Laserfiche WebLink
APPLICi 10N FOR CONSTRUCITICI PERMIT <br />CITY OF EVERETT r BUILDING DIVISION <br />3200 CEDAR STREET • EVERE7 WA 98201 • (1,25) 257-8810 44rrr <br />❑ DEMOLITION ❑ COMBINATION ❑ BUiLDING ❑ MECHANICAL ❑ PLUMBING �SIGA <br />PROJECTADDRESS: 9 SO,6o_L9�E cSE' <br />8i11 ?ack:�f Sgl7 tudq/VCAGy�_: if ��u_--l/2S 337-123y <br />OWNER YAII ADORfO� 5 TT� OTY TIP M.yIE <br />iiiU6E' �ol�ar ('asiao g5_00 IR{*MAe SE 6--L..N,# yf7s0$ 42Szj <br />iENUII uNt AIgRE55 GiY ZIP PANE <br />an nr .NONE ZSd P67 tBoo <br />p1711 t Sigµr.TTjc, 39t3T BST• SAW __&UBuF_N_yvA qfM LtlM:AIASIY3TBt <br />IIAI CONtMci4. MAILACAPAU. GtY lV WFyIE STATE t'CFNYr - <br />YECNANICALCp11RACTOR .-LA—iss rm 7, rllylF STATE LICENSE, <br />Pt11M6w, coAv5'ir-T-&7 u4l AGORE55 Cry --jlP pNy11 STATE 11LEx5FP <br />CONTMCT FFTCC OF <br />�, 000 <br />— <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRI ❑ <br />OESIC WORN AND SWAP[ FOOTAGE NVOLWO <br />RLacE eXTs+ n4 0 Limn <br />• Si n I <br />o T GTrca nl.No.gNE NO <br />M LEE µMRRiN WISSM <br />ZQ LI nG- °Casino tnkaYlE <br />• 5i n 2 <br />2S3 833 28"Oo <br />� <br />Y, tjf0.rrt, 2•lIS�n4 F'n an•SE 7 <br />PnolpsfD us[ DP eurtpMO <br />- 5; n 3 <br />1 HEREBY CERTIFY THAT 1 HAVE REAL AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION 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 MADF, !$NO I COMPLY WITH THE STATE <br />CONTRACTORS LA IB. tW AND 298.2DO WAC. <br />X <br />LEGAL WSCRIPOIOV OF P"RTY (SNOAN BLLOWOTT ATTACH TWO COMES) <br />LOT BLOCK OF <br />11:EL TeR�LG BNYnenYe2o , / <br />CWSTIUMSONLOANLENDER,A0IX1ES5. lElE W1QYE MRMBFR <br />fIGNAIVFE I' DATE -. -- <br />Gry BUSINESS IOENBC NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />I TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />NHNOLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />I HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK d DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />FOUNTAIN <br />FIREPLACE INSERT )WOOD BURNING) <br />GAS FIREPLACE <br />PREVENTERS <br />GASRANGE <br />1FRAIN <br />CE—BAR. ETC.) <br />GASPIPING <br />EXHAUST FAN <br />SUB TOTAL S <br />SUB TOTAL Si <br />_ <br />PERMIT f <br />PERMIT f <br />TOTALFEE f 1TOTAL <br />_ <br />FEE f <br />) <br />FOR OFFICE USE ONLY: i—. //X— //j / <br />IRON- IBACK <br />RFAR SFTBACY <br />SIDE SETBACK <br />PLAN IIECIt NVUB[R r <br />FEE <br />RFf.FlrI NO <br />uBE tonF2 <br />_ 1 <br />IOT I"FA <br />VACANT SITE <br />DYES ❑ NO <br />FEET <br />VALUATION <br />FEE <br />GUIDING <br />NEIf.111 INAITA'IEN <br />NO OF OWEIIIHG <br />UNITS <br />SOEIX BLOdII <br />PIUMRINO <br />OC111M11f.Y <br />OIIOUP <br />ICI ry$IMR$ <br />OCCUPANT LOAD <br />BASEMEN, <br />❑YES ❑No <br />MFCNAMCAI <br />—+— <br />_ <br />FIFE SPRINKLER REOD <br />FIFASbI <br />ADgll(MAL rIAN CNECA <br />ONIFR <br />FIRE AURA NEO'O <br />RFASOY <br />STATE RING NE $IIRGIAFM.E <br />TYPe Dr ronv <br />rinNS Anrnoveoer <br />DATE <br />CRN OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />NIB)1.. WfFNS <br />TOTAL <br />A <br />