Laserfiche WebLink
APPLICATIC _1 FOR CONSTRUC7 JN PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM: ❑ GAS ELECTRIC ❑ <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION COMBINATION �BUILDING MECHANICAI PLUMBING SIGN <br />OWNER MnILRDDRE55 GTY 21P PHONE <br />�,e%� �%✓f y&�7 S 3�� Evn,���i u/,, y��o3 339-�/79 <br />TE Ni MAIL ADDRE55 GITV 21P PNONE <br />� SAnie <br />ARCHITELT OR DESIGNEF MnIL nDDRE55 CITY 21P PMON[ <br />Sam e <br />GENERALCONiRACTOR MAILADURESS dTV 21P PHONE STPTEUCENSE• <br />MECHAry �L CONTRAGtUR MR�L 4�DHESS GTY 21P FMONE STpTE LICENSE � <br />' l�elly �/rJG 5�'��e — - — <br />PWMBMGC NTRRGT/JR <br />� N /1 <br />ClAS50F WOR <br />NEW ADDITION <br />/'MJTPlGT CRICF OF WORK � <br />PPOPOSED USE OF BUIIDiNG <br />Su�1 pc�[ I <br />IEGAL OESCRIPTiON OF PROPBRiV <br />LOT�� BLOCN _� <br />MAR qDURE55 <br />ALTERATION REPAIFi <br />',� s� /� O "� a. <br />)ecNK`�E_ y6 � s�. F <br />� - sr rl <br />�SHOWN OELOW OR ATiACN FOUF GOPIE51 <br />y oo aF � �D ���t. <br />(�u. LoT 5 "a <br />PRQIECT 4DDRE 5 <br />�ame r�s <br />PLUMBING <br />HO. TYPE OF Fl <br />WATER CLOSET (Ti <br />BATHTUB <br />LAVATORY(WASHI <br />SHOWER <br />KITCHEN SINK 8 DI <br />LAUNDRY TRAY <br />CLOTHES WASF <br />URINAL <br />DRINKING FOUP <br />FLOOR DRAIN <br />BACKFLOW PRE <br />ROOF DRAINS— <br />FOR OFFICE USE ONLY: <br />FR NTSETBACK AEAFSET <br />GE <br />useza+e iornaEn <br />rf7 —% _ � . N <br />TYPE Oi CONiS. PIIOWABIE <br />�N <br />SIZE OF BIOG. <br />�1(0� 5f nECK <br />occuenNcr�ono <br />� <br />REASON FOF SPRINNLEPS <br />INTANE BY <br />SUB <br />tYP[ Oi CONSi. RC10ht <br />�_� — <br />NO. OF STORI[5 <br />FlRE SPRiNlEFS RE�'D <br />N� <br />crtv n� <br />DEMOLITION WOODSTOVEiFRPL INSERT <br />CONiACTPERSQ�AN%i�No. g3q-i17 <br />ICnI �, <br />BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND'rCNOW THE SAME TO BE TRUE AND CORRECT. ALL <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 DOES NnT PflESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WNICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTFACTORS LAW 18.27 RCW AND 296.200 WAC. <br />/ ]� � <br />�� ��w S 92 <br />s����.�A o. <br />FORCED AIR SVSTEMS—B.T.U. M E <br />UNIT HEATERS—B.T.U. M <br />CIOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 C'�I MNEV <br />PUMP <br />PIPING <br />$ SUB TOTAI. 5 <br />� _ PER�dIT $ <br />$ TOTALFEE- $ <br />j ,�, �p.� <br />JE $ETBAC �R�`G PLAN CH�N�� / FE��O. �� RE� PTDN� <br />O <br />occurr,xcv I r.00�ow[•uvsoxrs <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX COOE IS 3105 <br />BUILDING .�J � ; <br />PLUMBING � <br />-- � <br />MFGHANICAL <br />ADDITIONAL PLAN CHECK �� <br />— � <br />SARINNLER <br />STATE BUILDING SURCHARGE '� ' r L� <br />PUBLIC WORKS � <br />TOTAL � <br />