10730 19TH AVE SE WASHINGTON WASH 2016-01-01 MF Import

� � �� APPLICATION FOR CONSTRUCTI�..N PERMIT `� _ . F. everett � . TO BE COMPLETED IN INK—PLEASE PRINT � f%� !he Eve/pnwn � CITV OF � everett HEATRJG SYSTEM: ❑GAS ❑ELECTRIC ❑ � ' BUILDING DEPARTMENT 259-8810 I ! DEMOLITION ❑ COMBINATION ❑ BUILDING y(MECHANICAL i1CPLUM8ING i7 SIGN OWNEH MAILADDRESS Cltt ZIP PNONE C�� - G p 1 �7 �l4uE .�r17T/61� SI.Sf� /9/ZJ �2TKCKEL{K /�7¢Cu�i+y �7NEZ� WA �Y�'3-�d36 � 1 � TEN�NT MAILpO�PESS QTV 21P PHONE � � U�as�v�ti�rar� tuas+� rni oi N� �78''x �St�az-�zs w � 9Si� 365-8�67 . � AflCMRECTOR�ESiGNER MRILADDR[55 GTY ZIP PHONE — /� /i63 l�tcniuc. //bD N w � a � snarnc cu,a 98�0� 7��- /339 :; E � GENEHALCONfO�GTON RILADORESS CITY ].IP PHONE LIGENSEY �i. fi � i}a O-/.11-[.0 b2.! �,!'I� c�- 19L1. �ox�JT�2c�cT1o�J 22t� 13 S7Sc., auB�.2u q&�z �l'33-GS7a k1 YN6 C` MECHRNICRLCONTRAGTJR MqILALOflES$ CITV ZIP PHONE UCENSEI 1�■` Ao- Fl�� C�b�uST1e�C1-�ot� r, .� �` �� � PLUMBI NT TO � / CITY� 21r pHONE LICENSEY N�ffa.'�`cc�r �91-�'�993��83 kl� „e"AQ �s�o „ « ,� � yyy �o- w�� eo�usT�z��cr� — � � CLASSOFWOflN --� . � ❑ NEW {rFADDITION '�ALTERATION ❑ REPAIR u DEMOLITION L�I WOODSiOVE/FRPLINSERT G BUILDINGRELOCAT�ON CONTACT PERSON ANO PHONE NO �'� �� x Aci< NELm�� 33-4,8i3 73Sao89 CONTR�CT PflICE OF WORK DESCPIBE WORH�ND SOUnBE FOOTRGE INVOLVEO Qr � �y PROPOSEDUSEOFBUILDING I HEREBY CERTIFY THPT I HAVE READ AND EXAMINED THIS F}4 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL � q lEGr1L0ESCRIPTIONOFPROPERTY�SHOWNBELOWOflATTACHFbUPCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF �� �� WORK WILL BE COMPLETED WITH WHETHER SPEGFIED HEREIN OR . �or eiacK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO CIVE AUTHOFIITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY � �� OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE .. PERFORMANCE OF CONSTRUCTIGN.THAI'I AM AUTHORI2ED BY THE OWNER OF THIS PROPERTY TO Pi.RFORM THE WORK FOR WHICH . ' ""�'� APPLICATION IS MADE AND I COMPLY WITi THE STATE I � CO TRACTORS LAN tt 27 RCW AND'e96200 WAC. SIG flEOFGONTH 'RUTMORIZEOAGiiNT DATE � _ � �' Z�-r� , PPPIECT ADDPESS �— . , / r\� � � . I ^��\ 1 '/ S�_� =•�1 /�.. � PI CA TS CITV BUSINESS LICEN E N0.RND BUSINE55 NAA'E �.' �'� �� V � '� - PLUMB�NG MEC ANICAL ! j� -`—.- NO. TVPE OF FIXTURE OR ITEM � FEE NO. TYPE OF EOUIPMENT FEE � . � ( C'e ATH UgLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. � � �� . � FORCED AIR SYSTEMS—B.T.U. M E.A. ' +,� � �AVATORY(WASH BASIN) ; UNIT HEATERS—B.T.U. M i � . ' . � SHOWER � 32 CLOTHES DRYERS ' '_�� KITCHEN SINK 8 DISP VENTILATION FAN � s. r I L� DISHWASHER ' RANGEHOOD ; � - '� �r€�., LAUNDRY TRAV 2 WATEF HEATER '' � � ^�� 'jZ CLOTHES WASHER � WOOD STOVE � ��`;- , -_ � URINAL ' METAL FIREPLACE&CHIMNEY ' �� DRINKINGFOUIVTAIN , HIEAT UMpINSERT i . FLOOR DRAIN I i BACKPLOW PREVENTERS GAS PIPING �, '�i ' � ROOF DRAINS—RAINLEADERS EKHAUST FAN � ' �� _ SINK(SEAVICE—BAR.ETC.) _ � � i I O� � _ i I I SUB TOTAL $ Z SUB TOTAL $ i PERMIT $ r PERMIT $ �S� _ TOTAL FEE $ C(/ TOTAL FEE $ ' 'U�� �� FOR OFFICE USE ONLY: FflONT SETOACK REAR SETBACK SIOE SETBPCK PLAN CIIECK HU6IBEP FEE RELEIPT NO. us=_zor+E LOiAREA VRCAN�SIiE FEES VALUATION FEE �UILDING ivPEOfLOqtS.AtIOWA�IE iYPE0fL01lSCACItIAI acurexcr xoorpwRuecuxns -- � 4P0°P PLUM�ING � �iDL � SIZEOFBLOG. NO.OFSTONIES BASEAIENt MECHANICAL ' ' �;crn OLCUPFNCYLOA� FlFlESPFNNLERFPEOD NEIGNTLIMIT�TION �DDITIONALPLA4CHECN OTFI[fl ' (IE450H FOR SPRINKLERS --�— STATE BUILDING SURCHARGE INTANE BY Pl�NS PPPROV[011Y � CITY OF EVENE' aueuc woAKs , LOCALSALES TAX CODE IS 3'f 05 TOTAL ��j � '