Laserfiche WebLink
APPLICATIC� FOR CONSTRUC'T7N <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />�-! X V u� HEATING SYSTEM: �] GAS � E�ECTRIC ❑_ <br />BUILDING DEPARTMENT <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �I MECHANICAL <br />OWNER MAILADDRESS LIT'! ZIP PMONE <br />Ernie Guetlin 3227 - 56th St. S.W. Everett 98203 355-25�3 <br />"iENANT MAILADDRESS CITV ZIP PHONE <br />ARCHITECT <br />MAIL <br />CITV 21P PHONE <br />�� <br />AUG 2 a <br />P�61ic yV `�tRE1']'...... <br />❑ PLUMB��a �ept ❑ SIGN <br />GENERALCONTRFCTOfl MAILADDRE55 CITY Z1P PHONE STATEUCENSEI <br />MECHMlICf�LCONTRACTOR MA�LpDOHti55 CI7Y ZIP P�'ONE STATELICENSEI <br />Horizon Heating, 7:�c. 3�i01 - 121st St. S.W. Lynnwood 98037 745-3930 HORIZHI137DU <br />PLUMBINGCONiNALTOfl MAILADDRES'. dTV ZIP PNONE STFTELICENeEa <br />CONTRACTPflF �vVORK <br />$3,425.00 <br />DESCRIBE WORK AND SOUAFE Fp1TAGE INVOLVED <br />CONTACT PERSON AND PHONE NO. <br />Install iurnace, H11T, EAC & status panel. I Robert MacGregor 745-3930 <br />PROPOSED USE OF BLIILDING <br />LEGAL DESCRIPTION OF PROPEHN (SHOWN BELOW OR ATTACH TWO COPIES) <br />LOT BLOLN OP <br />PpRCELTA%I.D.Nl1M8ER <br />CONSTRUCTION LOAN LENUEP. AODRESS, TELEPHONE NUMBER <br />PROJECTADDRESSS S.W., Everett <br />3Z27 56 h <br />NO. TYPE OF fl%TUHE OR ITEM <br />WATER CLOSET (TOILE� <br />BATHTUB <br />LAVATORY(WASH BASiN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />. DISHWASHER <br />LAUNDRYTRAY <br />CLOTHEu WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS—RAINLEADERS <br />� SINK (SERVICE—BAF, ETC.) _ <br />FOR OFFICE USE QNLY: <br />canurscraer-� REAR: <br />ZONE <br />TYPEOFCONST. <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAL FEE $ <br />SETBACK <br />FEE <br />LOTAREA VACANTSITE <br />❑ YES ❑ NO <br />NO.OFS'i9RIES attuvu,tr xo.avowFwncuwrs <br />cnouo <br />SIZE OF BLDG, I FIRE SPRINKLERS REO'D <br />OCCUPANCY LOAD FIRE ALARM flEd'D <br />REASON <br />INTRKE BV PLANS APPROVED BV <br />DATE <br />BASEMENT <br />❑ YES C NO <br />HEIGHT LIMITATION <br />CITY OF EYERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />i HEREBY CERT�FY 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 uOVERNING 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 LAW 78.27 RCW AND 296200 WAC. <br />/iZ.�r��c. �a�a�-�!`� <br />SIGN�T PE , UAIE <br />A/�AIHNDLG <br />FORCED A�R S <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />RANGEHOOD <br />WATER HEATE <br />VJOOU STOVE <br />METAL FIREPL <br />FIREPLACE IN <br />GAS PIPING <br />EXHAUSTFAN <br />M E.A. <br />(7 O UB TO)AL � <br />Qa PER $ <br />pv TO LFEE $ <br />pECEIPT <br />BUILDINCa <br />PLUMBING <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />OTHER <br />STATE BUILDING SURCHAFGE <br />PUBLIC WORKS <br />TOTAL <br />