Laserfiche WebLink
APALICATIC J FOR CONSTRUCT JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •259-8810 <br />i 1 DEMOLITION hi COMBINATION I BUILDING F) MECHANICAL I 1 PLUMBING I SIGN <br />PROJECT ADDRESS <br />OWNER MAIL ADDRESS CI �1 ZIP PHONE <br />�eiPr QPi,e�e L c /;Lt//V !/0 rol/f IE L-ye"// ei��QP <br />TENANT MAII AfIRAF55 CITY RP eunuc <br />ARCHITECT OR DESIGNER MAII ADDRESS CITY ZIP PHONE <br />erneruL r,IJNI.W l MNLAOVIIL53 Len ZIP PHONE STATELICENSEF <br />i')A ('b,,`(v ,M Au� lt Skme PDRCaH)tLildv0 <br />MECHANICAL CONTRACTOR <br />MMLADDRESS <br />CITY <br />ZIP <br />PHONE <br />STATE LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />Cl TV <br />ZIP <br />PHONE <br />STATE LICENSE <br />CONTRACT PRICE O�F)WORK <br />HEATING SYSTEM: I�GAS [-]ELECTRIC fl <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />C n r rr <br />CON ACT PERSON ,PIIr/c*. D <br />/ter �f 7yz ��orl <br />`IvVlY _ p /3 ,9 <br />l..i <br />Go r — 10 <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO 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 ADE AND I COMPLY WITH THE STATE <br />C T T LA .27 RCW AND 296.200 WAC. <br />X <br />PROPOSED USE OF BUILDING <br />LEG/.IDESCRIPTION OFPROPERTY (SHOWN BELOW ORATTACHTWO C IESI <br />LOT _LyyL BLOCK of G / Purl <br />T- - ' <br />PARCEL T 1.D. NUMBpER - <br />QFr�o-yf- Y1Pot ooeo// oco z <br />CONSTRUCTION 7 LENOER. ADDRESS, TELEPHONE NUMBER <br />�-r0 �� (L/ 0797- <br />SIQN URE A DATE <br />CITY BUSINESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET(TOILEI) <br />_TYPE <br />A/C—A/HNDLG UNITS —H.P. <br />' <br />Z <br />BATHTUB <br />) <br />FORCED AIR SYSTEMS B.T.U. M F.A. <br />) <br />_ <br />LAVATORY (WASH BASIN) <br />I <br />_ <br />HEAT PUMP <br />T <br />SHOWER <br />' <br />UNIT HEATERS—B.T.U. M <br />; <br />_r <br />KITCHEN SINK 8 DISP <br />CLOTHES DRYERS <br />i <br />1 <br />' ,SHWASHER <br />VENTILATION FAN <br />r— <br />.AUNDRY TRAY <br />; <br />RANGE HOOD <br />; <br />�-r <br />/ <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />URINAL <br />' <br />WOOD STOVE <br />' <br />DRINKING FOUNTAIN <br />I <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />' <br />FIREPLACE INSERT (WOOD BURNING) <br />' <br />BACKFLOW PREVENTERS <br />GAS FIREPLACE <br />SINK (SERVICE — BAR, ETC.) <br />I <br />GAS RANGE <br />' <br />_ <br />GAS PIPING <br />EXHAUST FAN <br />r <br />I <br />I <br />' <br />' <br />SUB TOTAL S <br />' <br />SUB TOTAL S <br />PERMIT $ <br />I <br />PERMIT $ <br />TOTALFEE S <br />TOTALFEE $ <br />' <br />FOR OFFICE USE ONLY: ' ewd. <br />FRONTRFTFIACK C <br />REAR SFTBACK <br />SIDE SETBACK <br />PIANCHECKNUMBER�� <br />FEF <br />RFCFIPT NO <br />20 <br />J�!!VVFF�YUUAA o? <br />O� <br />/L <br />USE ZONE <br />1 OF AREA <br />VACANT S <br />FEES <br />VALUATION <br />FEE <br />ES I i NG <br />BuIL01Na <br />78. SD! <br />.� <br />HEIGHT LIMITATION <br />NO OF DWELUNG <br />UNITS <br />SI EO<Bl RI <br />I �9 Ic L/VAUQ � <br />Z <br />/ <br />b $ AIQ C, _ <br />PLUMBING <br />OCCUPANCY NO Of 51CRES <br />OCCUPANT LOAD BASEMENT <br />MFCHANICAL <br />n <br />3 Al-1 2 <br />N A FIYES w<O <br />FIRE LARM REO'D <br />REA40N <br />ADDITIONAL PLAN CHECK <br />OTHER <br />FIRE SPRINKLER REDO <br />REASON <br />icl�C <br />SATE BUIl01NG $IIRCIUROE <br />D <br />TYPE OF CONST <br />PLANSAPPROV <br />! <br />CITY OF EVERETT <br />Punur, WORKS <br />18G <br />LOCAL SALES <br />-{� <br />J4-/1� <br />DATE Z /y (r. <br />TAX CODE IS 3105 <br />TOTAL <br />1 —. <br />2, <br />