Laserfiche WebLink
APPLICATIGrI FOR CONSTRUC7.ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 e 25�-8810 <br />❑ DEMOLITION fCk COMBINATION CI BUILDIRG ❑ MECHANICAL f7 PLUMBING fl SIGN <br />ONMER M�ILAODRESS CITY ZIP PNONE <br />Metco Homes L.L.C. 18913 Bothell-Everett Hwy. Bothell WA 98012 (206) 316-0261 <br />iENANT MPILAOORESS CITY 21P PNONE <br />ARCHITECT OR DESICaNER MAII AD�RE55 GITY 21P PHONE <br />GENERRL CONTBACTOFi MAIL�UOflE55 UTY ZIP PMONE STATE LICENSE � <br />.�r- <br />^ ($ame as abovel METCOC293K7 <br />MECHANICAi.CONTR�CTOq MAILFDURE55 CITY 21P PIIONE ST0.TELICENSE� <br />PLUMBING CONTRACiOR MM� ADDHE55 CIN ZIP PNONE STATE LICENSE � <br />CONTMCt PRICE OF WOPK <br />ANU SOUARE FOOTAGE INVO VED <br />•.�r� IGI?� � <br />� I I I�'f � trr <br />PROPOSED USE OF BUILDMO . <br />� n � <br />LE6ALDES�CRIPQTI �FPROPI <br />l0T'�,LQ_ BLOCK <br />Creek Phase 4 <br />(SHOWN <br />��The Ridqe" <br />'8 `i /U -CX)(�- VJ7S ^ lJ�+ <br />C(1N37AUC710N LOAN IENDEH. ADDRE55. TELEPHONE NUMBEH <br />PLUMBIN6 <br />NO. TYPE OF FlXTURE OR ITEM <br />�,3 WATER CLOSET (TOILE� _ _ <br />BATHTUB <br />l LAVATORY (WASH BASIN) <br />j SHOWER <br />KITCHEN SINK 6 DISP <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTAES WASHER <br />URINAL <br />DRINKINd FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />; SINK (SEHVICE — BAR, ETC.) <br />1/ SUBTOTAL $ � <br />PERMIT $ � <br />TOTALFEE S� � _; <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK � REAP,�ETBPf.N � SIDESETBACN <br />� � � _ <br />USE20NE LOT�REA V�C�NTSrtF <br />�- 3 ,SC9 �5 �, �o <br />HEIGNT LIMIiAT10N NO. OF UWELLING SIZE OF Bl[1GRA <br />nn � lIN1T$ ! ISD'V� S.f. L�v�J4 + <br />� <br />- h/ <br />REO'0 <br />flYES WNO <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />HEATING SYSTEM: }�j GAS L 1 ELECTRIC fl _ <br />CONTACT PEfl50N ANO PHONE NO. <br />Mike Mietzner Ext. 32 <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE 'lRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPF. OF <br />WORK WILL BE COMPLIED WITH WHETHFR SPECIFIED HEREIN OR <br />NOT. TNE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL T!�IE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW RE6UUITIN� 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 FaTATE <br />CONTRACTORS LAW 1827 RCW AND 295200 WC.(:. <br />� �( 7_9� <br />x <br />s�or+METCO 243K7 �ATE <br />CITY BUSINE55 LICENSE NO. <br />NO. TYPE OF EOUIPMENT FEE <br />A/C — A/HNDLO UNITS — H.P. <br />1 FORCED AIR SYSTEMS — B.T.U. M E.A. <br />HEAiPUMP <br />UNIT H-ATERS — B.T.U. M <br />VENTILATION FAN <br />RANGE HOOD <br />WATER HEATER <br />WOOD STOVt <br />METAL FIREPLACE <br />GAS FIREPLAC <br />GAS RANGE <br />GAS PIPING <br />ExHAUSTFAN <br />SUB TOTAL $ <br />PEFlAilT $ <br />TOTALFEE $ <br />PIAN CIIECK NUMBER FEE I RECEIPT NO. <br />' _ "' �%n � <br />eunniNc <br />Pwuoir+c �+_ <br />i <br />MECIUNICAL i <br />i <br />ADDITIONPL PLRN C��FCK �� <br />i <br />OTMER � <br />� <br />i <br />STATE BIIIIDING SURCM�RGE �L <br />�'_ <br />PUI111f,W011NS 2O i <br />�1 ' <br />TOTAL �S (p / ;'yi <br />