Laserfiche WebLink
rj ' <br /> .�._,...�..,.�__ . ' _. . _. �.�� ' <br /> __ _ � - . .� . ....�..'.� <br /> � <br /> . APPLi�A`�'�G _J �OR CqIVSTRI�CT_ �C� RER�VI�TG � <br /> TO BE COMPLETeD IN BLACK INK—FLcASE PR!N? '(����� I <br /> BUILDING DEPARTMENT HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ � `� <br /> 259-8810 <br /> DEMOLf(ION COMBINATION BUILDING MECHANIC.AL .�LUMBING SIGN <br /> OWNER IAAILAOUHE55 CI7V 21P PHONE <br /> a��vl /�u�tES S,x 3Yd0 �fSTutz, RJ E '�Jyn Etnct 98/oa ��.g 3770 <br /> TENANT MAILADDRESS GTY ZIP PHONE <br /> ARCHITECTOFDESIGPEF MAILADDRE55 CITY ZIP PHONE �i <br /> GENERAL CONTRACTOR MAIL ADORE55 CIT'i ZIP PHONE STAiE LICENSE a �I <br /> MECNANICALCONTRACiOfl MAILAOORE55 CITY 21P PHONE STFTELICENSEtl <br /> PWMBINGCbNTRACiOR MAILADDRE55 CITY ZIP PHONE STATELICENSEx <br /> PauFc ,J ) �� . R �t.r,k. PD. Rox sraa.�9 y�,�wa�. 9soa8 ys�asBs PaesF,.7Pit�vt�� <br /> � CLA55 CF WORK � - <br /> ,✓NEW . . ADDITION , ALTERATION . REPAIR � DEMOLITION . ; WOODSTOVE/FRPL INSERT 9UILDING RELOCATION <br /> CONTACT PERSOH AN�PHONE tlO. <br /> CONTRACT PRICE OF WORK <br /> DESCRIBE WORK AND SOUARE FOOTAGE INVOLVLD <br /> PROPOSEDUSFC�FBUILDING I HEREOY CER7"IFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE.4ND CORRECT. ALL <br /> LEGAL�ESCRIPTIONOFPflOPERf/�SHOWNBELOWOR�TTACHFOUPCOPIES) PRGVISiONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> � WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> . �or BLOCK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE <br /> AUTHORITY TO VIOLATE OR CANCFL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCA�LAW REGULA?iNG CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED f �THE <br /> OWNER OF THIS PROPERTY TO PEFiFORM THE WORK FOR WHICH <br /> APPLICAT:�N IS MADE AND I COMPLV WITH THE STATE I <br /> CONTRACTORS LAW 1627 RCW AND 296.200 WAC. �` <br /> x1��_/. p. � ��/,. <br /> . PROJECTADDRESS S�cvc�;+t����,.,r�'� <br /> n .fea1�77..2- <br /> `dd`) YO pLRCE � E✓t?LEYr' J..oY: Rll-o1(e cnre�smessucroser�o � <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> ,3 WATER CLGSET(TOILET� � AiC—A/HNDLG UNITS—H.P. <br /> � . �. BATHTUB � ; FORCED AIR SYSTEidS—B.T.U. M E.A. � <br /> _� LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M � <br /> SHOWER � CLOTHES JRYERS <br /> / KITCHEN SINK 8 DISP ; VENTILATION FAN <br /> ' DISHWASHER RANGE HOOD �— <br /> LAUNDRY TRAY ; WATER HEATE? <br /> CLOTHES WASHER � WOOD STC�'JE � <br /> URINAL � METAL FIRFPLAGE 8 CHIMNEY <br /> DRINKING FOUNTAIN � FIREPL4CE INSERT '— <br /> FLOOR DRAIN � HEAI'Pl MP y <br /> BACKFLO'N PREVENTERS ; GAS PIF'ING <br /> - ROJF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) ; <br /> � - <br /> � <br /> SUB TOT,1L S y/ ; SUB TOTAL 5 <br /> _ PERMIT 5 d6 � PERMIT 5 �I� <br /> TOTAL FEE $ ; TOTAL FEE 5 <br /> FOR OFFICE USE ONLY: <br /> FRONTSETB�GK REARSETBACK ^u1DESETBACK PLANCMECKNOA'�BER FEE FECEIPTNO. <br /> USEZONE LOTAREA VACANTSITE FEES VALUATION FEE <br /> BUILDING <br /> iVPEOFCONTS.ALLOWA9LE ttPEOFCONSiAC77AL o[:uPeLCv NOaowEluucwar5 —+-- <br /> :Aow � PLUMBING <br /> SREOFBLDG. NO.OFSTOFIES BASEME4T I.IECHANICAL <br /> I <br /> OCCUPANCYIOAD FIRESPRNNLERSREO'0 HEIGHTLIMITATION A�DITIONALPLANCHECK i <br /> _ ' <br /> SPR:NKLER i <br /> REASON FOR SP9INKLERS - <br /> M S7AfE BUILDMG SURCHP.RGE <br /> INTAKEBV PLANSAPPROVEOOV CITY OF EVERETT Pl1BLIC WORKS � i <br /> LOCAL SALES <br /> TAX CODE IS 3105 T�TAL <br />