Laserfiche WebLink
APPLICATIC�:1 FOR CONSTRUC i.ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />fl DEMOUTIUN fl COMBINATION I-1 BUILDING ❑ MECHANICAL I-1 PLUMBING Cl SIG <br />PROJECT ADDRESS <br />2801 VIRGINIA AVENUE EVERETT, WA <br />OWNER MMIMDRESS tltt ZIP PMONE <br />SECOND BABTIST CHURCH 2801 VIRGINIA AVENUE EVERETT, WA 98201 <br />TENr1NT MAllAODfiESS CITV ZIP PHONE <br />SECOND BAPTIST CNU!tCH SAPfE AS ABOVE <br />ARCHITECTORDESIGNER M�IL�ODRE�$ Cltt ZIP PHONE <br />JOHN ABEL 4932 W. INTERURBAN BLVD. BOTHELL WA 98012 (206) 481-7669 <br />GENEiLLLCONTRACTOR MAILnDORE55 Qtt 21P PIIONE STATEIICENSE� <br />DEVCON, INC. 1616 E. MARINE VIEW DRIVE EVERETT, WA 98201 (206) 252-1444 DEVCOI*158K4 <br />MECH�NICALCONTRACiOP MAILA�OPE55 Cltt 21P PHONE....... .,..ST�TF4ICFNSE• <br />PwMeiNa <br />DESLHIBE WOqKAND SOUARE FOOT�GE INVOLVED <br />PROPOSED USE OF pUILD've <br />CHI:RCH <br />LEG�L DESGRIPTIf,N Or PflOPEPTY (SMOWN BE <br />LOT 12 __ BLOCN 659 <br />DIVi�:ON <br />[lil] 1 1 1 :. <br />CONSTRUCTION LO�N LENDER, AWRE55. TEIEPHONE NUMBER <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />t7�]FY, <br />— BAR, <br />W. IN <br />arv <br />FEE <br />SUB TOTAL $ <br />PERMIT S <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />FRONTSETBFCN REARSETBACK SIUESET&...K <br />USE ZONE lOT 11PEA V�C�NT SITE <br />i7YE5 ❑ NO <br />HEIGHTl1MITRION NOOFDWEWNG SREOFBLOGRI. <br />UNITS <br />OCCUPAM IOAD I6RSEMENi <br />❑YES f] NO <br />RGSON <br />PEASON <br />JJAB�F2157KN <br />LICENSE i <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC O <br />WNTACT VER50.V �ND PHONE NO. <br />CAREY MANNING (206) 481-7669 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI: <br />APPLICATION AND KNOW THE SAME TO BE TRUF. AND CORRECL ALl <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE Of <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OF <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVI <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF AN1 <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THt <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BV THL <br />OWNER OF THIS PROPERTY TO PERPORM THE WORK FOR WHICI� <br />APPLICATION IS MADE AND I COMPLY WITH THE STAT[ <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />X <br />���-- �x.n�_nu1��5�95 <br />SIGNA E DATE <br />230 8 <br />CITY BUSINE55 LICENSE NO. <br />MECHANICAL <br />NO. TYPE OF FI%TURE OR IiEM FEE <br />NC — AIHNDLG UNITS — H.P. J_ <br />FORCEDAIRSYSTEMS—B.T.U. M E.A. � <br />H�AT PUMP � <br />UNITHEATERS—B.T.U. M ! <br />INSERT <br />GAS RAN( <br />GAS PIPIN <br />E%HAUST <br />PLANCI�� ^BER� I FEE_ I RECEIPTNO. <br />�� <br />V U/ pJ � <br />BUILDING <br />PLIIMBING <br />MECNANIC�L <br />ADDIPONAL PIAN CNECN <br />OTHER <br />STATE <br />�uvcu ur CITY OF EVERETT PUBIIC WORKS <br />� LOCALSALES <br />, �,� .q � TAX CODE IS 3705 TOTAL <br />SVRLHAqGE <br />l �� i��'� <br />