Laserfiche WebLink
APPLICATIC 1 FOR CONSTRUCT�N <br />TO BE COMPLETED IN BLA�K I��K—PLEASE PRINT <br />PERMIT � <br />BUILDING DEPARTMENT HE4TING SYSTEM: '�+'J GAS U ELECTRIC U_ _ _ J <br />259-8810 <br />I I DEMOLITION I I COMRINATION X BUILDING ! I MECHANICAL ' � PLUMBING I SIGN <br />OWNFq ldAILAUURESS <br />GtY .'P PIIOtIE <br />Gave Hancon 1Q54 i\'Q.r_tJ�_.�3ik �rivP FvPratt 9R7(14 �59-7QSp <br />1EN�NT .dr1�LAfORf'S5 CIfV ZIP PIIOI![ <br />ARCHRECTOPDESIGNEH MpILAJDRESS !'llv ZIP PH01lE <br />Gary Parkinson Architects 2812 Colby A��e. Everett 98201 252-2153 <br />GENERALCONTPpCTOR MAILADDRE55 Cl�r ZIP PH011E S�NEIICENSE/ <br />Dave Hanson 1054 IQorth Park Drive Everett 98203 259-2950 DAVEHCH072N9 <br />MECHANICA�CONiqACTOR MAILAUDR'_55 CII� ZIP PIIOIlE S7A7ELIGENSE> <br />PWMBINCCONTRACTOR MMLADORE6'8 Cliv 21P PIIOf1E $iqtEUCEIlSEN <br />CONiflACT PRICE Of WORd <br />��0� �)� � <br />DESCRIBE WOHN,ON� SOUARE FOOir1GE INVOLVEU <br />Wood Frame 7" o Ft w/672 S F r <br />PROPpSED 0.:. OF B WIUING <br />LEGAL UESCRIPTION OF PROPERTY �SHOWN OELOM OR qTTACH 7 WO COPIESI <br />�oT 5 eiocrc 1 o�Seabrooke H: <br />S1/2 SE 1/4 SW 1/a sF �ii, <br />SPctinn �G T �QN L/�c ci nn <br />PAPCELTA%I.O.NUMBER <br />8157-000-005-0009 <br />CONSTRUCTION LOAN LENDER. ADDNESS. TELEPIIONE NUMBER <br />PROJECT ADDRESS <br />51st Place S.W. Everett, WA <br />NO. � TYPE OF FIXTURE OR ITEM <br />_� � WATER CLOSET (TOILET) <br />,� BATHTUB I <br />SHOWER � <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNORYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTI <br />ROOF DRAINS—RAINL <br />FEE <br />0 <br />SUB TOTAL $ ; <br />PERMIT $ � <br />TOTAL FEE S ! <br />FOR OFFICE USE ONLY: <br />FRONTSE7BACK_ � REAR SFTBACK <br />5 �, <br />USE ZONE LOi AREA <br />2'S �Z ��5 � <br />iYPE Of CONSi. NO.OF SiORIES <br />�_, I i <br />FIRE SPRINKLERS (1[O'D <br />� I <br />r+eo 0 <br />1� � <br />REASON <br />I�J7AKEOY PIANSAPFqOVf.U(IY <br />�,�« J �� i� <br />SETBACK � <br />�% .S <br />�I YES f I NO <br />�rcur�ucr uamovruun,wms <br />BASEMEN7 � � <br />�7 YES �u'NO <br />HEIGH7 LIMIT-NIO`N <br />�S�T � �n <br />CITY OF EVERETT <br />LOCALSALES <br />TAX COUE IS 3105 <br />cUq inci vtn50N nt10 PH@1[ NO. <br />n�..e u.,.,..,,., ocn <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLIChTION AND KNOW THE SAME TO BE TRUE f1ND CORRECT. ALL <br />PqOVISIONS OF LAWS AND GRDINANCES GOVERNING THIS TYPE OF <br />WORK WILI BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTINC; OF A PERMIT DOES NOT PFESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVIS�ONS OF ANY <br />CTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 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 />CON�Ri�CTORS LAW 18.27 RCW A D 296.200 WAC. <br />; V , � <br />� �T <br />sic�umne - np�E <br />C�lY0U5MCS51iLEN561�J -- �� <br />TYPE OF <br />FORCED AIR SYSTEMS—B.T.U. P�1 <br />UNR HEATEFlS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BIIRNING <br />FIREPLACE INSERT <br />HEAT PUMP <br />EXHAUSTFAN <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />ADDIiIONAL PLAh CHECK <br />OTHER - <br />S7ATE �UILDMG SUfiCHARGF <br />ruouc wor�res <br />70TAL <br />SUA TOTAL $ <br />PERMIT $ <br />TOTAL FEE 5 <br />U7��. o � <br />FEE / RE <br />i1/� :� .. � <br />i <br />A <br />10 <br />FEE <br />T <br />�ji� ��SL <br />uT ��' <br />a/C� i L� <br />� <br />/c� ;ov <br />— L ' Sc_ <br />7� <br />