Laserfiche WebLink
[ew <br />z � DT <br />O En <br />C_1, <br />APPLI`ATION FOR CONSTLJCTION <br />PERMIT <br />the Evergreen PvrIPTI <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259.8810 TO BE COMPLETED IN INK— PLEASE PRINT <br />ONEII <br />W <br />MML ADDRESS <br />GTY ZIP <br />PHONE <br />Greentree Plaza <br />305 S.E. Everett <br />Mall Wa Everett, <br />We. <br />PHONE <br />TENANT <br />RAIL ADORE89 <br />COY ZIP <br />C & S Cleaners. <br />Same S ace #26 <br />rP <br />PHONE <br />ARCHITECTOROESIONER <br />MAILADDRESS <br />COY <br />OENERM. CONTRACTOR <br />AAIIADDRESS <br />tnnG_n <br />COY 21P <br />l:.vnr Sumner. Wa. <br />PHONE LICENSE• <br />98390 863-8126 <br />MECHANICALCONTRACTOB^^•^••�•�^ <br />Cornell Plumbin 3210 S. Tacoma Wa Tacomla We. 98409 ENE-279-003`6NA <br />ftUMBINOCONTRACTOR MMLADDRESS C_279_003-674 <br />Cornell Plumbing .3210 S. Tacoma Way Tacoma, We. 98409 <br />CLASS OF WORN ' <br />I_ .n . wcaTn t"I ROILOING RELOCATION <br />❑ NEW U ADDITION U ALTERATION W <br />HtrA.H u � <br />CONTACT <br />-- <br />PER ON PHONE N0. <br />TENANT IMPROVEMENT OR INTERIOR REMODEL ONLY <br />473-7171 <br />CONTRACT PRICE OF WORK <br />C <br />Tony OlHaleck <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Brigitte Hutton Same <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND <br />wwPOSEO UBE DF BUIL.IN <br />KNOW THE SAME TO BETRUE AND CORRECT. ALL PROVISIONS OF LAWS AND <br />ORDINANCES GOVERNING THIS TYPE OF WORK WILL OFABE COMPLETED WITH <br />NOT <br />R SPECIFIED HEREIN OR NT. THEPRESUME <br />DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR CARE51 <br />LEGAL <br />TO GIVE AUTHORITY TOVWHETHEVIIOLATE OR CAINCEL THEE ROV S�JNS OF <br />STATE OR LOCAL LAW PER- <br />II <br />LOT BLOCK OF <br />FORMANCEANY OTHER <br />OF CONSTRUCTION. THAT AM AUTHORIZED BY THE OWNER OF <br />THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE <br />AND 1 COMPLY WITH THE STATE CONTRACTORS LAW 16.27 RCW AND <br />296.200 WAG <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />PRO)ECTADDRESS <br />WKICAHISCITY BUSINESS LICENSENO. AND BUSINESS NAME �%� <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. TYPE OF EQUIPMENT <br />FEE <br />' <br />5 00 <br />A/C—AIHNDLG UNITS—H.P. <br />1 <br />WATER CLOSET ITOILEn <br />FORCED AIR SYSTEMS— Stu, M EA <br />BATHTUB <br />5 <br />00 <br />UNIT HEATERS— By" M <br />1 <br />LAVATORY (WASH BASIN( <br />CLOTHES DRYERS <br />SHOWER <br />KITCHEN SINK6 DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />6 <br />50 <br />LAUNDRYTRAY <br />1 <br />WATER HEATER <br />CLOTHESWASHER <br />00 <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />URINAL <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />2 <br />FLOORDRAIN <br />HEATPUMP <br />aACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS— RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE — BAR ETC.) <br />SUBTOTAL <br />i <br />25 <br />00 <br />SUBTOTAL $ <br />PERMIT <br />S <br />PERMIT $ <br />TOTAL FEE <br />S 25 00 <br />TOTAL FEE $ <br />FRONT SETBACK REARSETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER FEE RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANTBOE <br />FEES <br />VALUATION <br />FEE <br />O YE6 O NO <br />BUILDING <br />TYPE OF GONST <br />OCWPANCY GROUP <br />NO.OFOWELLINOUNITS <br />ALLOWABLUACTUAL <br />PLUMBING <br />SIZE OFBLDG <br />:OF STORIES <br />SSYT. <br />DCG LOAD <br />MECHANICAL <br />OTHER <br />ON <br />HEIGHT LIMITATION <br />STATE BUILDING SURCHARGE <br />FIRE SRINKLERSREOUIREO DYES O ND <br />STATE ENERGY SURCHARGE <br />PUBLICWORKS <br />APPLICATION AM BY PLANS APPR eY <br />TOTAL <br />