Laserfiche WebLink
APPLICATIe N FOR CONSTRUCT rON <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ii MECHANICAL <br />PROJECT ADDRESS:__ �f I j n - ay u) <br />GENERAL <br />CONTRACT <br />PERMIT <br />❑ PLUMBING ❑ SIGN <br />FATE I ICF NSE <br />DESCRIBh�NUAREF T EINVOLVF.D <br />..--'••••'��..�.�m_� L•.aa UtLtGTHIC LJ <br />f'.ONTACi PCRSON A?ID PHONE NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PRO OSED USE OF BUILDING�r <br />T �/` ✓lam �� <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TY'E OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LEGAL DESCRIPTION C.'PRO'EHIY (SIWWN BELOW OR A77ACH TWO COPIES) <br />NOT. THE GRANTING OF A PERMIT DOES NOT <br />LOT BLOCK of <br />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 01: THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADF AND I COMPLY WITH THE STATE <br />CONTRACTORS W 1A.S7 R D 29 .200 WAC, <br />/ <br />PARCEL TAK I.D. NUMBER <br />CONSTRUCTION LOAN LENDER, ADDRESS. TELEPHONE NUMBER <br />/p 1 <br />(� JJ I <br />SI AT E <br />DATE <br />CITY BUSINESS LICENSE NO. <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />NO. TYPE OF EQUIPMENT <br />WATER CLOSET (TOILET) I <br />FEE <br />BATHTUB <br />AIC-A/HNDLG UNITS , <br />, ' <br />FORCEDAIRSYSTEMS <br />LAVATORY (WASH BASIN) <br />, <br />HEAT PUMP <br />SHOWER <br />_ <br />UNIT HEATERS If' A, <br />KITCHEN SINK d DISP <br />DISHWASHER <br />CLOTHES DRYERS <br />RANGE HOOD <br />LAUNDRY TRAY <br />; <br />WATER HEATER <br />— <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />, <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />' <br />FLOOR DRAIN <br />BACKFLOREVENTERS <br />. <br />' <br />GAS FIREPLACE <br />GASRANGE <br />- <br />, <br />SINY. (SE'RVICE -BAR, ETC.) <br />, <br />GAS PIPING - <br />' <br />EXHAUST FAN <br />, <br />, <br />, <br />, <br />, <br />SUB TOTAL $ <br />SUB TOTAL S <br />— PERMIT $ <br />PERMIT S <br />TOTAL FEE S <br />' <br />TOTAL FEE S <br />vn vrr-WC VAC %JN <br />FRONT SETRACK <br />At <br />USE LONE <br />LC <br />HEIGHT LIMITATION <br />NC <br />UN <br />OCCUPANCY <br />GROUP <br />NO OF STORIES <br />OC <br />FIRE SPRINKLER REO'D <br />FIF <br />FIRE ALARM RED <br />R6 <br />TYPE OF f,ONSi <br />PLF <br />DAI <br />