Laserfiche WebLink
APPLICATIC"l FOR CONSTRUCT�N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: U GAS '31 ELECTRIC U � <br />259•8810 <br />I 7 OEMOLITION I I COMBINATION I�I BUILDING I I MECHANICAL I I PLUMBING � I SIGN <br />ONTlER MAIL �DDRESS CItY __ Zlp _ _ PMONE <br />-1166 <br />TEN�NT MAILADDRESS GITV ZIP PHONE <br />N/A <br />11RCHITECTO{10ESIGNER M�ILADURE55 LITY ZIP PNONE License 2368 <br />cary Pa 'nson Architects 2812 Colbv Avenue Everett, 98201 (206) 252-2153 <br />GENERALCONTR�CTOR MAILADORE55 CItY 21P PHONE SiA7EtICENSE� <br />�T T�R„�.i t�,_�, Tnr_ 14"l9 Broadivay, Lverett, l'.�A .ri8201 JDRIIII*122L"1 <br />MECNANILQCONTR�CiOR MAIL�UDRE55 CILY z��52-1161 FIIDNE SLAiELICENSE� <br />PIUMBMO CONTRIICTOR <br />CONTNACT `ILE OF W( <br />K�d <br />DESCRIBE WIX1K ANU 50 <br />2 story w <br />4 unit ap <br />M�IL ADDIiE55 <br />�9/ a��- <br />.�OOtAGE�NVOLVED <br />d frame. 4212 <br />tment <br />PAOPoSEO USE OF BUILDING <br />4 unit aDartmgnt_ _ <br />lE(3AL DESCRIPTION OF PROVER7Y ISHOWN BEIOW OIt ATTRGII TWO COVIE51 <br />wr 2 d�ocK - � Vol. 39,_paee 4 <br />section 17, TWNSP. 29, Range 5 East <br />_ s�� ,��9� - <br />PMCELTA%1.0 NUMBER <br />172905-1-036-0009 <br />CIXJSTRIKTpN LOAN LENDEN. ADDPESS. IELEPNONE NUMBER <br />TYPE 6F <br />WATEFi CLOSET <br />BATHTUB <br />LAVATORV�WAS <br />SHOWER <br />KITCHEN SINK 8 <br />HWASHER <br />LAU RY TRAY <br />CLOTHE ASH <br />URINAL <br />DRINKING FOUN <br />FLOOR DRAIN <br />BACKFLOW PRE <br />ROOF DRAINS— <br />SINK (SERVICE— <br />FOR OFFICE USE ONLY: <br />FHpq75ETBACN � REAq', <br />�l /'1 <br />tYPEOFtONSf. ��� <br />2 <br />i12EOF8LOG. FIRB <br />FIf1E <br />RERSON�'��� <br />INi�NEBY � PLANS <br />nnt¢ <br />SUB TOTAL $ <br />TOIAL FEE <br />o� <br />% <br />VACANT SITE <br />I! YES I I NO <br />nccursrcr rroanmu�nr.muis <br />BRSEMFNT <br />(1 VES D: NO <br />NEI�HT� J{ON <br />� <br />f,ITY OF EYERETT <br />LOCAL SALES <br />TAX COOE iS 3105 <br />ZIP P110N[ `TnTE LICENSE � <br />Dcn is� �ta�s�c�k/ . o <br />�y �ar�����un-r+ru�rrccr - dsa-a�53 <br />i HEREBV CERTIFV THAT t HAVE RFAD AND EXAMINED THIS <br />APPIICATION AND KNOW TI1E SAME TO BE TRUE AND CORRECT. ALL <br />PqOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE 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 LOCAI LAW REGULATING CONSTHUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW A 296200 WAC. <br />s�r.r� rtmii_.�— F � � �"—��i�-� ��� <br />GrvPu5ME5.U�14:1�f� _- -' <br />FORCED AIR SYSTEMS—B.T.U. M [.A. �__ <br />UNIT HEATERS—A.T.U. M � <br />VENiILATION FAN <br />RANGEHOOD <br />WOOD <br />METAL <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />CNECK NUMDBR <br />BUILDING �_ <br />PLUMBING <br />MECHANICAL <br />ADDI110NAL PLAN CHECK <br />% L <br />OTHE���%�� %_ <br />StATE BUILDING SURCIIARGE <br />PUBLIC WORKS <br />TOTAL <br />SUBTOTAI $ ; <br />PERMIi $ <br />TOTALFEE $ <br />� �� <br />_�Z� ; �-v <br />J,— <br />�_— <br />1 � _, <br />r. <br />