Laserfiche WebLink
�lPPLICATIC 1 FOR CONSTRUCT�i'1N <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />PERMIT � <br />BUILDING DEPARTMENT ���!%���%��I�{Sa��I�Y����� J _ N/A __ <br />259-8810 <br />' DEMOUTION i: COMBINATION X BUILDING � I MECHANICAL I PLUMBING I! SIGN <br />014NER IAAIL�D�PE55 GTV ZIP PK�"5 <br />ARTHIrR H. CARRICK 720 MADISON AVE, EVERETT WA 9820 -4437 (206) 353-4624 <br />TENANT MAILADDPESS diY ZIP PHONE <br />S.A.A. <br />ARCNITECTORDESIGNER MAILAODHE55 CIT'! ZIP PHONE <br />CHUCK LEE 807 2ad ST. M[TKILTEO L9A. 89 275 (206) 745-6569 <br />GEN[RALCONTRACiOR IAFILAO�RESS qTV ZIP PHONE STATELICENSEk <br />OWNER/OCCIIPANT <br />lAECMANICALCONTRpCTOR l.1FILA�ORE55 CITV ZIP PHONE STATELICENSEa <br />PLUTABRiGCONTRACTOR KAILApDFE55 <br />CONTRACT PflICE OF YJORK <br />STORAGE <br />PRO'OSEO USE OF BUILDING <br />LEGAL DE�CRIPTION OF PROVERiV �SNOIYN BELOW OR ATTFCH TWO COPIES� <br />LOT BLOCK OF <br />SEC 07 TWP 28 RGE05 L07! #9 <br />BEVERLY HILLS <br />VARCEI.T�xID.NUMBER <br />CONSTqUCTION LOAN LEN�ER. <br />AVE. EVERETT <br />PLUMBING <br />NO. <br />BATHTUB <br />LAVATORY�WASH BA: <br />SHOWE'� <br />KITCHEN SINK 8 DISP <br />.� � CLOTHES WASHER <br />. -� � - URINAL <br />� DRINKING FOUNTAIN <br />� FLOOR DRAIN <br />. BACKFLOW PREVENTERS <br />ROOF DRAINS—RAINLEADE <br />- � � SINK (SERVICE—BAR, ETC.) <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK REAR: <br />� � � <br />USE 2� <br />r <br />TYPE OF CONSi. <br />SIZE OF BLDG. <br />LOT AREA <br />FIRE SPRINK`LE'RS FEO'0 <br />E /V � <br />FIRE ALARM REO'D <br />ontE IZ <br />ev <br />� <br />� <br />ZIP PHONE SiATE LICENSE a <br />I HEREBY CF:RTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORAIANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOj$ LAW 18.27 RCW AND 296.200 WAC. / <br />ICN71 <br />f I PLAN <br />V�CANi SI� ��� <br />[-. YES ''✓NO <br />OCCOGAqLY I:OOFp'NELL�tlG01�It5 <br />GFOOF <br />BASEMENT <br />C YES �O <br />HEIGHT LIMITAT�ON <br />� ) / <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CUDE IS 3105 <br />G <br />AfC—NHNDLG UNITS—H.P. <br />FORCED AIR SVSTEMS—B.T.U. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE � <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />AODITIONAL PU+N CHECK <br />OTHER <br />S7ATE BUILDING SURCHARGE <br />FUBLIC WORKS <br />707AL <br />M E.A. <br />FEE <br />S <br />$ <br />S <br />FEE <br />