Laserfiche WebLink
APPLICATIC�I FOR CONSTRUCT� 1N PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ � <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> ❑ DEMOLITION f ] COMBINATION U BUILDING ❑MECHANICAL ❑PLUMBING ❑ SIGN <br /> OWNER MAILApORESS CITY ZiP PHONE <br /> R - - Fv rett Q6205 '�44-'74a4 <br /> T[NRNT ^MAIL ADDRESS ` CITV ZIP PHONE <br /> M _ _ . __.. �z ..: , , n.-vao- oani � 981-7215 — <br /> �RCHITECTORDES�GNEH ' M�ILADDRE55 CITV ZIP PNONE <br /> David Turner 1007 Hell ST Edmonds 9f3020 771-3894 — <br /> GENERRL CONTRRLTOR MAIL ADDRESS CITY ZIP PMONL STATE LICENSE• <br /> John Daniels Const 2232 Pacific St Bellingham 98226 733-3618 JOHN DI*231KE <br /> MECN�NIGILCONTFACTOR MRIL ADDPE55 LITV 21P PHONE ST�TE UGENSE I <br /> PLUAIBMG CONTRRCTOR IAAIL AD�RE55 CIT' ZIP PNONE STATE UCENSE� <br /> CONTF�GT PRICE OF WORK <br /> 5���0�.0� <br /> DESCFiBF.WONK�N�SIXUNE FOOTRGE INVOLVED CONTACT PEFSON AND PHONE NO <br /> Install elevator add two arkin <br /> - 7�l" -> C <br /> �C�iti �� .� <br /> s <br /> dURI ster enclosure. I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> PqpPO5E0 USE tF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEG�LOESCRIPiIONOFPPOPEPTVISHOWNBELOM'ORAT7ACHTWOCOPIES� NOT THELGRANTOING OF AD ERMITJDOES NOT RIES MEE70 GIOVE <br /> �pT BLOCN oF AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> 82E blue C1T1t6 OTHER STATE OR I.00AL LAW REGULATING CONSTRUCTION OR THE <br /> PERF'7RMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCELTA%ID.NUMBEH CONTRACTORS LAW 78.27 RCW AND 296200 WAC. <br /> G(X15TflUCT10N LOAN LENDER.AUDHE55,TELEPHONE NUMBER ^� � ���_Q.7� <br /> Everett Mutual 15n� wai 258-3 � �`� <br /> PROJECT ADORESS s�c�.� c o•*e _ <br /> CIiV B�JSOIf55110EN5E N� <br /> ���� MECH�NICAL <br /> Hp. rpE pF pJ(TUpE Op ITEM FEE N0. TYPE OF EOUIPMENT �E <br /> WATER CLOSET(TOILET) � 0.�C-lVHNDLG UNITS-H.P. <br /> BATHTUB ' FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> LAVATOiiV(WASH BASIN) UNIT HEATERS-B.T.U. M <br /> SHUWER � CLOTHESDAYERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN T_ <br /> DISHWASHER RANGE HOOD ' <br /> LAUNDRVTRAY ; WATERHEATER � <br /> CLOTHES WASHER WOOD STO\'E ' <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT _;_ <br /> FLOOR DRAIN HEAT PUMP <br /> BIICKFLOW PFEVENTERS ; GAS PIPING <br /> qOOF DRAINS-RAINLEADERS EXHAUS FAN _ <br /> SINK(SERVICE-BAR,ETC.) � � <br /> � <br /> � <br /> SUBTOTAL $ SUBTOTAL S <br /> PERMIT $ PERMI7 $ <br /> TOTAL FEE $ TOTAL FEE S <br /> FOfl OFFICE USE ONLY: aeceiv o <br /> FqONT SET6ACK RERR SETBAGK SIDE SETBACN PLAN CNECR NlJM9E �EE <br /> �� , � D �id �?/�'9�-=� �C��- <br /> FEES VALU�TION �E <br /> USE ZONE LOT�REA VPCANT 5!TE ��./ �/�/yy) �i /) <br /> /+,� /V '�p . 1 YES (� 1'�0 BUILDING �7/,(((/ �J `� <br /> t_ � � <br /> NDOFST9RIE5 OCcuo�ry[r xop�fNRWM4u4��5 —� � <br /> 7vPF or GONST �u� �..� PLUMBING ' <br /> SIZE O� FIRE SPRINKLEFS REO'D BRSEMENT MECHANICAL � <br /> !&�� Aaznav 4� :� �E5 �No ; <br /> ADDITIONAL PLAN CH _ <br /> OCCUP�NCV LO�D FIRE ALARM REa'� NEIGHT LIMrtqT10N' � <br /> � ��.��(,�' _ O7HER � _ <br /> NE�SOM �ay�{� ��� <br /> �� J��,���� STATE BUILDING SURGHARGE _ ✓ <br /> i <br /> INTAKE BY PL/•NS APPROVED BV CITY OF EVERETT PUBLIC WORKS <br /> LOCALSALES ; � <br /> oA.E <br /> JG,�� 3 TAX CODE iS 3105 TOTAI. <br />