ YES i.7 NO BWLUING <br />occu�znc r;ooro�.v;uixcunirs <br />caouP PLUMBING <br />BASEMENT MLCHANICAL <br />[, vEs o No <br />HEIGMT IIMITATION ADDITIONAL PLAN CHECK <br />OTHtR <br />STATE BUIL�ING SUFiGHARGE <br />CITY OF EVERETT PUBLIC WORKS <br />LOCALSALES <br />TAX CODEIS 3105 Torn� <br />TOTAL <br />5 <br />$ <br />i <br />i <br />—�— <br />AM <br />Yp <br />N <br />♦ <br />