Laserfiche WebLink
APPLICATIO.� FOR CONSTRUCT.JN PERMIT <br />CITY OF EVERETT • B� III.DING DIVISION � <br />3200 CEDAR STREFT • cVERETT, WA 98201 • 259-8810 <br />I i DEMOLITI� r � COMBINATION i i BUILDING ' � MECHANICAL i 1 PLUMBING �l SIGN <br />PROJECT A RESS . _ . <br />1ENANi <br />n+nn.eonn[sa an nr <br />A1D 30 $��c�.} �u Eu2��ff— `t�2o <br />MAII ADpqF55 <br />)IP <br />S3 — <br />AFGNIiF.CTOR�ESiGNER MMI�ppRE55 Ci1V liP PHONE <br />GENEfiAL CONiRACTOfi MAIL�DORE55 ❑iV I�P P1104[ SIATE LICENSE � <br />MECH�NIUL CONT9ACiOR MnIL �DURF.55 GTY ?iP PIIONE STATE LICENSE / <br />Z1t�x�.� �� THZ <br />PLUMBING CONIRaCT R ( ADORESS CItY dlf� PHONE ST�TE LICENSE � <br />CU�F�OF W011N <br />d�SCRIB� WORK eN0 SOUAqE FOOTAGE IN' <br />A.ZfT. CAS R�ie�Bl� A.,� <br />� . <br />�qOPoSED USE OF BUIL�ING <br />LEWl0E5CRIPllp1 OF PAOPERTY ISIIOYM <br />LOT BIOCK ___ <br />P�qCELLVf IA. NUMBF.N -- <br />CON.^.TNUCTIONlO�N L@OER. �D�PESS�TFLEPHONE NUMPER <br />PLUMBIN6 <br />NO. TYPE OF FiXTURE OR ITEM FEE <br />WATER CI.OSE7 (TOILET) <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK A DISP <br />LAUNORYTRAV <br />CLOTHES WASHER <br />URINAL i <br />DRINHING FOUNTAIN <br />FLOOR DRAIN <br />BACHFLOW PREVENTERS <br />SINK (SEFVICE — BAR, ETC.) <br />SUBTOTAL S <br />PERMIT S <br />FOR OFFICE USE ONLY: <br />LRONi SE7B�CK PEM SfTOACK <br />USF. IONE <br />NEIGIIT LIMIT�TION <br />TYI'E <br />iorenen <br />NO W pWFLIING <br />CNIiS <br />OCCUP�NTlO/� <br />R[ASO�J <br />RFPSpN <br />PUNS �PPf10VEL <br />U�tE <br />SIDE SETB�CK <br />VAC4N_ _ 1 <br />fIVES I1 NO <br />SIZE 0� BLIXiRI <br />IIVFS fl NO <br />HEATING SYSTEM: �GAS �l EI.ECTRIC �l <br />CONiRCT PERSON PflD PIIONF NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEQ THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES IiOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEfiM1T DO[S NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTHER STATE OR LOCAL LAW REGULATINO CONSTRU�TION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY 7HE <br />OWNER OF THIS FROPERTV TO PERFf..aM THE VlOHK FOR WHICH <br />APPLICATION IS MAD[ AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 18 27 RCW AYC 296200 WAC. <br />/ <br />X Qt11� /.3 � <br />SI(i PLUPE 0 IE <br />� <br />CIl BpSiNES5UCRI;I NO <br />MECHANICAL - <br />NO. TVPE OF FIXiURE OR ITEM FEE <br />A/C -� p^+NDLG UNITS — H.P. i <br />fORCEDAIHSYSTEfAS—B.2U. IA E.A. � <br />HEAT PUMP � <br />UNIT HEATERS — B.T.U. M � <br />VENTILATION FAN <br />RANGE HOOD <br />WATER HEATER <br />WOOD STOVE <br />ME7AL FIREPLACE i <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GASRANGE <br />PI�N CI�FCN <br />ONLpIN � <br />4WMOII;C <br />MEC11�111G1 <br />♦pDl ilON�l PIAN CIIECN <br />on�en <br />S1ATE Ol➢IUING SUtICN�pGE <br />CITY OF EVERETT runi.ic won:-s <br />LOCALSALES <br />TAX COOE IS 3105 TOTAL <br />PERMIi $ <br />TOTAL FEE $ <br />fCE P.CCEIPTNO. <br />