713 60TH ST SW 2016-01-01 MF Import

TAE EYlrew" APPLICATION FOK B �FN CRY OF CONSTRUCTION everett PERMIT BUILDING DEPARTMENT 259.8810 TO BE COMPLETED IN INK- PLEASE PRINT O DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL PLUMBING ❑ SIGN �WNfq MAIt ADDRESS CITY IIP MIONt � fr ✓ PC C,5 6"-t yn-Jh eS 47011 C0 Sp_D/ rrna7w�ili,_pLEiwel R ARCNECI OR OESIUNEA MAIL ADDRESS CItY GENERAL CONTnAC10R MAIL ADORESS CRY IIP PPONI IIC14Y1 C )-,I e ( v 5 2,),, t Z:a S L,:,u7 M14504AFUCIP1 CONTRACTOR MAIL ADOPIBS CITY ZIP rNn41 I.CINV . PLUMBING CONTRACTOR MAII ADDRESS CRY IIP PIIRNF UI INy • TRA It'll S/,tvGle CIL57' OR 60-W- - 9S2/2 337-/).T T.eOk4A ` r CLASS 01 wORE ;q NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DLMOLITION ❑ WOODSTOVEiFRPL.INSERT ❑ BUILDING RELOCAUEtlI— VALUAIPON OF WORM ICOS I Of M A I I RIALA PLUS LABGRI OH,C•7PIBI WORK — -- IL Jr/ " 6,Ha 7 r a /cx yI cEAI USE or0137I I� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS All. )U /�LIs >C PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECTALL LEQAL DESCRIPTION OI PROPERT Y ISNOWN BE LOW OR A I TACIT FOUR COPIES( PROVISIONS OF'_AWSAND ORDINANCES GOVERNING TITIS TV FE OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED FIERE- LOT-BLOCIP of IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME 10 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DAIE �7L Sf Sw ,/ P/e>`� X Q 2 L•C. a-�_ ��-e'S--'�'�y -]E//IROIECT ADDRESS ArPLICAN SCIty BUSINE SUCENSE Al PLUMBING MECHANICAL NO. TYPE OF FIXTURE OR ITEM FEE NO.I TYPE OF EOUIPMENT FEE WATER CLOSET(TOILET) AIC—AIHNDLO UNITS—11 P y BATHTUB REFRIGERATION UNITS—H P EA. 14 LAVATORY(WASH BASIN( n 0 1 BOILERS—a U IH P SHOWER GAS FIRED A C.UNITS—B T U KITCHEN SINK A DISP FORCED AIR SYSTEMS—B T U M EA _ DISHWASHER WALL HEATERS—BTU M _ LAUNDRY TRAY UNIT HEATERS—B T U M CLOTHLS WASHER EVAPORATIVE COOLERS URINAL CLOTITES DR`ERS DRINKING FOUNTAIN VENTILATION FAN _ FLOOR DRAIN RANGE HOOD BACKFLOW PREVENTERS Z WATER HEATER ) ROOF GRAINS—RAINLEADERS WOOD STOVE SINK;SERVICE—BAR.ETC) METAL FIREPLACE A CHIMNEY FIREPLACE INSERT HEAT PUMP _ GAS PIPING _ EXHAUSTFAN SUB TOTAL i BUB TOTAL _ PERMIT 1 PERMIT _ TOTALFEE IT TOTAL FEE IRIRIt SEIBACA nr AII SF TRACK SIDE SETBACK PLAN CHECK NUMBER FEE RECEIPT NO USE nJNE LOT ARu VACANT SITE FEES VALUATION FEE LYES IINO BUILDING S TYRE Or CONSt O,CUVANCY GROUP RO OF OWFLLINO UNITS PLUMBING SIZE or BI DO NR UI STORIES MAX OCC LOAD MECHANICAL OTHER FIRE SPRINKLERS REQUIRED 11 YES ❑NO STATE BUILDING SURCHARGE I STATE ENERGY SURCHARGE AVPI ICAU04 ACC Of PI AIILIRECRIDBY APPAFOnSSUANCE BY PEIBLIC WORKS TOTAL PROPERTY OWNERS ARE RESPONSIBLE FOR DEIERMINING ALL PROPERTY LINE LOCATIONS AND RELATED EASEMENTS.