9725 19TH AVE SE 2018-01-02 MF Import

D L'Vl'EP.II APPLICATIO FOR CONSTRUCTkJN PERMIT TO BE COMPLETED IN INK —PLEASE PRINT Ihn Ewyoon CITY OF everett HEATING SYSTEM' ❑ GAS ❑ ELECTRIC U BUILDING DEPARTMENT 259-8810 DEMOLITION COMBINATION BUILDING MECHANICAL GNE Z� PLUMBING {' .SIGN zlr OWNER MAIL ADDRESS crtr ` `4 %.r\4\o N�� zt °�`�fl;•� oa L 1L107 NF t�Kt' >t 4w LT 71PPHONE TENANT MAIL ADDRESS CRY ;.{l�sl � CITY ARCHITECT OR DESIGNER MAIL ADDRESS a.•J a>N4 k. clry GENERAL CONTRACTOR MAIL ADDflESS MECHANICALCONTRACTOR PLUwMBING CONTRACTOR CLASS OF WORK 1 NEW ' . ADDITION WORK ZIP ZIP CITY ZIP PHONE LIGLNbh9 MAILADDRESS PHONE LICENSE 0 MAIL ADDRESS CITY ZIP ALTERATION REPAIR X, DEMOLITION WOODSTOVE/FRPL INSERT Z BUILDING RELOCATION TACT PERSON AND PHONE N0. a'�',c\ck 1 1 ;,Lr'(G\\ PROPOSED USE OF BUILDIN') EC"l A+ LEGAL DESCRIPTION OF PROPERTY IEHOWN BELOW LOT — _ BLOCK OF SINK FOR OFFICE USE ONLY: FRONT SETBACK REAR: I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRA ORS LAW 18.27 RCW AND 296.200 WAC. SIGNATU O_ CONTRACTOR OF AUTHORIZED AGENT DATE APP CANTS LITY BUSINE SS LICENSE NO. AND BUSINESS NAME EMS—B.T.U. M T.U. M BUILDING PLUMBING IYPE Of CENTS. ALLOWABLE TYPEd CON5t.ACTUAI Lai r ra a BwcL1.114MS SIZE OF BLDG. NO.OF STORIES BASEMENT MECHANICAL ADDITIONAL PLAN CHECK OCCUPANCY LOAD FIRE SPRNKLERS REOD HEIGHT LIMITATION OTHER REASON FOR SPRINKLERS STATE BUILDING SURCHARGE INTAKE BY PLANS APPROVED BY CITY OF EVERM PUBLIC WORKS LOCAL SALES I TAX CODE IS 3105 TOTAL