3305 NORTON AVE 2016-01-01 MF Import

APPLICATIC'1 FOR CONSTRUCT'" �N PERMIT � �, � � TO BE COMPLETED IN BLACK INK-PLEASE PRINT BUILDING DEPARTMENT HEATING SYSTEM: U GAS ❑ELECTRIC ❑ —1 259-8810 ❑ DEMOLITION ❑ COMBINATION ❑ HUILDING ❑MECHANICAL 6�PLUMBING ❑ SIGN OWNEfl MAIL�DDRE55 CITY 21P PHONE Towwu� 1-I�Rh�/ 3305 NbR'Tc�N EVERETT 25."l. 55�1C� _ TENANT MAI�PDDRE55 CITY 21P PHONE ARCXRECTORDESIGNER MAILADDRESS CITV ZIP PMONE GENERALCONTR�CTOR MAIL�DDRE55 CITY 21P PHONE STATELICENSEI MECHMlICQCONTR�CTOR MAIL�DDRESS pTV ZIP PHONE STATEIICENSEt PLUMBM6CONTR�CTOfl MAIL�DDRESS CITV ZIP PHONE STATELICENSh1 E � 60 01 CONTRACT PRICE OF WORK �M ANO AflE FOOTAGE 1NVOWED CONTACT PERSON AND PHONE NO. R : � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS PROPOSED USE OF BUILDIN6 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL ; PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF LE6ALDESCRIPTIONOFPROPEfl(V�SHONR�BELOWORATfAGXTWOCOPIES� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR " NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE . ioT e�ocic oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE � OWNER OF THIS PROPERTY TO PEFiFORM THE WORK FOR WHICH ' APPUCATION IS MADE AND I COMPLY WITH THE STATE PARCEL TA%I.D.NUMBER CONTRACTORS LAW 18.27 RCW AND 296200 WAC. i //�// j CONSTRUCTqN LOMI LENDER.ADDRESS.TELEPMONE NUMBER � � / A �I��3. I999 � ti,rN-. � PFIQIECT ADORESS 5 IURE R � iO5 GILVBIISMESSLICENSENJ , pLUMa►Ni MECHANICAL I Np, TYPE OF FlXTURE OR ITEM FEE N0. TYPE OF EGUIPMENT FEE WATER CLOSET(TOILEn � A/�NHNDLG UNITS—H.P. � BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. � I UVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M � I grypyyEp � CLOTHES DRYERS � � KITCHEN SINK 6 DISP ; VENTILATION FAN ; � � DISHWASHER � RANGE HOOD �_ � UUNDRY TRAY ; WATER HEATER ' CLOTHES WhSHER � WOOD STOVE � URINAL ' METAL FIREPLACE(WOOD BURNING) � ORINKING FOUNTAIN � FIREPLACE INSERT � FLOOR DRAIN � HEAT PUMP � BACKFLOW PREVENTERS ; GAS PIPING ; ROOF DRAINS—RAINLEADERS � E%HAUST FAN � �SINK(SERVIC A ETCJ ; ' , i , � � � SUB TOTAL $ ; SUB TOTAL 3 ' PERMIT $ � PERMIT $ � TOTALFEE $ ' TOTALFEE $ ' FOR OFFlCE USE ONLY: FRONTSETBACN RE�RSETBACN SIDESETBACN PUNCHECNNOMBER PEE RECEIPTNO. useza+e LOT�REA v�cu+rsire FEES VALUA710N FEE ' ❑ YES ❑ NO euiLDiNG � �. iv7E0FcoNsr. No.oFsronies acuv.xcr xe.aowEuix�uwirs � GRWP PLUMBING i ' SIZEOFBLIX'i. FIRESPRINKLERSREO'D BASEMENT MECHANICAL � ❑ YES ❑ NO OCCUPMlCY LOAD FIRE ALARM PEO'D 4EIGHT LIMITATIDN �1DDITIONAL PLAN CHECK i i OTHER ' REASON ' STATE BUILDING SURCHARGE � INT�KE BV PUNS�PPROVED BV CITY OF EVERETT PUBLIC WORKS � LOCAL SALES , OATE TAX CODE IS 3105 ro*�� ;