Laserfiche WebLink
�.,......,.�.-=::�__ <br /> � 3 APPLICATIC `J FOR CANSTRUCT �N PERMIT � <br /> � TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: U GAS O ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> ❑ DEMOLITION I ' COMBINATION BUILDING ! ! MECHANICAL I l PLUMBING xSIGN <br /> OWNER M�IIADDRESS CITV ZIP PNO E I <br /> 6R�uP NEk��� (GeP��AT1✓t �5"2 � �.L'�L! �� ,�Qrc� ` � /2/ �/�/�—�35.5� <br /> TENANT MAILADDRE55 CITV ZIP PHONE �. <br /> 6RoUp Hfq�7H �oorE�A�iv� a93o MR�IE st E✓�k�r17 wA 9820/ <br /> 'ARCHITECTOR�ESIGNER MAILAUDRESS CITY 21P PMONE <br /> �lRr�oNn� Si�/CoaP IZSS �✓es7�.9/rE R✓E N. Sre7i� wA 9�i� a9a-o�oo <br /> GENERALCONTRACTOR MRILADORESS CITV ZIP PMONE STATELICENSEN <br /> Sq,M6 NA7l6sC f66/aS ' <br /> MECHANILALGONTRACTOR MAILRDDRESS CITY ZIP PHONE ST�QELIGENSE� j <br /> PLUMBiNGCONTflACTOR MPILAUDRESS dTY ZIP PHONE $TATEUCENSGII <br /> CLASS OF WORN <br /> NEW ❑ ADDITION I.; ALTERATION I I REPAIR � � DEMOLITION '�. �� WOODSTOVE/FRPLINSERT I._i BUILDINGRELOCATION <br /> p GONTACT PERSON ANDCPHONE NO. <br /> � LONTRACTPRIGEOFWOR �Of OO�J ��GL 6 s��s> STE�` ��gEa+-i� Z92-0700 <br /> DESCRIBEWOFKANDSOUAREFOOTAGEINVOLVED /�� Mq/FJ �D Dls/L7 / r//r'rI0/%}'C SI6�j <br /> l L <br /> L57ALL S�f /LLur�iNA1FD �N✓S (S) DiRF�riur.}� pIsV�AVS <br /> PROPOSEDUSEOFBUILDING i HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> Mt ICAL C�INIL APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALl <br /> LEGALDESCFIPTIONOFPROPERTV(SHON'NBEIOWORATTACHFOURCOPIES) PROVISIONSOFLAWSANDORDINANCESGOVERNING'THISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or e�ocK o� NOT. THE GRANTING OF A PERMIT DOES NOT °RESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PF �VISIONS 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 MADE AND I COMPLY WITH THE STATE <br /> - CONTRACTORS LAW 78.27 RCW AND 296.200 WAC. <br /> X !.� ' ST�✓F7AMBE2�1N Z-I"/� <br /> PFiOJECT ADDRE55 1 SmnetunE o^*E <br /> a934 ���`� �� GTVBUSMESSIILFN5EN0 <br /> � PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) � A�C—A/HNDLG UNITS—H.P. <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER ' CLOTHESDRYERS <br /> KITCHEN SINK&DISP ; VENTILATION FAN <br /> DISHWASHEF RANGE HOOD <br /> LAUNDRY TFAY ' WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL ' METAL FIREPIACE&CHIMNEY ' <br /> DRINKING FOUNTAIN � FIREPLACE INSERT � <br /> FLOOR DRAIN HEAT PUMP <br /> B.4CKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) � <br /> T <br /> SUB TOTAL S ' • SUB TOTAL S <br /> PERMIT 5 PERMIT 5 <br /> TOTAL FEE S I TOTAL FEE S <br /> FOR OFFICE USE ONLY: �.S 7 GL(.L - l - � <br /> FRONTSETBACN REARSEi�ALH SIOESETBACN PLANCHECKNUMBE�� FEE !'/ �� R �T Z� <br /> � <br /> i <br /> �n �� <br /> usezone iAREA �pp /N VFCANTSRE FEES VALUATION FEE <br /> C- �� s��,� .G �' �� BUILDING �•�} , <br /> iVPE OF CONiS.ALLOWABLE TYPE Of CONST.ALiOAL aLUPAvcr s�a:o+��Fui ^ rt5 <br /> tAou> PLUMBING <br /> SIZEOFBLDG. NO.OFSTORIES BASEMENT MECHANICAL <br /> OCCl1PANCYLOAD FIRESPRNNLERSREO'D MEIGHTLIA71TqTI0N A�DITIONALPLANCHECK _ <br /> �o+ 1.��� SPRINKLER <br /> REASON FOR SPRINNLFPS -� <br /> STATE BUILDING SURCHARGE � <br /> INTAKEBY PLANSAPPR:IEO�Y CITY OF EVERETT PUBUCWORKS <br /> LOCAL SALES <br /> :�7 4. Jm TAX COOE IS 3105 T�TA� /�j (,�t� <br />