Laserfiche WebLink
APPLICATIOC`"'FOR CONSTRUCTI�.�N PERMIT �� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />��� HEATING SYSTEM: U GAS �J ELECTRIC iJ _ <br />� y BUILDING DEPARTMENT <br />259-BB10 <br />� y�y� DEMOUTION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br />H�f! �pyVNER MHIL AODRESS GITY ZIP PHONE <br />M �/ <br />�e o v•u�•QJ U 9t�v1 fo52o o�y�� ��yzr71J,{Jp � 348 • 3cyL2 — <br />�` CRY ?IP PNONE <br />IENANT MAILAO�P[55 <br />�y�tl <br />F3 ARLMRECTORDESIGNER MAILADORE55 CITv ZiP P��ONE <br />t� � ��.w�n�. t_►�. �.o.�x &��Te�ux�o �,u�.,34��v ��-�45 it�a�_�� cs _ <br />O� C% GCNERALCONTRALTOR � M4RpDDRE55 CrtV ZiP PHONE SiAi[UCENSE• <br />��� IAECNAN�GRLCONiRACTOR MRIL4��R[55 CITY 2iP PMONE STAtEULENSEt <br />"'" � �D Ir�' <br />sFj� PWMOWGCONTRACiOR MAILADDRESS CITY ZIP PHONE STATELIGENSC � <br />rF��Hy <br />y� � H CLASSOF WORN <br />nC� y NEW ADDITION � ALTERATION REPAIR x DEMOLITION WOODSTOVEiFRPL INSERT BUILDING RELOCATION <br />Q �`.y I CONiAGT vERSON AND PHONE NO <br />�[F�]N — <br />CONiRPCi PRILC OF WORK <br />F3QVJ OES EWORNANDSOU/AEFOOTAGCINVOLVED � .� <br />PROPOSED USE Of �Ull�irvG <br />sr-�� <br />L[G4L DESCRI/PTiON OF PROFE <br />l(1L I r_� 9LOCN <br />PROJ[ * noor�ess <br />.S�Cj <br />LAVATOFYIWASH <br />SHOWER <br />KITCHEN SINK 8 C <br />DISHWASHER <br />LAUNDRYTRAV <br />CIOTNES WASHE <br />URINAL <br />DRINKING FOUNi <br />FLOOR DRAIN <br />�ow oa <br />OF � <br />v �-% <br />SINK (SERVICE—BAR, ETC.) <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATIOI � AND KNOVJ THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS Or LAWS AND ORD�NANCES GOVERNING THIS TVPE GF <br />WORK WILL BE COMPL[7ED WITH LVHETHER SPECIFIED HEREIN OR <br />NOT. THE GRA�+TING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTl IER STATE JR LOCAL LA1N REGULATMG CONSTRUCTION OF fHE <br />PERFORtdANCE OF CONSTRUCiION. THAT I AM AUTHORIZED BY TH[ <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR VIHICH <br />APPL�CATION IS MADE AND I COAIPLY WITH THE STATE <br />CONTRACTORS LA\N 1827 FCW AND 296200 WAC. <br />...t� lii.� i�i'h//AF � .¢-ll�t%L <br />A'C—A�HNDLG UNIT$—HP. <br />FORCED AIR SVSTEIdS—B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAI FIREPLAGE 8 CHIMNEV <br />FIREPLAGE INSERT <br />HEAT PU�✓�P <br />GAS PIPING <br />EXHAUSTFAN <br />TOTAI FEE S � I � <br />FOR OFFICE USE ONLY: <br />fRONTSETBACK REA�S[II3RCK S��ESE1pAf✓. PlANC1ECHNl11APEli F�� <br />31oa� <br />USEZONE IOTMEA vAGPNTSitE FEES <br />�UIL�ING <br />1VPEO�CONiS AILOWROIE iYPEOFL�N51.RLi0Al OCn�u��x�+ k���'�'.vini',;u'+i5 — <br />PLUM�ING <br />SiZEOF9lDG. NOOFStORIES NTSEM[NT MEGHANICAL <br />AD�ITIONAL PLAN CHECK <br />OGCUPANCVlOAO fIPESPRNKlERSRW'D HEIGHTLIMIIATION _. <br />SPRINKLER <br />HEFSON FOP SPRiNRLERS <br />S1ATE BUILDWG SURCHARGE <br />INTqKE BY PLRNS APPROVED �Y CITY OF EVERETT PUOLIC WOflK$ <br />LOCALSALES <br />TAX CODE IS 3105 TOTAI <br />)TAl 5 <br />f 5 <br />FEE S <br />neceici uo <br />TION FE�_ <br />