5118 WILMINGTON AVE 2016-01-01 MF Import

�� APPLICATIC^1 FOR CONSTRUCT'1N PERMIT � TO BE COMPLETED IN BLACK INK—PLEASE PRINT BUILDING DEPARTMENT HEATING SYSTEM: GAS O ELECTRIC U 259-8810 ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING f�HANICAL ❑PLUMBING ❑ SIGN OWNER MAILRDDRESS CITV ZIP PHON[ TENANT OR CITY ZIP CITY 21P PHONE PHONE GENEMLCONTRACTOfl MAILADORESS CITY ZIP PMONE STATELICENSE• MECHMlICRLf.dJTHACTOR MAILADDRE55 CITY ZIP PMONE STATELICENSER PLUMBINGCONTPRCTOR MAILADORESS QTY ZIP PHONF. ST�TELICENSEs y��lV�'-'< 2 ��,3�s DESCF:3E WORN AND SOU�flE FOOTAGE INVOLVED LEGAL OESCR'� ".^N OF PROPERTY (SHOWN BELOW OR ATTACN LOT---- BLOCR — OF NUMBER TELEPHONE LAVATORY (WASH BA; SHOWER KITCHEN SINK 8 DISP DISHWASHER BACKFLOW PREVENTERS ROOF DRAINS—RAINLEADERS SINK ISERVICE—BAR, ETC.1 FOR OFFICE USE ONLY: FHONTSEiBACK REARSETBACl: USEZONE IOTAREA SIZE OF 6L01 OGCUPANCY REASON INTAKE BV FIRE SPRINKLERS REO'D PlANS APPROVED BY onTe FEE $ $ $ CONT�CT PERSON AND PHONE I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPL�CATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANC'_S GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH WH�::THER SPECIFIED HEREIN OR NOT. THE GRANTING OP A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW RE(iULAT�NG CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFOfiM THE WORK FOR WHICH APPLICATION �S MADE AND I COMPLY WITH THE STATE CONTR CTORS LAW 1B. RGNLANQ.�96200 WAC. � -lG-93 sarver e. o�r¢ , N0. AIC—NHNDLG UNITS—H.P. FORCED AIR SYSTEMS—B.T.U. M E.A. UNITHEATERS—B.T.U. M CLOTHES DRYERS WOODSTOVE METAL FIREPL FIREPLACEIN; HEAT PUMP GAS PIPING EXHAUSTFAN PIANCHECN ❑ YES ❑ NO BUILDING acuvu¢r xoaowtw�+cuxrts c"0pP PLUMBING BASEMENT MECHANICAL ❑ YES ❑ NO HEIGHiLIMITRTION A�DITIONALPLANCHECK _ OTHER STATE BUILDING SURCHAFiGE CITY OF EVERETT PUBLIC WORKS LOCALSALES TAX CODEIS 3105 TOTAL SUB TOTAL $ PERMIT $ TOTALFEE $ �