Laserfiche WebLink
APPLICATI� � FOR CONSTRUC7 _ JN PERIVIIT �N� <br />TO BE COR9PLETED IN BLACK INi;—PLEASE PRIN'T <br />BUILDING DEPARTMENT HEATING SYSTEM: ;� GAS ❑ ELECTRIC ❑_ _ <br />259-8810 <br />' I DEAF.OLITION COMBINATION jC BUILDING �CMECHANICAL p(PLUMBIWG SIGN <br />OWNER MAILADDRESS CITY ZIP PMONE <br />�ow�ard arld �run�[s lA�2nfz 5aoy cad.v P.oad �vereH Ra?lxr 3'f7-�H�{G <br />TENANT � MAILADDRESS C�Ty 21P PIIONE <br />ARCHRECTOR�ESIGNER MAILAD0.7E5!. CIN 21P PNONE <br />�'SCt IZES/DEA�T/4L vt5l4N /ol�� n/� GPth l�o.x KirK/a�l 9�33 82g-35�1 E� 4��ir <br />GENERALCUNTRACTOR MAILADOFE55 CITY 21P PMONE STATEUCENSEt <br />PLUTAB VG CONTflPCTOP <br />� <br />CLA55 OF WORN <br />x NE\V '�. ! ADDITION <br />MAII. <br />MAIL.COLlESS <br />� I ALTE�iATION i'�. REPAIR <br />CONTRRCT PRICE OF WORK <br />DESCRIBE WORK AND SOURRE FUOTAGE INVOLVED J7�.'Tj S�F. F� <br />Ali�il D•cidPn�O � G�� `'F• Vn <br />��7y ZIP PNONE S:ATEIICENSEY <br />CI7V ZIP PHONE STATE LICENS[ • <br />� DEMOLITION �� WOODSTOVEIFRPL INSERT �'. BUILDING RELOCATION <br />ICONTACT PERSON AND PHG"F. NO. � y-7 � <br />ReSi�' c.e l 3o-i s. r, txck, PazlZ <br />�EGRL DE2SCRIPT�ON OF PROPERiY �SHOWN BEIOW OR ATTACH�]PIE� <br />LOT % BLOCK OF <br />{.vT 7 Pl..t ai Ma//e Nel�thS hc vis ion l+lo. z� <br />�tccordinc -�v -Fhp Plai' Yi�erto� ✓,GLO�dQd <br />i�'l VOIU lO of� P/at5 on Paye 33� ^ <br />l�oss fht tusl�uley /80.on fis{ of t�e <br />i�"u_�._._.. «...�. n__� u ....�_n <br />rRaE�a� 3W <br />. PLUMBING <br />NO. TVPE OF FIXT <br />WATER CLOSET (TOIL <br />Bi.?HTUB <br />LAVF'. ORV (WASH 8A: <br />SH�WEF <br />. 1 KITCHEN SINK 8 DISP <br />' � LAUNDRYTRAY <br />�-Cl0?HES WASHER <br />DRINKING FOUNTAIN _ <br />FLOOR DRAIN <br />BACKFLOW PREVENTERC <br />RUOF DRAINS—RAINLEAC <br />SINK (SERVICE—BAR. ETC <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK PEAR! <br />�s ... 1 / 00 <br />USE ZONE <br />� <br />TYPEOFCONIS.All01'/ABLE <br />Y�N <br />SRE OF BLDG <br />2364 Sf t <br />5°7� SF G�.Q <br />OCCOPANCVLOAD <br />IJ�A <br />REASON FOR SPRINKlERS <br />�4iAKE BY <br />lOT AFEF <br />FEE <br />SUB TOTAL $ ; <br />PERMIT $ � <br />TOTAL FEE $ <br />LK SIDE SETHACK <br />�le � <br />VACANT SITE <br />3 <br />.ACIUaL acuPaYc Na afm4fuiNturvrts <br />NO OF STORIES <br />3 <br />FIRE SPRNHLERS RE( <br />PLANS APPROVED BV <br />n <br />AT <br />� <br />CITY OF EVERETT <br />LOCALSALES <br />TAX COUE IS 3105 <br />I HEREBY CERTIFV THAT I HAVE READ AND E�AMINED THIS <br />APPLICAT"JN AND KNOW THE SAME TO BE TRUE AND CORRECT. A�L <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCI-.L THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGUL.ITING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I CC'MPLY 'NITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />x �/✓� P I—^—� /Y Z.— <br />si��v uae o�ir <br />NC—AIHNDLG UNITS—H.P. <br />FORCED AIR S�'STEMS—B.T.U. M E.R,. <br />UNIT HEATERS—B.T.U. M <br />VENTILATION FAN <br />RANGE F1nOD <br />WOOD STOVE <br />METAL FIREPLACE & <br />FIREPLACE �NSERT <br />GAS PIPING <br />EXHAUSTFAN <br />PLANCMEs� Nl1MBEP <br />3v�3�o <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />ADOITIONAL PLAN CHECK <br />9PRnaRtEA- �ii/�/7/i, <br />LTATE BUILDING SURCHARG[ <br />PUBLIC WORKS <br />70TAL <br />SUBTOTAL $ '�— <br />PERMIT $ � <br />TOTAL FEE $ ! <br />FEE <br />��/�. �S <br />