701 MADISON ST 2016-01-01 MF Import

fhe Evergreen CITY OF everett BUILDING DEPARTMENT 259•8810 APP�It..,�►TION FOR CONSTF►JCTION PERMIT TO BE COMPLETED IN INK— PLEASE PRINT �t�.,,N� �e�� ,.,..�,....,,,,...,., _... _.. ...--- AfICMITECTORDE5IGNER MRILPDDRE55 GITV ZIP PMONE ❑ NEW ❑ ADDI710N CONTRACT LOT BLOCN OF PLUMBING NO. NPEOFFIX' WATER CLOSET�TOILE BATHTUB LAVATORY(WASIi BASI SHOWER KITCHEN SINKB DISP. DISHWASHER LAUNDRYTRAY CLOTHES WASHER URINAL DRINKING FOUNTAIN FLOOR DRAIN BACKFLON/PREVENTI ROOF DRAINS— RAIIV SINK(SERVICE— 3AR SUB TOTAL PERMIT TOTALFEE ALLOWABLE/ACTIIf�L SIZE OF BLDG. FIpESPRINKLERSREO111pED ❑YES ❑NO � V � � ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL INSER7 ❑ BUILDiNG RELOCATION . FEE S everelt e a �— I H[REBY CERTIFYTHAT I HAVE (iEAD AND EXAMINED THIS APPLICATION AND KNOW TH E SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LA1^JS AND ORDINANCES GOVERNING THIS NPE OF WORK WILL BE COMPLETED WITH WHETH ER SPECIFIED HEREIN OR NOT.THE GRANTI NG OFA PERMIT DOcS NOT PRESUME TO CaIVE AU7HORIN TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LGCAL LAW REGULATING CONSTRUCTION OR TH E PER- FORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY Thit OWMER OF THIS PROPERTYTO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 1827 RCW AND 296.200 WAC. SIGNATUREOFCONTflAGTOROflAUTHORI2E�AGENT pRTE / x,ln_ . ,,,. . /�n.,. , „�„ ., 1 �� i � MECNANICAL UNIT HEATERS— 8 CLOTHESDRYERS VENTILATION FAN RANGEHOOD METAL FIREPLACE 8 FIREPLACEINSERT HEAT PUMP GAS PIPING ❑ YES ❑ NO BUILDING 40. OF OWELLIN� UNITS PLUMBING �SMT. OCG.LORD ❑ y MECHANICAL ❑ N IIEIGHT�IMITATION �THER STATE BUILDING SURCHP.a3E STATE ENEFiGY SURCH�iIuE � PUBLIC WORK�J TOTAL Yr � [A VALUATION S 5 5 FEE FEE J