Laserfiche WebLink
APPLICATI.jN FOR CONSTRUC . ION PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION . <br /> 3200 CEDAR STREET• EV"iRETT, WA 98201 •259.8810 4L <br /> F-1 DEMOLITION I I COMBINATION 1-1 BUILDING I I MECHANICAL I I PLUMBING I I SIG <br /> PROJECT ADDRESS <br /> ovmrn MAIL ADUAFSR CIrY jIP PINVA <br /> HymES1 +_KIRIf(.RI)D "I 60.M UL- -W-906.0 <br /> TENANT MAIL ADDRESS CITY 7m PIIDNF <br /> ARCISTECTORDESONER MAIL ADDRESS CITY 71r PHONE <br /> GENERµCONTDACTdi MAIL}IKI:ESR I:IIY 71P PIIDNt: SIAA IICf NSFF <br /> s aw�E Aa �Qo�r_ n44 0- 7 0K <br /> MECHANICAL CONTRACTOR MAIL ADDRESS City 71P PRONF SI IF IICFNRF9 <br /> PLUMBING CONTRACTOR MAILAODRESS GItY I F PIONE STAIF LICENSE F <br /> CONTRACT PRICE OF WORM * <br /> HEATING SYSTEM: O(GAS f I ELECTRIC fl <br /> DESCRIBE WORN SWARE FOOT/�QE INV O CONTACT PERSON AHD Pf1O11F NO <br /> (.I¢W _5I �r IAM wlr. L JIN1 .�R _TEOt3SO <br /> IiEi r7bqj v t,3 AV;E A /) �00 _ <br /> (-als (Z P� % I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI! <br /> PROPOSED U,9`E OF eDILDIND APPLICATIONI AND KNOW THE SAME TO OE TRUE AND CORRECT AL I <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE Of <br /> Lj t4(i m <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OI <br /> LEGAL DESCRItUON OF PROPERTY(SNOWN BELOW OR ATTACH TWO COMESI NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVI <br /> LOT -SS BLOCK OF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> _ rt OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THI <br /> rn es ( �..` C� �� CA R CI_ PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY TNI <br /> OWNER OF THIS PROPERTY 1U PERFORM THE WORK FOR WHICI <br /> APPLIC 1ON IS MAPE-,,ANO I COMPLY WITH THE STATI <br /> PARCEL TAX I.O.NUMBER CON OAS LA Q 27 FIT AND 296.200 WAC. <br /> i( 1\ 1� <br /> CON IDIICfIOII LOAN lE^i�101R1E99.lELEM10NE N�IBP _a-7 SIGNATURE/ 1 ( DANE 1''E) VI <br /> ,p D - a a� D JJJ JG aC-rr p ?vQ3 �oD�.� <br /> CRY B��lE59lICENSE NO <br /> PLUMBING MECHANICAL _ <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) ' A/C—AMNDLO UNITS—H.P. ' <br /> 'L BATHTUB ( FOP-.ED AIR SYSTEMS—B.T.U. M E <br /> LAVATORY(WASH BASIN) I HEAT PUMP r <br /> SHOWER ' UNIT HEATERS—B.T.U. M ; <br /> KITCHEN SINK 6 DISP CLOTHES DRYERS <br /> DISHWASHER 1 VENTILATION FAN ' <br /> LAUNDRY TRAY RANGE HOOD ; <br /> CLOTHES WASHER 1 WATER HEATER T <br /> URINAL _ _ ' WOOD STOVE ' <br /> DRINKING FOUNTAIN 1 METAL FIREPLACE(WOOD BURNING) <br /> FLOOR DRAIN r FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS GAS FIREPLACE <br /> �— <br /> SINK(SERVICE—BAR,ETC.) OAS RANGE ' <br /> ' GAS PIPING ' <br /> 1 XZJ EXHAUST FAN 1 <br /> 1 1 <br /> 1 � <br /> 1 1 <br /> SUB TOTAL S ' ,/ SUB TOTAL f ' <br /> PERMIT S 1 PERMIT S 1 <br /> TOTALFEE S ' TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETBACK REAR SETBACK SIDE.SEIWF PUN CIIECK NUMB ER FEE T �- RECEIPT NO <br /> U9EioHp / LOT A A vAaN rE FEES VALUATION FEE <br /> I Z I YFS II ND BUILDING 67 <br /> HEOHt LIMITATION I NO OF DWELLING SIZE OF BLDG41 <br /> UNITS 1580 -Sr L"''NG r PLUMBING �� <br /> O L)A71A4c <br /> OCCUPANCY I NO OF STORIES OCCUPANT LOADBASEMENT / MECIIANICAL <br /> 3 2 /V/A nYEs KUNG <br /> FIRE ALARM AEG D REASON ADDITIONAL PLAN CRECK - <br /> FIRE SPRINKLER PEG'D REASON OTIIER � )u"/ _ <br /> STATE BUILDING SUnCNAME /I <br /> TYPE OF CONST PUNS APPROVED BY CITY OF EVERETT PUFA IC WOIMR �_? A <br /> �}7 `J}k LOCAL SALES <br /> DATE 2 Z S5 TAX CODE IS 3105 TOTAL <br />