Laserfiche WebLink
hPPLICATION FOk-'' everen <br />TVOF`°"" CONSTRUCTION e <br />Everett PERMIT <br />'JILDING DEPARTMENT <br />59-8745 TO BE. COMPLETED IN INK- PLEASE PRINT <br />DEMOLITION [I COMBINATION ❑ BUILDING ❑ MECHANICAL U PLUMBING ❑ SIGN <br />NER MAIL ADDRESS - CITY ur ..... 1 <br />John Y. Sato & Associates, 1200-112th NE, Bellevue WA 98004 454-4494 <br />;HRECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE ' <br />John Y. Sato & Associates, 1200-112th NE, Bellevue Y;A 98004 454-4494 <br />NERAL CONTRACTOR MAIL ADDRESS Clly ZIP PRUNE LICENSEA <br />Sato Corporation, 1200-112th NET #C-185 Bellevue WA 98004 454-4494 # SATDC**297P6 <br />CHANICAL CONTMCIOq MAIL ADD BESS CITY LIP PIIONE LICENSE <br />VMBINGCONTRACIOR MAIL AUDFIESS CITY ZIT' PHONE LICENSE <br />A55 UT WUnn <br />3 NEW ❑ ADDITION El' ALTERATION ❑ REPAIR ❑ DEMOLITION I-] WOODSTOVE/FRPL.INGERT BUILDING RELOCATION <br />LUATION OF WORKICHST OF MATERIALS PLUS LADORI <br />6,000 <br />GUV CL CLL JIIC4 <br />RE Of BUILDING <br />1 HEREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS AP - <br />unoccupied - storage only <br />PLICATIONAND KNOWTHE SAME TO BETRUE AND CORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNING THIS TYPE <br />GAL DESCRIPTION OF PROPERTY ))SHOWN BELOW OR ATTACH FOUR COPIES)) <br />OF WORK WILL BECOMPLETED WITH WHETHER SPECIFIED HERE- <br />BLOCK <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />H__—or <br />GIVE AUTHORITY TO VI OR CANCEL THE PROVISIONS OF <br />ANY OKHER STATED OCAL AW REG ULATING CONSTRUCTION <br />OR TH PERF MA CE OF ONS'01RUCTI0N. 3/4/87 <br />SIGNATUIl Or C T AC OR O A NORIZED AGENT DATE <br />ROJECTADDRESS Dagmar s Marina <br />APP ICANTS 1 USINESSLICEN NO <br />1871 Ross Ave., <br />#0 3 <br />'LUMBING <br />MECHANICAL _ <br />NO. TYPE CF FIXTURE FEE <br />NO. TFPE OF EQUIPMENT FEE <br />WATER CLOSET (TOILET) <br />AIRCOND. UNITS-H.P. EA <br />BATHTUB <br />REFRIGERATION UNITS-H.P. EA. <br />_ <br />LAVATORY WASH BASIN) <br />BOILERS-H.P. EA. <br />SHOWER <br />GAS FIRED AC. UNITS -TONNAGE EA <br />KITCHEN SINK <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS-B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS-B.T.U. M <br />CLOTHES WASHEII <br />_ <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />— <br />ROOF DRAINS-RAINLEADERS <br />_METAL IIREPLACE A CHIMNEY _ <br />SINK SERVICE -BAR, ETC. <br />WOODSTOVE/FIREPLACE INSERT <br />SUBTOTAL <br />SUBTOTAL S <br />_. <br />PERMIT $ <br />PERMIT S <br />TOTAL FEE $ <br />TOTAL FEE $E�� <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />READSETBACK I SIDE SETBACK IPLAN <br />USE ZONE LOT AREA VACANT SITE <br />DYES ONO <br />TYPE OF CONST OCCUPANCYGROUP HO, OF DWELLING UNITS <br />BLDG <br />))ION❑ON ACC III JVIII <br />LANSCECKEDDY APPFI FOR ISSUANCE BY <br />PLUMING <br />MECHANICAL <br />OTRER <br />PENALTY <br />TOTAL <br />PLAN CHECK FEE <br />FEE I RECEIPT NO. <br />FEES I VALUATION I FEE <br />S <br />