Laserfiche WebLink
g� � ��� ,.. ��-�- �l ��- �-�- <br /> APPLICATION FOR CONSTRlJCT10�1 PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br /> CI DEMOLITION f�l COMBINATION f�t BUILDING i�7 MECHANICAL fc� PLUMBING fl SIGN <br /> PROJECT ADDRESS <br /> 5"G09 /d"�` �[�.• l.v • <br /> ow�+En Mni�aooness arv zir ruoNe <br /> Ralae+ unfr�_ c.� T„� 12811 8th Ave. W #A-201 Everett, FTA 99204 206/513-90Q6 <br /> , IEN�NT M�II.M�RGSS CIIY ZIP PNONF <br /> �RCHITECTORDESIGNER M�ILAOURE55 GITY ZIP PIIONf: <br /> GENER�LCONIRAC70R MNLA�OfiESS GIIV 7.1� PIIONE SIALELICENSE� <br /> . S�P1eCt Hon�,g, Tn 1 811 8 h Av W #A- .Ol � r �, pIA 9820�F.'�1'�-9(1f1F Si?T,F.CTTII�KN <br /> MECHANICALCONTfinC10� MNLA�DRE55 CITY ZIP PIIONE SiATELICENSE� <br /> PLUMBINGCONTPACTOR MAILAO�PESS CITY 21P PIIONE SiAiEIICENSEM <br /> CONTR�ICTPRICEOF WORK HEATIhG SYSTEM: �GA3 ❑ ELECTRIC ❑ <br /> D SCRI E WORR AND SOUARE FOOT�GE INVOLVED CONi�CT PERSON AND PHONE N . <br /> Construction of one single family residence ,dy Clark 206/513-9006 <br /> Eeverly Kir.g 206/513-9006 <br /> I HE.REBY CE.RTIFV THAT 1 HAVE PEAD AND EXAMINED THIS <br /> A�PLICATION hND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSEDUSE OF DUII�ING PROVISIONS UF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> Sln le famil C1W211].Il WORK WILL BE COA"PLIED WITH VJH[THER SPECIFIED HEHEIN OR <br /> LEGAL�ESCPIPTIONOFPROPEBtt�SHOWNBELOWORARACHTWOLOPIES� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ioT�_e�ocK or AUTHORITY TO VIULATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> Merrill Creek Gardens D1V. 1 PERFORMANCE OF(:ONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNEA OF THIS PF�OPERTY TO PERFORM THE WORK FOR WHICH � <br /> APPL�CATION IS M11ADE AND I COMPLY WITH ��FIE STATE '' <br /> PARLELTA%I.D.NUMBER CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> Select Hane:;, /I�nc. <br /> CONSTRUCTION LOAN LEN�]ER.AOOfiES`.fELCPHONE NUM�ER XB�� � �"�- ,•j—]'9 S , <br /> _ _ SIGNATII(lE � DATE I <br /> CITY�USINESS UGENSE NO. ' <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM 1=EE NO. TYPE OF FIXTURE OR ITEM FEE <br /> ' WATER CLOSFT(TOILET) � A/C—A/HNDIG UNITS—H.P. � <br /> BATHTUB ; 1 FORCED AIR SYSTEMS—B.T.U. M E.A. ; '�,, <br /> _ � LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER ' UNITHEATERS—O.T.U. M ' I <br /> 1 KITCHEN SIIJK 8 DISP i 1 CLOTHES DRYERS i � <br /> 1 DISHWASHER � ,!� VENTILATIqN FAN � _ � <br /> IAUNDRY TRAY ; 1 RAIJGE HOOD ; <br /> 1 CLOTHES WASHER � 1 WATER HEATER � <br /> 11RINAL ' WOOD STOVE ' <br /> DflINKING FUUNTAIN i METAL FIREPLACE IWOOD BURNING) i <br /> —�— <br /> FLOOR DRHIN � FIREPLACE INSERT(WOOD BURNING) � <br /> DACKFLOW PREVENTERS � 3AS FIREPLACE i <br /> —� <br /> SINK(SERVICE--BAR,ETC.) � GAS RANGE � <br /> ' � 9- GAS PIPING ' <br /> i EXHAUSTFAN i <br /> — � i <br /> i � <br /> � � <br /> T <br /> _ SUB TOTAL 3 „�� ; SUB IOTAL $ . ; <br /> PERMIT 5 � PERIdIT 5 � <br /> TOTALFEE 5 ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETOACN flEM SETB4CH SI�E SEID�C PIAN CHECK NUMOEfi FEE RECEIPT NO <br /> r� ' �' � � �-' � � " 37. <br /> u�oNt�� �ornnEn vncnursiTe FEES VALUATION FEE <br /> //3� nves n r+o ouaomc �j�{' U"Z7 �� ; — <br /> HEIGHT IMIiAiION' NGUFOIYEWNG SIZEOFOLOGRI. . � i <br /> / UNITS 260Z. .IF C-W�U4i pLUM91NG �1 i <br /> � 47�JF G,.t2n<..= _ <br /> OCGUPANCY BOAFSIOBIES OCCOPPNTLOAD BASEMENT MECIIANICAI C) �— <br /> GR7UP� <br /> �_ __ I ES f] NO i <br /> FlRE ALARM REOD f1EA501� A�OIiIONN.PLAN CNECK � <br /> i <br /> �� OTHER .��/�� . / ! ,� i <br /> F)FE SPRINKLER REO'0 REASOh � <br /> ( � / S7AlE BUILUING SURCHP.RGE � y_��� <br /> c:r V <br /> TVPE FCOySTi PIANSPPPR VE[�6Y CITYOFEVERETT �'UDLICWORKS ��/�� i <br /> ��"F LOCALSALES � -n <br /> .�-'"%'� onrE �a �S TAX CODE IS 3105 70TAL / � I��/I <br />