1615 ROCKEFELLER AVE 2016-01-01 MF Import

,•- APPLICATI�N FOR CONSTRUC`rJON PERMIT everett rna evero�� TO BE COMPL�;SD IN INK—PLEASE PRINT � CITV OF eve rett HEATING SYSTEM: IJ GAS ❑ELECTRIC U BUILDING DEPARTMENT � 259-8810 � I I DEMOUTION � COMBINATION BUILDING rb1ECHANICAL ' PLUMBING I I SIGN � OYMER��IL AODf1ES��1�_ f�� 21P PIIONE i� � e �;� �"J`+ `' 'Z l�� a s S-`lS(oS TEN�NT MAR�O�RE55 CIIY ZIP P110NE �RCMI1EC700UE9CNEfi M�IL�ODOESS CIIv 71P PIIONF OENEfi�LCOMf1�C7011 MAIL�UURESS CIIY ZIP �'110NE LICENSEI ME`C^IUrN�IGLCONIf1�C1011 A1Nl��>�GSS CIIV 7�P �y PII01lE LICENSE� / �y �M�T�1`CNc�RN\OI\1�LlM�ODR�Q7�� U2. S�-. c'� � 1 c�t1n-� ��..� LP1101+ESLL7� I'4NI�.71� �IIC7�V�Jlj/ CLASS OF WORN I I NEW I ✓ADDITION � i lL�ERATION ' R[PAIR ' UEA70LI110N ' ' WOODS70VE�FRPL INSERT i I BUILDING FELOCATION __.._.___-__I._ _._ ._ _-.____ ____— ��— rumnci rrnsur�nrm rnor�r r+o conrencivniceorwonn ._..----------- ---._----------- DESCRIBEWOfI NOSOUAII[FWI�f.E NVOIVFU 1 ��c� r ,� � ��- �,�� „�� PROPOSEOUSEOFBl11L wc�� ^ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS �� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL LEOALDESCRIPTIONOFPOOPERTV�SHOWNBELOWOBAIi�LHfOUfILOPIE51 PROVISIONSOFlAWSANDORDINANCFSGOVERNINGTHISTYPEOF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEFEIN OR �ot oiocK oF _ NOT. THE GRANTING OF A PERMIT DOES NOT PHESUME TO GIVE AUTHORIiY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV OiHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORPAANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRAC10R5 LAW 1827 RCW AND 296.200 WAC. SIGNMURE OF CONIfiACTOfI OP�UI(�1A�\IZEO ACEN I /� ORTE PN EGi AO�RESS -- � _- . S!_ri.J__—�.t/�'L:�1 �`� ^C�I � �- APPLIfANIF 'IY PIhINFSe l If[NSP HO �NO NISME55 N�ME 1 • Oc.� � PLUMBING MECHANICAL NO. TYPE OF FI%TURE ON�TEM FEE NO. TYPE OF EOUIPMENT FEE WATEFi CLOSET(TO�LET) � NC-MI INDI.G UNITS--H.P. �.___ — --- -- - --- ----- . .. _. _ ..._ _ , . _...- ---- -- -..;-___._ . _"_ BATHTUB ; fORCED Alfl S"Sl@MS -�B I.U. M . . ' _____ ._ .-____. ___ _...__.__-___.. _._.. .__ . _... _._..__ LAVATORY�WASHBASIN) � � UNIIHEAIFRS--f3.1.U. M _ �__ CLOTHES OfiYEF15 ' SHOWER �_ __ __--- KITCHEN SINK 8 DISP � VENTILA710N f-�N _ � DISHWASHER RANGE HOOD LAUNDRVTRAY WATER HEAIER ' CLOTHES WASHER --�— WOOD STOVE URINAL ' MCTAL FIREPL�CE 8 CHIMNEV ' DRINKING FOUNTNN � FIFiEPLACE INSER7� � FLOOR DRAIN � HEAT PUMP_ _ ' BACKFLOW PREVENTERS ; GAS PIPING � --r EXHAUSTFAN ROOF ORAINS-RAINLEADERS ,_. __ . � — _ SINK(SERVICE-BAR.ETG) __ r__ _ � — _ � ----- -- — �--- --;-- --- - � --�--- ----- --�------- — �— — -------- � � � r— . ___ _- .--'_-_ __. _._ ____.__.__________.___—'-- __-- � SUB iOIAL $ � __ ______ SUB 10TAL $ _� `- - -------- -----.--- ---- -..—_--- PERMIT� $ ��- ----- � PERMR ..--,--- --- ---- TOTAL PEC- - S -- - --- — ---��- - TOTAL FEE $ O ' � FOR OFFICE USE ONLY: lRONTSEIA�CK I1f4HSE1fiACN SIp�SFIP�CH �IANLII[CRHU�APPO fFF REGEIPTNO use ione tm nnrn vnr.nrn snr FEES VALUATION FEE �UILOWG ' IVI'EOfCONISAIIOW��If IYffO(I:UIISIACIU�I n[tu��M'.v HOAIm'IwNnu"ns - —'-- -------- � r,mm�• PLUMBWc; � � '— —__'___— —�— '_-__.._- __.__.._"__ � 512EUfOLUG"—�—_�-- "�NO.OPSIOIIiES—__-'-- IlA5FA11�.N1 MECH�NIC�L 3 �� OLCUP4NCYIO�D flill'SPIIHNICI1Spf4i1 nfimal.IMitNiow '— AUUIIIONN.PIANCHfCK i O711Ef7 � — i fiE450N fOR gPpINNLFRS i stnre eui�ouic suncr�nncr: � —— — -- --- � iNinKe m ri niisnrrnu��,�� CITY OF EVERETT ruoi ic�vonics LOCAL SALES TAX COUE IS 3105 rora� ;