2224 60TH ST SE 2016-01-01 MF Import

IAS EY/TEFPSR APPLICATION FOhE, P,PTEH CITY OF CONSTRUCTION everett PERMIT BUILDING DEPARTMENT 259-8745 TO BE COMPLETED IN INK• PLEASE PRINT ❑ DEMOLITION ❑ COMBINATION U BUILDING ❑ MECHANICAL ❑ PLUMBING fj SIGN OWI,/11 MAIL ADDRESS CITY ZIP M40112 lluane llnv10 "Z.^. 4-60th :, 1,verett 9£;203 348-0920 ANCNITECI OR DESIGNER MAIL ADDRESS CITY ZIP RIONC DEJIE NL CONTRACTOR MAIL ADDRESS CITY ZIP INCOME tICIINSI )'L(If 10929 IIVIY. )`) :1. I';verett 98204 347-1491 i'AC;7P;Ct15(ttll Mt CNAMCAL CONTRACTOR MAIL ADORISS Cl" ZIP PHONE tKfllsf . PLUMBINI)CONIRACTOR MAIL ADDRESS an ZIP PIIONE IIFIN51 . CLASSOF WORM (3 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVEJFRPL.INSERT ❑ BUILDING RELOCA11011 VAL UAOON OF WORK ICOSI OF MATERIALS PLUS LABOR) ;59000.00 DESCRIBE WORN r)arare and mli-11 combination u!E or ewtoroG 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• PLICATIONAND KNOW THE SAME TO BE TRUE ANOCORRECT.ALL LEGAL DESCOIPOON OF FROPER1YISNOWN BELOW OR AIIACN fOURCUPIESI PROVISIONSOF LAWSAND ORDINANCES GOVERNING 1111S TYPE 3 '� I i He T IL1G t D i.v iH i on A OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- Lo1_etocP_or IN 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 OFITHEPERFOAMAN'EO CONSTRUCTION. SIGNATURE OF L011IMQTOR OR TIIORITED AGENT DALE 0Y12-86 X _- PROJELIADDRESS AINK ICA�NY°CITY BU�y111ES9lICENIE NO 2224-60th tit. ;verett0 WA. 96203 !l1'�36£3 PLUMBING MECHANICAL. NO. TYPE OF FIXTURE FES NO. TYPE OF EQUIPMENT FE[ WATER CLOSET(TOILETI AIR COND.UNITS—H P.EA _ BATHTUB REFRIOCRATION UNITS—H.P.EA _ LAVATORY(WASII BASAD BOILER!—H P.EA SHOWER OAS FIRED AC.UNITS—TONNAGE EA KITCHEN SINK L DISP FORCED AIR SYSTEMS—BTU. MEA _ DIS/IWASI/F.R WALL HEATERS-B.T.U_ M LAUNDRY TRAY UNIT HEATERS-81 U M CLOT/IES WAST/ER EVAPORATIVE COOLERS _ -- WATER IIEATER CLOTHESORYERS URINAL VENTILATION FAN _ DRINKING FOUNTAIN RANGE HOOD FLOORDRAIN AIR IGLNDLING UNIT- CF.M. VACUUM BREAKERS _ STOVE ROOF DRAINS-RAINLEADERS __ METAL FIREPLACE L CHIMNEY _ SINK(SCRVICE-BAR.ETC) WOOOSTOVE/FIREPLACF INSERT _ SUBTOTAL _ BUB TOTAL S _ PERMIT L PERMIT _ L TOTAL FEE B TOTAL FEE B THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL FRONT BEIBACK REAR SETBACF SIDE BE I BACK PLANCIIECK NUMBER ,C CrMAN cNtcirEE C::90T _}'1 '31 (;/ / 0 F.. FEE .q j� RECEIPT NO j Uy USE ZONE COI AREA VACANT ❑E a 1� V, (f DYES10 fL[S VALUATION I[! TYPE Of COMET OC.CUPANCYOAOUP NO OF DWELLING UNITS O[E OF Sl00� NO Of STORIES MAX OCC LOAD BUILDING PLUMBING MECIIANICAL FIRE SPRINKLERS REQUIRED fJ YE9 ONO OTHER Of ITT 11,1111 PENALTY APPIICAIIONACC BT PLANSCIIECKED BY APPR FOR ISSUANCE BY _ _ -- TOTAL 3 '�,