Laserfiche WebLink
APPLICATION FOR <br />Inef"'O'Oen <br />cayor <br />CONSTRUCTION <br />everett <br />BUILDING DEPT. <br />TO BE COMPLETED IN BLACK INK - PLEA E PHIN f <br />259.8745 (] <br />COMBINATION 173 BUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />❑ SIGN <br />OWNER <br />Boyden Realty, Inc. <br />MAIL AODnFSS CITY ZIP <br />1429 Broadway Everett 98201 <br />NIORE <br />252-1166 <br />ARCHI.FCT OR DESIGNER <br />Cary Parkinson <br />MAIL ADDRESS CITY ZIP <br />527 Medical Dental Bldg. Everett 98201 <br />PHONE <br />252-2153 <br />GENERAL CONTRACTOR <br />J 6 D Builders <br />MAIL ADDRESS CITY ZIP <br />1429 Broadway <br />PRONE <br />IICENSE0 <br />Everett 98201 <br />252-1166 <br />223-01 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />LTCEIRIE0 <br />JDBUI223JO <br />PLUMPING CONTRACTOR <br />White Coast Plumbing <br />MAIL AD "CBS CITY ZIP <br />119 Avenue A Snohomish 98290 <br />PHONE <br />568-6155 <br />LICENSEE <br />19 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOOOSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />VALUATION Of WORKICOSI 01 MAIERIALS PLUS LAS01R ��� <br />New Single Family Residence - Plan A - <br />USE Or BUILDING <br />SFR <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />LEOALDESCRIPHONOrPROPERIVISNOWNBELGWORAIMCHFOUnCOMEBI <br />63 Sunrid a Div. III <br />B <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />LOT BIOCK_O/ <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OK <br />ANYOTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OWICONTRACIOR�U71 RUED AO I DATE <br />x <br />LACY <br />201 - 93rd St., S.E., Everett <br />PROJECT ADDRESS <br />APNICA BUSINESS LICENSE N <br />PLUMBING <br />MECHANICAL <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />SET TOILE <br />AIR COND. UNITS-H.P. EA <br />REFRIGERATION UNITS-H.P. EAWASH <br />BAST <br />BOILERS-H.P. EA <br />JgIGATHTUB <br />GA9FIREDAC.UN18NNAGE EAK <br />B D18P. <br />FORCED AIR SYSTEMS-9TU. M EAR <br />WALL HEATERS-B.T.U. M <br />UNIT HEATERS-B.T.U. M <br />_AY <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER NEATER _ <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT- C.F.M. <br />VACUUM BREAKER$ <br />STOVE <br />ROOF DRAIN$-EIAR, E C,I <br />KINK SERVICE -BAH. ETC.1 <br />METAL FIREPLACE B CHIMNEY <br />WOODSTOVE/FIREPLACE INSERT <br />SUB TOTAL <br />SUB TOTAL S <br />PERMIT E <br />PERMIT <br />_ <br />TOTAL FEE E <br />TOTAL FEE S <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />