2930 WETMORE AVE COE PLANNING DEPT 2018-01-02 MF Import

APPLICATIC 1 FOR CONSTRUC"N PERMIT TO BE COMPLETED IN BLACK INK —PLEASE PRINT HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ BUILDING DEPARTMENT 259-8810 SO BUILDING C I MECHANICAL pPLUMBING SIGN id DEMOLITION ❑ COMBINATION ONE OWNER MAIL ADDRESS LITY ZIP a,?IZl 7 GG 30UZ V��So_flLA�7� ZIP G,iFac�'gs PHONE TENANT MAII ADDRESS CRY ! MAIL ADDRESS CITY ZIP PHONE ARCHIEECTOR DESIGNER CIiY ZIP PHONE STATE LICENSER GENERAL CONTRACTO MAIL ADDRESS QTV ZIP PHONE STATE LICENSE A MECHANICAL CONTRACTOR AIL ADDRESS CITY ZIP PHONE STATE LICENSE A PLUMBING CONTRACT OEI MAIL ADDRESS PRICE OF WORK PROPOSED USE OF BUILDINU lEOA DESCRIPTIONOFPROPERTl0-`N ELO,' LOT BLOCK OF PARCELTAXID.NUMBER CONSTRUCTION LOAN LENDER, ADDRESS, TELEPN W INK 6 DISPERTRAYWASHERFOUNTAINAIN _ PREVENTERS FOR OFFICE USE ONLY: FRONT SETBACK AR! USE ZONE TYPE 01 CONST. SIZE OF SLOG. OCCUPANCY LOAD REASON INTAKE BY ATTACH TWO COPIES) LOT AREA NO. OF STORIES FIRE SPRINKLERS REG'O FIRE ALARM RED D PLANS APPROVED OY DATE f $ FEE $ SIDE SETBACK VACANT SITE 7 YES ❑ NO OCCIIPAKY WMMLLINGUWIS ll nMp BASEMENT ❑ YES ❑ NO CITY OF EVLNEI I LOCAL SALES TAX CODE IS 3105 INTACT PERSON AND PHONE N0. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUC?ION OR THE PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE OWNER OF THIS PROPE TY TO PERFORM THE WORK FOR WHICH APPLICATION IS MAD AND I COMPLY WITH THE STATE CONTRACTOR6 LAW 18.27 RCW AND 296.200 WAC. Fa1a HEAT PUMP GAS PIPING PLAN T.U. M BUILDING PLUMBING MECHANICAL ADDITIONAL PLAN CHECK OTHER STATE BUILDING SURCHARGE PUBLIC WORKS TOTAL M E.A. SUB TOTAL $ I PERMIT $ TOTAL FEE $ FEE RECEIPT NO VALUATION FEE