Laserfiche WebLink
1 <br />APPLICAMoN FOR CONSTRUC a dON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 90201 • 259-0810 <br />❑ DEMOLITION ❑ COMBINATION Q BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS:. <br />TENANT ATM, A.., S1S CITY 71r <br />\+}\ �,//��•'/�Yt�` rNONE <br />AtXn11TECT on DESIGNER UK5l nt- - <br />I' c STATE tICENSEF <br />�LQps _ IL TH�e c( )C-��� <br />MECHAMpLCO T CICIR M A ESS <br />f.IfY 71P Fy r110,N1T1 STATE UCF.NSE <br />RUMBINC CONTRA,MAIL Ary1pRG5 CITY TIP LN �'-'--�� :C <br />L �� rIgNE STATE LICENSE <br />Cd1TRALt PLACE OE - - <br />_ <br />HEATING SYSTEM: GAS El ELECTRIC ❑ <br />DESCRIBE YYORX AND SQUARE FOOTAGE INVOLVED <br />CONTACT PERSON AND PHONE NO <br />/ \ 11 a�1J <br />n 1 \ <br />I <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROPOSED USE FnuNDINO <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LEGAL oEscmrnaN or rnorEnTY lsrlowN af,owrnAnAcn lNol:orlEsl <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />LOT BLOCK or <br />GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS N I COMPLY WITH THE STATE <br />CONTRACTORS 1B. <br />PARCEL TAXID.NUMBEA <br />('- t l <br />D 91200WAC. <br />CONSTnI1CTOAOANIENDEn.AOoIEss. TFLEPROEENErma n <br />X <br />SIONAITInE DALE <br />CITY BUSINESSLKICNSE G <br />PLUMBING <br />NO. <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEM FEE <br />NO. TYPE OF EQUIPMENT FEE <br />WATER CLOSET (TOILET) I <br />--�— <br />A/C-AMNDLG UNRS <br />BATHTUB <br />` FORCFD AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />---T— <br />SHOWER <br />I <br />UNIT HEATERS <br />KITCHEN SINK & DISP <br />' <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE IROOD <br />LAUNDRY TRAY <br />ATER <br />CLOTHES WASHER <br />VE <br />URINAL <br />MEPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />R <br />FINSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GLACE - <br />; — <br />BACKFLOW PREVENTERS <br />GE <br />ISINK <br />(SERVICE - BAR, ETC.) <br />GEAN <br />nTOTAL <br />I <br />SUB TOTAL f <br />SUB TOTAL S <br />PERMIT S <br />PERMIT S <br />/J <br />TOTAL FEE f <br />_ <br />TOTAL FEE f <br />�"" <br />. vn yr rLAAC VJC UPIL-T: <br />moIt SETBACK <br />nFAn Sr1BACK <br />SIDE SETBACK <br />PI AN Cl IECK RUMMEL <br />Fff <br />RFCFIrt NO <br />USE ZONE, <br />RoI AREA <br />VACANT SICF <br />FEES <br />VALUATION <br />FEE <br />DYES ❑ No <br />nunnwa <br />I <br />HEIGHT LIMITATION <br />NO Or RVIELLING SIIF. OF BIDONI <br />NITS <br />PIRlAnING <br />OCCUPANCY <br />GROUP <br />W OI SIOR[S <br />OCCUPANT LOAD <br />BASEMENT <br />MIC.NANICAt <br />❑YES ❑ NO <br />-- <br />-_ <br />FIRE SPRINKLER AEO'D <br />REASON �� <br />ADDITIONAL PIANCIIELK <br />GIVER _ <br />FIRE AATIM ❑CO'0 <br />RF A$fXl <br />STARE BUn DING SIIRCRARGE <br />i <br />rrPE or r,ONSt <br />r,nns Arnnnvrn By <br />CITY OF EVERETT <br />runncY PKS <br />LOCAL SALES <br />TOTAL <br />I <br />DATE <br />TAX CODE IS 3105 <br />