Laserfiche WebLink
� � � <br />H <br />9HCHi� <br />4 <br />K � n <br />Ox0 <br />�H�+p <br />(/� H <br />[�1 O � <br />HC <br />HC�l1� <br />%: Y (C'] <br />� H t�1 <br />t-� y <br />g� <br />H <br />n d � <br />��t�l <br />HOC�i� <br />!� � E C� <br />Q►PPLICATIt,iid FOR COPISTRUC'��ON PERMIT <br />�„o E��,�,���,� � <br />��T� �F � <br />everet�t <br />BUILDING DEPARTMENT <br />259-8870 TO BE COMPLETED IN INK—PLEASE PRINT <br />DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br />p'Nf;ER I.IAiLA�DBE55 CITY ZiP PHO':E <br />Rando�� QO55 i�0 Bax 285 F.vp.m%-i- faa.. %$7�L� <br />TENANT MAILADDRESS Cltt ZIP PHONE <br />ApRCi�'IELTORCESIGNERP2C�AILADDRESS CITY ZiP PHONE <br />/( n Vm.�T <br />GENERALCONiRACTOR MAR�D RE55 ��7 � n].�P MONE LICENSEM <br />^l� 0.r Q � \ � � �n Vn.,� .�„ . �"4i��. _ k�n,Mi.�Ff,i1n.. � <br />1AECHAN�CALLONTRACTOP MRILAODRE55 J Ciiv <br />PLUM9INGCONTpACTOR MBILpODRE55 CITY <br />CLASS OF WORN <br />� NEW X ADDITION '�. � ALTERATION A. REPAIR <br />TENANTIMPPOVEMENTORINTERIO�REMODELON�Y � <br />CONTFAGi PRiCE Of WORK: � ���� �� �� ��� <br />SGRIBE YORK �NO SOUARE FOOTAGE INVOLVEO �`f� <br />�-�``-•�• u�` • . �.,E.��.:� ('S g� <br />PR� D USE O�LD N x� <br />Sf2 <br />IEGAL DESCRIPTION OF PflOPERTY �560 W N 9ELOW OR ATTACN FOUR COPiESI <br />ior 21 bZz o�ocK � ov Dt V M �wW�%' <br />�3ln Zz � Go.� bnrcl f}U <br />anaecr aooacss <br />F�.�.+�-, ��. 98 z�r <br />PLUMBING <br />NO. TVPE OF FIXTURE OR ITEM <br />BATHTUB <br />LAVATGRY(WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRVTFAY <br />CLO�HES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE—BAR, ETC.) <br />FfiONT SETOACK <br />2G' <br />USEZONE <br />R�3 <br />iYPE Of CONSi FLIOWABIE <br />s- N <br />S�ZE OF OL�G. <br />(iEA50N FOR SPPINKLERS <br />nPiaicnnor�ncc ov <br />TOL1L <br />REAR SETBArK <br />'ZUr <br />�OTAR6 � I <br />.,, <br />� T <br />iYFE�Oi7CONSi.ACiOAL <br />.X� � A� <br />N0. OF STORIES <br />I <br />FIRE SPqNNLERS REO'D <br />YES ,:( NO <br />v�nrvs <br />ZIP' PMONE LICENSE� <br />ZiP PHONE LICEhISE/ <br />DEMOLITION �. WOODSTOVE/FRPL INSERT -- BUILDING RELOCATION <br />I CONiAGiPEF50NAN�PHON[NO. <br />I HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED TH13 <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEPNING THIS NPE OF <br />WORK WILL �E COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANl' <br />OTHEH 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 M:1DE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SIGNAiUfi[OfCONTPAGTORORAUiHGRiZEDPGENi OATE <br />S,, 355 -i9oo <br />X�/" ����-"'� %'`/Z _�i3z3 <br />APP;iGN11SC1 BU511lESSIJCLIlSEf10AtlpBtl5VlE55NA1AE <br />NO. TYPE OF EOUIPMENT <br />— AiC—NHNDLG UNITS—H.P. <br />!- FORCEDNRSYSIEMS—B.T.U. M E.A. <br />^' U�11T HEATERS—B.T.U. M <br />^ � CLOTHESDRVERS <br />� VENTILATION FAN <br />/ RANGEHOOD <br />/ WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />$ —� <br />SiDE SETBA�N <br />� <br />VACANT SITE <br />VES NO <br />PERMIT $ ~ <br />TOTAL FEE 5 <br />�NGHEG 1UMBEfi �-EL FELEIPTNO. <br />fo �2 5' f•� 9 i s v sY ,3 � 3 7 v <br />BUILUING <br />acu>nrvcr r,aa�o��vnu�.cc•nu <br />r,00vv PWMBING <br />BnSEMENi MECHANICAL <br />; ; YES X NO -- <br />HEIGHTIIMiTATION OTHER <br />3s. <br />STATE OUILDING SURCHARGE <br />STATE ENERGV Sl1RCHARGE <br />CITY OF EVERETT PUDLIC WORKS <br />LOCALSALES <br />TAX COOEIS 3105 TOTAL <br />