Laserfiche WebLink
APPLICATIOwI FOR CONSTRUCT�OFI PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, 'NA 98201 •259-8810 <br /> fl DEMOLITION (l COMBINATION �{l BUILDING fl MECHANICAL rl pLUMBING �l SIGN <br /> PROJECT ADDRESS <br /> :{O,�7 -�� <br /> OWNEH MAqADDRE55 dTY Im PHON[ <br /> m���.� nt�rth�r�cf- Fn1 nninn RY _ 875f10 a 1 � WA 98101 ( 206) 858-9272 <br /> TEN�NT MMI�DDRE55 CITY IIG FNONE <br /> Architekton 12951 Bel-Red Rd. #710 Bellevue, WA 98005 (206) 637-1007 <br /> 11RCHIlECT OR OESIGN[R MRII�U�RESS �IiY )IP PNONE <br /> -Unknown at this time- <br /> GENE�CONTPALT � MMLRW(�[55 / piY ZIP � PpON- $UTELICENSE� <br /> � BD n��u��1'7./�v��,,r ,�� �Zc+� i��J S� " w,��-��� 9e'a9a <br /> MECH�NICA�CONTRnCTOfi MRR.A��RE55 CITV ZIP ppONE /^�O�TpTF_�IC�5E, �a/ <br /> /���7'rv,2� /`/S/'�� Q y �' <br /> PLUMBINGCONTRRCTOR M41lRDDRE55 CITY ZIP PNONE STAiEUCENSE• <br /> CONTRIICT PRICE Oi WORN <br /> HEATING SYSTEM: f 1 GAS �l ELECTRIC f l <br /> DESCRIBE V/ORK�NO SOU/FE FOOiAGE INVOLVED CONT�CT PERSON ANO PHONE Np. <br /> A <br /> existing Canopy. ( 206) 637-1007 <br /> I HEREBV CERT�FV THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> Pf10PO5EDU5E OF BUILdNG PROVISIONS OF LAWS AND uRDINANCES GOVERNING THIS TYPE OF <br /> WOPK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGIILOESGRIPiIONOfPROPERTV(SHOWNBELOWORRTT�CHTWOCOPIES) NOT. THE ORANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �ot e�oca or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATIN6 CONSTRUCTION OR THE <br /> S20 Attached PEiiFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WFiICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> reAce�ux i.o,wvMeea CONTRA TORS LAW f 027 RCW AND 296.200 WAC. <br /> 4s9o-�i2-oii -000� <br /> CONSTRUCTONIO�NLENDEN.AUDRE55.TELEPHONENUMBER X /O �� �C7,� <br /> SIG O�iE <br /> CITY BUS E55 LICENSG NO. <br /> PLUMBIN6 MECHANICIIL <br /> NO. TVPE OF FlXTURE OR ITEM FEE N0. 7YPE OF EQUIPMEHT FEE <br /> WATERCLOSET(TOILET) � A/C—AMNDLGUNITS—H.P. � <br /> BATHTUB � FORCEDAIRSVSTEMS—B.T.U. M E.A. � <br />�� LAVATORY(WASH BASIN) � HEAT PUMP � I <br />� SHOWER � UNIT HEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP ; CIOTHES DRVERS I <br /> DISHWt,6HER � VENTILATION FAN � ' <br /> LAUNDRYTRAV ; RANGE HOOD ; I <br /> CLOTHES WASHER � WATER HEATER <br /> URINAL ' WOOD STOVE ' <br /> ORINKING FOUNTAIN ; METAL FIREPLACE(WOOD BURNING) � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ; <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE <br /> GAS PIPI��G <br /> I EXHAUSTFAN i ' <br /> i � <br /> i � <br /> � � <br /> � � <br /> SUB TOTAL $ � SUB 70TAL S � <br /> PERMIT $ � PERMIT $ � <br /> TOTALFEE $ TOTALFEE S ' <br /> FOR OFFICE USE ONL.Y: <br /> fRONTSFTARCN REARSFTB�CK SIDESETBALN �IAHLIIEG ❑MBy{i� FEF����� R[LEIPTNO — <br /> 7 J �1 <br /> 0 0 <br /> vsezor+e �ornnen vnCaNrsire FEES VALUATION FEE <br /> — fIYES I1N0 BUII�MG '1 0o L / � •�7 <br /> J <br /> MEIGNTt�MITATION NOOFOW[LIING SIZEOfBIOG/TI i <br /> UNII$ � PLU�AOING i <br /> OCCUPANLV NO Of 5�:�91[5 OCCUPANT L04D BASEMENT MECNeNICA� <br /> i <br /> GRO'1' �� . _ <br /> IIYES NO � <br /> FIREALARMRE00 RFASOY ADDit10NALPlANCHLCN i <br /> /v 0 O111Efi i <br /> FlRESPfiIN/NI[RREOD REASON <br /> J-� � s*me auiioiNc sunainnce � i J L? <br /> tvveorr.or+sT rinNsn npvenar CITYOFEVERETT runur.wonKs ' <br /> �h LOCAL SALES �— <br /> V�� onle �Q' 2D-S � TAX CODE 1S 3105 7oTAL ir� � C ,� <br />