Laserfiche WebLink
BUILDING DEPARTMEN— HEATING SYSTEM: 0 GAS A ELECT=21 <br /> 259-8810 <br /> C=' DEMOLITION E. COMBINATION X BUILDING :;MECHANICAL PLUMBING SIGN <br /> OWNER MAL ADDRESS CITY ZIP PHONE <br /> i I:NISi,d6 I-IoPf PC 15a) 7923 eocREf °WAo I ZS"8-a0.I K+ <br /> TENANT MAN ADDRESS - CITY ZIP PHONE <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> STer Piedli 3:-oAy 9060/ ay43 PAO.NT veRAi0.4 ?8273 336•3371 <br /> • GP%RAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSEA <br /> 0-100IAl6 Ho PE to $oY 782.3 Eve geTT 98201 -258-2aly <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE A <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE* <br /> CONTRACT PRICE OF WORK <br /> DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED CONTACT PERSON AND PHONE NO. <br /> Aa 3-BEOA,om a-STORY "P/4RT,+r,-)TS <br /> CA O.et.e"") /i...0 As fr ./4.7 I-pv Yi fe.1 e Y A.9 <br /> CO M**^.•�.T y Boon (;jo9 PT ') Foie. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> TR A..IS.Tro.�i+c APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> t a W-I nI C a w-d- i-.o..1..d 4 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGAL DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATTACH TWO COPIES) WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> LOT i7 '6..s BLOCK 772. of tvRke-TT oi✓. rN NOT.THE GRANTING OFA PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> "LAT a AID. 437 -772.- 0 I7 -aoo y/ 1 OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> `1 a SS S 0- N=+' 0+_ N /fi T AAP? w L c. OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 ROW AND 296.200 WAC.LOT 3.0 8La -c 773.i . <br /> vEQE:T "- I-/ TAX <br /> y; R <br /> Alo. g373---T72-0 VI-01oo /112cri/n <br /> PROJECT'ADDRESS1 / NATIN Q+TE <br /> -'t )ciumBle %2Gia --,z,4"2"' .fii‘i <br /> ifi <br /> MECHANICAL <br /> I <br /> NO....• `. TYPE OF FIXTURE OR ITEM FEE NO. 1' TYPE OF EQUIPMENT FEE ' <br /> WATER CLOSET(TOILET) A/C-A/HNDLG UNITS-H.P- <br /> I <br /> BATHTUB FORCED AIR SYSTEMS-B.T.U. M EA <br /> LAVATORY(WASH BASIN) UNIT HEATERS-B.T.U. M <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK&DISP VENTILATION FAN <br /> i, DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> DRI ICING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> I ROOF HEADERS EXHAUST FAN <br /> SINK(SERVICE-BAR.ETC.) <br /> • <br /> 4/2W11GWeE ) <br /> 4 1 ' <br /> SUBTOTAL $ SUB TOTAL $ <br /> 1 PERMIT $ o-EAMIT $ i <br /> TOTAL FEE $ ; TOTAL FEE $ ' <br /> FOR OFFICE USE ONLY: 4.ve.23 .Cl8e t <br /> FRONT SETBACK REAR SETBACK SIDE PLAN NUMBER FEE RECEIPT NO. <br /> ' �' b'310' 211R,! , 4,26.r�1 g ails <br /> LOT AREA VACANT SITE FEES VALUATIONBuiLDHG <br /> FEE <br /> I/i 4000 71 YES IAO IS, <br /> /�/ ,[�/// <br /> TYPE NO. STORES OOCuwALv NO c*pEUMsLETS i�,"""'� /Z/ 75— <br /> r <br /> 112J 2 )MTs. 2 TINir PLUMBING 7 QD <br /> SME OF BLOCa'�' IRE SPR9�MERS REDO BASEMENT MECHANICAL 'T <br /> 1.19 "VakhtiNO D YES %NO <br /> OCCUPANCY LOAD FIS ALARM REGI) HEIGHT BOTATKMJ ADDITIONAL PLAN CHECK S ND '012'" df21D OTHER !9/j-60N Z) f <br /> REASON <br /> STATE BUILDING SURCHARGE �O <br /> INTAKE BY PLANS APPROVED BY CITY OF EVERETT PUBLIC WORKS 2/): — <br /> LOCAL <br /> �SALES <br /> �e �7�/� <br /> : <br /> DATE 1/4 TAX CODE IS 3105 TOTAL / <br /> 2AQ <br /> - a <br />