2132 GRAND AVE 2018-01-02 MF Import

APPLICATIC^7 FOR GONSTRUCT`lN PERMIT � TO BE COMPLETED IN BLACK INK—PLEASE PRINT HEATING SYSTEM: ❑GAS J ELECTRIC ❑ BUILDING DEPARTMENT 2�59-8810 ��l DEMOLITION � 1 COMBINATION I J BUILDING :-1 MECHANICAL LJ PLUMBING ! , SIGN O ER MAILA S CI Y � . I ONE r r Z � � � - 4� TE T � ^ MA4ADDRE55 CIN ZIP PHONE � ,1 ARCNIiECT OR DESIGNER MAIL ADDRESS GITY ZIP PHONE GENERR C TRA TO _MAILA DPE55 � ¢ITY � I�VI��C ��/I' ` IIM:�� I AA ILIIV�� li�C� MEGHRNIGALGONTRR TOR MAILAU�RESS CITY ZIP p" - STATELIC SE• FJ I H- PLUMBINGCONTRACiOR MAILADURES$ CITY ZIP PNONE STATEIICENSE� N � CONTRACT PFICE OF WORN ^ �T D PE WORN AND �AA- A E INV ED I C01 T ER �M �D PMONE NO. _ / 7 ((7/ /l00 ��.�— Q Sme'�- �/��3 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS PROPOSED USE OF BUILDING � � APPLICATION AND KNOW THE SAME TO BF TRUE AND CORRECT,ALL PROVISIONS OF LAWS AND ORDINANCES GOVFRNING THIS TYPE OF IEG�L0E5CRIPTIONOFPROPERTYISHOWNBELOWORA �o OPiES�� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR �-� � �J� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE ior.�— e�ocK �3 � oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION JR THE — PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAD AND I COMPLY WITH THE STATE PARGELTA i o UMBER CONTRACTORS LAW 18. RCW AN 200 WAC. �`3�/ �3/ D/7 OOo7 , ///�� //�� CONST CTIONLOANL NOER.A�DRESS.TELEPHONENUMBER �/f�/2 . / `;�� /(/ ; � /�//�' � � C/ / / T PROJECT ADDRESS s�cN+tuar o"'E a,3� E�,� �� ,..A�s��E=s��E�sE,�� . PLUMBIN(i � MECMANICAL Np, TYPE OF Fl7(TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE WATER CLOSET(TOILET) � NC—A/HNOLG UNITS—N.P. � BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. ' LAVATORV(WASH BASIN) � UNIT HEATERS—B.T.U. M � SHOWER CLOTHES DRYERS : KITCHEN SINK 8 DISP ; VENTILATION FAN � DISHWASHER RANG^HOOD ' LAUNURYTRAV ; WATER HEATER � � CIOTHES WASHER � WOOD STOVE ' � URINAL ' METAL FIREPLACE(WOOD BURN�NG) � DRINKING FOUNTAIN � FIREPLACE INSERT � FLOOR DRAIN � HFAT PUMP � BACKFLOW PREVENTERS GAS PIFING � ROOF DRAINS—RAINLEADERS � EXHAUST FAN ' SINK(SERVICE—BAR.ETC.) � � � � I SUB TOTAL $ ' SUB TOTAL $ ' PERMIT $ � PERMIT $ � TOTAL FEE 5 ' TOTAL FEE $ ' FOR OFFICE USE ONLY: aeceiaT r+o FBONT SETBACN REAF SETBACN SIDE SETBALK PLPN CHECK NUMBER FEE � ' �jL7 USE 20NE lOi AREA vncnr+r sire FEES VALUATION FEE ^ YES .� NO BUILDING � i 1YPEOiCONST. NO.OFSTORIES O[tu^�Nw NOo��v.iuwGUNrtS � caeuv pWMBING ' SIZEOFBLDG. FIRESPRINKLERSREO'D BASEMENT MECHANICAL i ❑ YES .l NO ; OCCUPANCYLOAD FIREAIARMRW'D NEIGMTLIMITATION ADOITIONAL PLAN CHECh � i OTHER i REASON STATE BUILDING SUfiC!'ARGE � MTANE BV PLANSAPPGUVE�BV CITY OF EVERETT PUBLIC WORK$ � LOCALSALES � DATE iAX CODE IS 3705 TOTAI ;