1915 VIRGINIA AVE 2018-01-02 MF Import

flee Evergreen CITY OF everett BUILDING DEPARTMENT 259.8810 APPLILATION FOR CONSTAJCTION �11� PERMIT 0e) TO BE COMPLETED IN INK -PLEASE PRINT ARCHITECTOR DESIGNER MML ADDRESS CRY LP PHONE GENERALCONMACTOR MAILADDRESS CITY 21P PHONE IICENSE Al HANICAL CONTRA O MAIL ADDRESS CITY L-oza- t1�,GI ZIP pHONE ❑ NEW ❑ ADDITION TENANT IMPRMEMENTORINTER CONTRACT PRICE OF WORK I LOT BLOCK__ OF PLUMBING NO. TYPE SHOWER DISP. DRAIN OW PREP RAINS — iRVICF — GT:I TOTAL ❑ YES ❑ NO ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVEII INSERT ❑ BUILDING RELOCATION INED THIS APPLICATION AND KNOWTHESAMETOBE TRUEANLAW AND D CORRECT. AFLLPROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED H EREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PER- FORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 1827 RCW AND 296 200 WAD. SIGNATURE OF CONTRACTOR OR AUIHORIZED AGENT DATE X APPLICANTS CITY BUSINESS LICENSE NO ANO BUSINESS NAME MECHANICAL F—FIREPLACE TYPE OF EOUIPMEN7 A/C—A/HNDLG LI—HP FORCED AIR SYSTEMS— 8.T. EAUNIT HEATERS—B.T.U. M CLOTHES DRYERS VENTILATION FAN RANGE HOOD WATER HEATER WOODSTOVE METAL FIREPLACE8 CHIMNEY INSERT GAS SUBTOTAL S PERMIT S 6 TOTAL FEE S SIDE SETBACK PUNCHECKNUMBER FEE RECE VACANTSITE DYES 0 No FEES VALUATION NO. OF DWELLING UNITS BUILDING - PLUMBING BSMT. OCC LOAD — — --- -- _ O Y MECHANICAL ❑ N HEIGNT LIMITATION OTHER — - STATE BUILDING SURCHARGE STATE ENERGY SURCHARGE PUBLIC WORKS TOTAL