Laserfiche WebLink
-1 : � Z� ' <br /> APPLICATIt.�I FOR CONSTRUCTiON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, Wq g8201 •259-8610 <br /> rl DEMOLITION fl COMBINATION fl BUILDING <br /> PROJECT ADDRESS MECHANICAL r t PLUMBING f 1 SIGN <br /> � a9- ���� �-e £rs-st� <br /> OWryE MnIUDDRE55 <br /> �1 �'i Q IIP CIIJNE <br /> �ENANT , A ROOp[55 <br /> 'T Z�P 1'IIONE <br /> / . � <br /> C .CT(1RDESIGN[R A1n11A0�qE$S <br /> ��ry Z�� PHONE <br /> GENEIIRLCON�fiACiOR MN�ADDRE55 <br /> CIiY $IP PIIONE <br /> $iqlE IICENSE• <br /> MECNANILAICONTR��7pq MRI�ADDRE55 <br /> � f.ITY ZiP PIIONE <br /> f-� ud�+f�f' I�'>a� �v'6A+fc.fl9y �L '�tA�'j �srn/reuc�Nse. <br /> PLUMBINGCOYiRACfOR MAILAWRESS � " ���G �OS����� /�+fIII�I /l� <br /> CIIY 21P PIIONE <br /> Sir1T[LICENSE� <br /> CONiRACi PRICE OF WppK <br /> �S�o r � ���Z HEATING SYSTEM: f l GAS I-1 ELECTRIC fl <br /> � DESCRIBE WOqK AND SOUARE FppTpGE INVO�VED <br /> WNTRCi PERSON AN�PH�NE N0. <br /> J3A, nr��0 S�8-�fG v <br /> I HEREBY CERTIFY THAT I HAVE pEAD AND EXAM�NED THIS <br /> PROI'OSEDUSE OF BUILDINQ APPLICA710N AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> � PROVISIONS OF LqWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGRLUESCRIPTIpryOFPpOPERTY�SHOWNBELOWORARR�NTWOCOPIES) �'�'ORK WILL BE COMPLIED WITH WHETHER SPEGFIED HEREIN OR <br /> . «T BLOCN a� NOL THE GRAN7ING OF A PERMI7 DOES NO7 PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEI THE PROVISION OF ANY <br /> OTHER STATE OR IOCAL LAW REGULA7ING CONSTpUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> - OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY W�TH THE STATE <br /> PAM;EL T�%ID.NUMBER CONTRAC/TOR7S LAW 1827 RCW AND 296.200 WAC. <br /> CONSTRVCTON 10�1N LEN�ER,ADDRESS.TElEP110NE MIMBER x / L/�i�.I //6 .Gt/ <br /> L/ G(/� 7 Y <br /> 'IG N1UFE <br /> OAiE <br /> PLUMBING Lltt BUSINE55 uCENSE N0. <br /> Ne. TVPE OF Fl7(TURE OR I7EM MECHANICAI <br /> FEE N0. 7YPE OF EOUIPMENT <br /> WATER CLOSET(TOILET) — FEE <br /> ' A/C—lVHNDLGUNITS—H.P. �— <br /> BATHTUB , <br /> LAVATORY(WASH BASIN) ' FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> SHOWER ' HEAT PUMP ' <br /> i � <br /> KITCHEN SINK 8 DISP UNI7 HEATERS—B.T.U. M � <br /> DISHWqSHER ' CLOTHtS DRYERS <br /> ' VENTILATION FAN � <br /> LAUNDRYTRAY i <br /> CLOTHES WASHER ' RAN�E HOOD , <br /> ' WATER HEATER � <br /> URINAL � , <br /> DRINKING FOUNTAIN WOOD STOVE � <br /> FLOOR DRA�N ' METAL FIREPLACE(WOOD BURNING) � <br /> i � <br /> BACKFLOW PREVENTERS � FIREPLACE INSERT(WOOD DURNING) � <br /> SINK(SERVICE—BAR.ETCJ ' GAS FIFEPLACE � <br /> ' GASRANGE <br /> � � <br /> GAS PIPING , <br /> � E%HAUSTFAN <br /> � � <br /> _ i t `FNo � <br /> � , <br /> � <br /> SUB TOTAL S ' SUB TOTAL $ ' <br /> PEqM1T S i PEfiMIT $ �—� <br /> TOTAL FEE $ � TOTAL FEE S � � <br /> FOR OFFICE USE ONLY: <br /> fRONi SFTP4CR RGAR SETBACK SI�E SETBRCK <br /> PLANCIIECKNUAOEq FEF R[CFIPiNO <br /> USE ZONE ��, � _J� <br /> IOTAREA VnCANiSIIE FEES <br /> VALUATION FEE <br /> _ IIYES fl NO <br /> N[IGIIT LIMIiAiION �UIIDING � <br /> NOOFOWElL1NG SIIEOFBIOG/TI � <br /> IlY11S � <br /> PWM�ING � <br /> � <br /> OCCUPANCY NO piS10AlEi OCCUPANi�ppp i <br /> GROUf' BASEMENf MEC11ANiCpL • <br /> i <br /> f1YE5 II NO � <br /> FIREALARMqEOD fl[RSO4 ADD1710NAI.PLqNCHECK <br /> i <br /> FlRFGPqINKIERRE00 RF�FON O1HER i <br /> I <br /> S1Alp AUIIDMC SURCI�RAGE � <br /> i <br /> TYPEOff,pNST PInNSAPFROVEDOY i <br /> CI7Y OF EVERETT runur.wonKs -- <br /> LOCAL SALES ; <br /> unrE TAX CODE IS 3105 i07AL — � <br />