Laserfiche WebLink
PNqD <br />N hiIC :FOR CONSTRUCT'`?N PERMIT <br />JUN 111993 ft BE COMPLETED IN BLACK INK —PLEASE PRINT 04L <br />................�[..........E. F�F� <br />BUILDIf�t�HTIGTt Nl'TT _HF1T!NG SYSTEM: ❑GAS 0 ELECTRIC f] <br />259-8810 Public Works Dept, <br />DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONEtiALLy hfo.nES, lac. 3Yao Ensrca,ca o✓c IS.,Too SEirrTsf 98/oa_ a8-3770 <br />TENANT MAIL ADDRESS CITY 21P PHONE <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE N <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE IF <br />PLUMBING CONTRACTOR MAIL AUDRESS CITY ZIP PHONE BTATE :ICENSEp <br />Tlm�Ir,c. n1AJ R.U.E A1eEZJ( PogQY v8312ims htXFTJPdagCM <br />CLASS OF WORK <br />1✓NEW I I ADDITION I ALTERATION REPAIR DEMOLITION WnonSTnVPiFaal wcGaT I h, m n,nlr_ov, <br />CONTRACT PRICE OF WORK <br />CONTACT PERSON AND PHONE NO. <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW 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 NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LLAWy18.27 RCW AND 296.200 WAG. <br />X <br />"" . "!1'`-"/}`— (aI9193 <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK of <br />PROJECT ADDRESS <br />Coal 5/0 PkAce rw"Err <br />tor: RN-vo <br />SIGNMI�IE / /� DATE <br />oas77.1- <br />CITY RUSWESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />—7, <br />WATER CLOSET (TOILET) <br />.21 1 <br />A/C—A/HNDLG UNITS—H.P. <br />BATHTUB <br />Iq <br />FORCED AIR SYSTEMS—B.T.U. W. E.A. <br />LAVATORY (WASH BASIN) <br />, <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK & DISP <br />; <br />VENTILATION FAN <br />RANGE HOOD <br />, <br />If <br />DISHWASHER <br />I <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE & CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />' <br />FLOOR DRAIN <br />HEAT PUMP <br />, <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />' <br />ROOF DRAINS—RAINLEADERS <br />I <br />EXHAUST FAN <br />, <br />SINK (SERVICE —BAR, ETC.) <br />, <br />I <br />, <br />' <br />SUB TOTAL <br />$ <br />yg :00 <br />SUB TOTAL $ <br />PERMIT <br />$ <br />0100 <br />PERMIT $ <br />TOTAL FEE <br />$ <br />llg BOO I <br />I <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VArANT SITE <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />TYPE OF CONTS, ALLOWABLE <br />TYPE OF CONST. ACTUAL <br />aauvAr¢r <br />eealr <br />NO TN DMELLING UNITS <br />PLUMBING <br />, <br />SIZE OF BLDG. <br />NO. OF STORIES <br />I BASEMENT <br />MECHANICAL <br />i <br />ADDITIONAL PLAN CHECK <br />OCCUPANCY LOAD FIRE SPRNKLERS REQ D HEIGHT LIMITATION <br />REASON FOR SPRINKLERS <br />SPRINKLER <br />STATE BUILDING SURCHARGE <br />INTAKE BY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLIC WORKS <br />TOTAL <br />