Laserfiche WebLink
APPLIG.�TION FOR CONSTR�CTION <br /> fhe Everpreen PE R M IT <br /> GTY OF evcretl � <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259•eSto TO BE COMPLETED IN INK— PLEASE PRINT <br /> OWNER MAILAD�RESS �ilY ZIP PMONE <br /> HOUSING HOPE P.O. BOX 7823 EVERETT, WA 98201 (206) 285-2214 <br /> TENANT MRILAD�PE55 CITY ZIP PHONE <br /> N/A <br /> ARCHITECTORDESIGNER MARRODR355 CIiY 21P PHONE <br /> IMPRESSION DESIGN 2229 ,IACKSON AVE. EVERETT, WA 98203 355-3200 <br /> GENEPRLCONTRACTOR ` 41ARADDR[55 CITV 21p pNONE LICENSE• <br /> \ <br /> Housing Hope �/1� �p� � <br /> MECHANICALGONTRACTOR `4-� MqILADDRE55 LITY i.IP PIIONE �ICENSF• <br /> N/A <br /> PLIIMBINGGONTP�CTOR AIRILADDHESS CITV 21P pHONE LIGENSE• <br /> N/A <br /> GLA55 OF WORK ,.y " <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR L7' OEMOLITiON ❑ WOODSTOVE/FRPL INSERT ❑ BUILDING RELOCATION <br /> LENANT IMPROVEMENT OR INTEPIOR REMOOEL ONLY CONiAGt PERSON RNO PHOV E YO <br /> CANTR�CTPRICEOFWORK 0 t Aat BontL_ 258-2214 <br /> OESCR19EWORItAN�50URFEFOOT�GEINVOLVE� DISRIa�ICIe existing 900 I. <br /> gara e• material to be reused in conversion to 2-36 du lex a�rtments 900 sf. <br /> PROPOSEO USE OF BUILOING I HEREBV:;ERTIFY THA7I HAVE READ AND EXAMIN ED THIS APPLICATION AND <br /> KNOW:HESAMETOBETFUEANDCORRECT.ALLPROVISIONSOFLAWSAND � <br /> LEOAL OESCPIPTIONOF PROPERtt�SHOWN BELOW ORATTRLi�FOURCOPIES� ORD!NANCES GO:'ERNING THIS TYPE OF WORK WILL BE COMPLETED WITH <br /> v�.'I�ETH ER 3PECIFIED HEREIN OR NOT.THE GRANTING OFA PEqM�T DOES NOT <br /> toi �9'2� a�ocK 772 oF �ction H of Everett PRE;.UMETOGIVEAUTFIORINTOVIOLATEORCANCELTHEPROVISIONSOF <br /> ANY GTHER STATE OR LOCAL LAY!REGULATING CONSTRUCTION OR THE PER- <br /> FORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE OWNER OF <br /> THIS PR�PERNTO PERFORM THE WORK FOq WHICH APPLICATION IS MADE <br /> AND I COMPLV WITH THE STATE CONTRACTORS LA\Y 1827 RCW AND <br /> 296200 V,�AG <br /> SIGNFTUREG'CONTRRQOROR4UTHORREDFGENT DRtE <br /> 3228 1/2 Norton Everett Wa X �7����� /�/-L� /� <br /> PPQIECTADORE55 '� <br /> APVLIC�NTSCITV B �,1 NSE NO AND BUSINESS N�ME � <br /> PLUMBIN6 MECHAN AL <br /> NO. TYPEOFFII(TUHEORITEM FEE NO. TYPEOFEOUIPMENT FEE <br /> WATER CLOSET(TOIIEn A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SYST[MS—B.T.U. M EA <br /> LAVATORY�WASHBASIN) UNITHEATERS—B.T.U. M <br /> SHOWER CLOTHESDRYERS <br /> KITCHEN SINKB GISP. VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY iHAV WATER HEATER <br /> CLOTHES WASMER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIFEPLACE INSEFiT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING _ <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETG) <br /> SUBTOTAL S SUBTOTAL S <br /> PERMIT S PERMIT S <br /> TOTAL FEE S TOTAL FEE S <br /> FRONTSET&�GR REAPSETBRCN SIDESETBRGI( PUNCNECNNUMBER FEE PECEIPfNO. <br /> usezoNe �OTRREA Y�C�NTSITE FEES VALUATION FEE <br /> ❑VES ❑NO <br /> BUILDING <br /> TYPEOFCONST. OCCUPANGYGROf1P NOAFDWE�LINGUNITS <br /> �LLOW�BIE/AGTW� <br /> PLUMBING <br /> SIZEOFBLDG. NOAFSTOPIES BSMT. OCG�ORD <br /> ❑v MECHANICAL <br /> ❑ N <br /> HEIGNTLIMITATION OTHEfl <br /> FIRESPRINNLERSNEOUIRED OYES ❑NO <br /> STATE BUILDING SURCHARGE <br /> STATE ENERGY SURCHARGE <br /> APPLICQIONALGBY PLANSFPPR.BY <br /> PUBLIC WORKS <br /> yYV1 ` TOTAL <br />