Laserfiche WebLink
APPLICATI010FOR CONSTRUCTIf1 PERMIT <br />I'YCH'�l <br />MP Evarprren <br />CITY of <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION <br />TO BE COMPLETED IN INK —PLEASE PRINT <br />COMBINATION <br />HEATING SYSTEM: U GAS ❑ ELECTRIC ❑ _ <br />1L PLUMBING SIGN <br />CF'ETRM unA ADDRESS3002 WL'TMOfifi DIEVeReTT W4 „NONE <br />g 4S20, 259 8546 <br />TEWIT <br />I.IBRoLiY <br />MAR AOORE55 <br />2T02 <br />— — <br />HnYT EELP6TT <br />ARCHITECT OR DESIGNER <br />MA0.ADDRESS (I.OD RRST ZIP PIKWE <br />LS�L`( $Mlil <br />069 <br />DYKEMAN ARCHITEir-TS <br />1602 I-WITT A,E , 6Veter.Tr LVA. 98?01 <br />GEMPAICONTMCIOP <br />WA ADDRESS <br />CITY ZIP PHONE <br />LICENSE• <br />y.n gengpAJ <br />a 6ft- <br />yy� 9YeY/ <br />MECHANICAL CONTRACTOR <br />W6 ADDRESS <br />CIiY ZIP PN]NF. <br />LICENSE. <br />--6)— <br />P CIANNO CONTRACTOR <br />0TKDORE55 <br />CITY ZIP PHONE <br />LICENSE. <br />NEW AnnITION ALTERATION REPAIR DEMOLITION WOODSTOVEGRPL INSERT BUILDING RELOCATION <br />GwTRAO, PRK£DP LYINL. <br />CONTACT PERSON AND PHONE W <br />Soe Koz.LovSKI 759 8848 <br />DESCRIBE WORK ANDWuARE FOOTAGE wVIXYED <br />19STALL s+6LVI14G <br />PBO DWECF BULLUwD <br />LI ISRAftY <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 ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE nOMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL 1'HE PROVISIONS 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 />CONTRACTORS LAW 10.27 ROW AND 296.200 WAC. <br />SIGNATURE OF CONTRACTOR OR AUTNWIZED AGENT DALE <br />X Ayl <br />LED. DE SCRIPTION OF PROPE RTY ISNOWN BELOW OR ATTACH TOUR COPIES, <br />LOT BLoa OF <br />PROJECT ADDRESS �/ <br />76A �G / r <br />AP TS FBUSwES CEN5EN0 FNOEUSAIEEBNAME <br />PLUMBING <br />W15CHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />ANC—AIHNDLG UNITS—H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS--B.T.U. M E.A. <br />LAVATORY IWASH BASIN) <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK 8 DISH <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE f CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />_ <br />EDGE DRAINS—RAINLEADERS <br />EXHAUST FAN <br />_ <br />SINK (SERVICF—BAR. ETC.) <br />SUBTOTAL $1 <br />SUB TOTAL S <br />PERMIT $ <br />PERMIT f <br />TOTAL FEE $1 <br />1 <br />1 TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />MOAT SEIBACN <br />PEARSETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />y <br />IlL <br />",a <br />RECEIPT NET <br />LOT AREA <br />YACANTSRE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />.T.:� <br />w a <br />PLUMBING <br />�'� <br />7W <br />BA6[NIl1R' <br />MECHANICAL <br />ADDITIONAL PUN CHECK <br />'Qccj�_ AT>• <br />�StnS� <br />OTHEIR <br />STATE BUILDING SURCHARGE <br />w?AK, er <br />=ft;xNszp ETT CITY OF EVEfl <br />TAX CODE IS 3105 <br />PUBLIC WORKSLOCALSALES <br />TOTAL <br />