313 60TH ST SE 2016-01-01 MF Import

APPLIGATION FOR CONSTF% JCTION PERMIT TRA EVOrprBPn Pvrn•II CITY OF everett e BUILDING DEPARTMENT 2598810 TO BE COMPLETED IN INK — PLEASE PRINT OWN LI MAIL ADORE 55 CITv !��' P110NL ke 6a � t�+� - 3/ n sT 59 4-vT35y-wiry TENANT DORLM CITY Zm- PHONE ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE GENERAL CONTRACTOR MAIL ADDRESS CITY ZIn - PHONE LICENSE f MECHANICAL CONIRACIOIT / MAIL ADDRESS CITY ZIP - PHONEt r, LICENSE• ,V.W Ww L� �� o A✓f LvT � l 2S1 0V ,L ^yk 1J7iT PLUM&NO CONTRACTOR MAIL ADDRESS GTY 11P PHONE LICENSE CLASS OF WORK ❑ NEW ❑ ADDITION KALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOOOSTOVE/FRPL INSERT ❑ BUILDING RELOCATION TENANT IMPROVEMENT OR INTERIOR REMODEL ONLY CONTACT PERSON AND PHONE NO T CONTRACT MICE Of WORK DESCRIBE WORK AND SO/U/(�_RE FOOTAGE INVOLVEDNV �/ Tau &S /�o' , t Vm " iA / ra Ot PROPO EDUSEOFBUILDINO IF E I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND �u MIW KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND LE AL DESCRIPTION Of PRWERIYI OWN BELOW OR AI EACH FOUR COMETS ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OFAPERMITDOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF LOT BLOCK OF _ ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PER- FORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND 288.200 WAC, MONATU AAC70A On AUTHORIZED AJENT DATE X �z Y-P9 PROJECT ADDRESS APPLICANTS CITY BUSINESS LICENSE NONENAME 3 c PLUMEi:VO MECHANICAL NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET(TOILET) AIC-A HNDLG UNITS-H.P. BATHTUB FORCED AIR SYSTEMS-BT.U. M EA LAVATORY(WASH BASIN) UNIT HEATERS-BT.U. M SHOWER CLOTHESDRYERS KITCHEN SINK 8 DISP. VENTILATION PAN _ DISHWASHER RANGE HOOD LAUNDRY TRAY WATER HEATER CLOTHES WAgHER WOOD STOVE _ URINAL METAL FIREPLACE B CHIMNEY DRINKING FOUNTAIN FIREPLACE INSERT _ FLOOR DRAIN HEAT PUMP BACKFLOW PREVENTERS OAS PIPING _ ROOF DRAINS-RAINLEADERS EXHAUST FAN SINK(SERVICE-BAR ETC.) L SUBTOTAL S SUBTOTAL_ S _ PERMIT i _ PERMIT t TOTAL FEE 6 1 TOTAL TEE 5 FRONT SETBACK REAR SETBACK SIDE SETBACK PLAN CHECK NUMBER FEE RECEIPTNO. USE ZONE Lor AOEA — VACANT SITE FEES VALUATION FEE O YES ONO -- BUILDING TYPE Of CONST CCWPANCYGROUP NO OFOWELLIND UNI IS — — - - ALLOWABLE/ACTUAL PLUMBING SIZE OF BLDG NO or STORIES oMT OCC LOAD MECHANICAL TIN HEIGHT LIMITATION OTHER - 11AESMINKLERSREWIRED OYES LINO STATE BUILDING SURCHARGE STATE ENERGY SURCHARGE _ APPLICATION ACC BY PIANS APPR BY PUBLICWORKS TOTAL '1