Laserfiche WebLink
APPLICATIG.�I FOR CONSTRUCT.JN PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STFiEET• EVERETT, WA 98207 •259-8810 <br /> �l DEMOUTION f I COMBINATION I 1 BUILDING ! 1 MECHANICAL �l pLUMBING I i SIGN <br /> PROJECT ADDRESS �� �7� C, `� , <br /> G / <br /> owr+en �.�a�ano�ess atv z�r rr�o�ve <br /> A,��- .�/co�,��r� ,f'Di��,��l� 7 ��.�rt ����; z >>y.�s>- <br />, TENRNT MAILADDRE55 CItY 71P PHONE <br /> RRCIIIiCCTORDE5IGNER MAIIA��RE55 �ItY pIP PHONE <br /> C,/1uc% O�'�c.,v f'D/..�[�Ks1ro7 �y�2.Y.� ��ZO� ` ��13`3s�_ <br /> G[N[MLCONiRPC7 MAILq�flfiESS CITY JIP PHONE STATELICENSE� <br /> �� .�Skoi/�1� �/ /( /r ii <br /> MELMnNICAL COYTRACTO(7 MAq ADDRESS CITY pIP PHONE S.UTE IiCENSE� <br /> PI.UMBINGCONiRACTOR MAILAODRE55 CI7V ZIP PMONF SiAIELICENSE/ I <br /> I <br />' CONTAALi PRICE OF WORK <br /> � p� HEATING SYSTEM: (7 GAS f-1 ELECTRIC f7 <br /> DES RIB N(OPK�NDSOUAR�`�A�NVOLVEqy�// CONTACTFERSONANUf'HONENO <br /> � L° r�a'�C "' � �- d <br />�I • I HEREBY CERTIFY THAT I HA�'E READ AND EXAMINED THIS <br /> vAovoseo s�oc aunnu+o APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL i <br />�' � � �e ,,(� / PROVI510N5 OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF , <br /> � �a WORK WILL BE COMPLIED WITH WHETHEti SPECIFIED HEREIN OR <br /> tEGALDESCPIPTIONOPPROPERTY�SHOWNBELOWORATiRCNTWOGOPIES) NOT. THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE I <br /> . �oT BLOLN oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE I <br /> PERFORMANCE OF CONSTRUCTION.THAl'I AM AUTHORIZED�Y THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATIOIJ IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL TAN ID.NUMBER CONTRACTORS lAW 1827 RCW AND 296.200 WAC. <br /> CONSTPUCiIONLOANLENDEP.R00RE55.TELEPMONENI/�`APER x � L `,C�j�� �/�O�/ ,� � L� �95� <br /> SIGNRTURE OnTE <br /> � <br /> CITY BUSINESS I ICENSE N0. <br /> PLUMBIN6 MECHANICAI <br /> NO. TYPE OF FIXTURE Ofl ITEM FEE NO. TVPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILCT) A/C—AMNDLG UNITS—H.P. �— <br /> �_ <br /> BATHTUB ; FORCED AIR SYSTEMS—O.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) i HEAT PUMP � <br /> SHOWER � UNIT HEAT[RS—B.T.U. M � <br /> KITCHEN SINK 8 DISP � CLOTHES DRVERS � <br /> DISHWASHER � VENTILATION FAN � <br /> IAUNDRV TFiAV ; RANGE HOOD ' <br /> CLOTHES WASHER WATER HEATER � <br /> UFINAL � WOOD STOVE ' <br /> DRINKING FOUNTAIN METAL FIREPLACE(WOOD�URNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WUOD BURNING) ; <br /> �ACKFLOW PREVENTERS � GAS FlREPLAC[ ' <br /> � <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE � <br /> ' GAS PIPING <br /> i EXHAUSTFAN i <br /> � � <br /> i � <br /> � <br /> � � <br /> SUB TOTAL $ � SUB TOTAL $ � <br /> PERMIT 5 PERMIT 5 � <br /> TOTALFEE $ � TOTALFEE $ � <br /> FOR OFFICE USE ONLY: <br /> Ff10NT SEIOFCN R[FR SETBACK SIOE SETBALK PUN CII N NUMB�R _ FE� Jn RECE�%�.�/ <br /> CJ �� Z <br /> usezoNe toranEa vnenNrsire FEES VALUATION FEE <br /> nves n No OUIIDING � o�� �(pa I00 <br /> HEIGNT LIMIiATION NU OF OWELLING SIZE OF B�('iRl. <br /> ❑NIiS �„�i PLUMBIhG i <br /> GROUPpNCY NO'O)f St�PiES OCCIIPANi LOAO BASEUiENT � �[CHANICAL <br /> �� /vA � IIYES !TNO � <br /> i � <br /> FIRE ALARM REO'0 RERSON AD�ITIONM,PUIN CHECK � <br /> N� � <br /> OTHER � <br /> FIPE SPRINKLER REO'0 REASON p� � <br /> ;%ES ZF quc�a ��SrG . /`CR^'"�1• STREBUILDINGSURCHRPGE ; (J;') <br /> TYPE9FCONST PLANS .PROVE�BV CITYOFEVERETT PUOLICWOPKS � <br /> V, ''+� . I� � LOCAL SALES <br /> onre 9 ' -�� TAX CODE IS 3105 TOTAL ', <br />