Laserfiche WebLink
� APPLICATIC�; FOR CONSTRUCT. �N PE�iMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT, WA 88201 •259-8810 <br />� ❑ DEMOUTION ❑ COMBINATION jFQ BUILDlNG O MECHAkICA4 ❑ PLUMBING O S�GN <br /> PpOJECT ADDpESS: 30 Z7 �Q3�c W2�/ <br />� ON11ER MMLApORE55 CItY 21P PIIONE <br />� Gh2� knvw/es _ 3�z7 R�wa� Ev.,�at} 513Zo ! ZoG-zSz-�S��3o <br /> IEtUNT MMLADONE55 GtY 11P PIIONE <br /> �RLHITE �OR D SIGNEII MAII/�DORE55 GIT' 71P P110NE <br /> f •r - r.�so 'Lue� qs}?I w /jl��. %. �F��3 zoG -7/ Z-100 0 <br />, c¢Henucon/mecro1 / Mu�eouness cirv nr rr.or+r: SUfEIICENSE� <br /> K.�� ( UN'ST�u�T� N <br /> I `MELIIANIC�LCONTRACTOfI AUILADDRE55 Cltt IIP PIIONG SiAfEIILENSE� <br /> PLUI/BINGCONiRA�Tpq MAIL�DDRE55 CI�Y 7:P P110NE STALEUCENSE� <br /> I CONTMCT PPoGE OF WpfIH <br /> 6 000,O O � � HEATING SYSTEM: O GAS ❑ ELECTRIC p <br />� DE$CRIBEWqiK�NO50V�REFOOTAGEIN�VED CONTAC��I \SDI �01'NONENO <br /> ro 6 five r�� � r o [��,r� '�co� ZoG-7lZ- IooO <br /> - LiG��C COn7�l.ye [✓ <br /> OJCf�jp�y,C� p✓�f I HEfiEBY CERiIFY THAT I HAVE READ AND EXAMINED 7HIS <br /> PRpPO5EDU5EOFBUII r+o APPLICATION AND KNOW 1HE SAME TO BE TRUE AND CORRECT ALL <br /> PHOVISICNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> i WORK WILL �E COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEG�LDESCNIPTION06PROPER7Y�5110WNBELOWORATT/�LHTIVOCORES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> iot � ' � e�ocK�_oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHEN STATE OR LOCAL LAW REGULATING CONSTRUCTIOh OR?HE � <br />� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> � �1 OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />` 43�I� ' 7�Z '�I I —000 / APPLICATION IS MADE AND I COMPLY WITH TNE STATE <br /> PMGELTA%I.D.NUMBER CfiNTRA�,.jORS A 1827 C ND296200WAC. <br /> � � Glr r� S� / <br /> r CONSTRUC110NlONIIEN�ER.�W1iE5S.TELEM10NENUMOER x / <br /> l "'' 6 � y6 <br /> SIGN� nf�.,v U�TE � <br /> I <br /> �Vw <br /> CITY BUSINE55 LICEN$[NO. <br />� PLUMBING MECHANICAL <br />� NO. TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILE� � A/C—Ah1NDL0 UNITS � <br /> BATHTUB � FOFCEO AIR SYSTEMS ; <br /> UVATORY(WASH BASIN) � HEAT PUMP � <br />'I SHOWER ' UNITHEATERS ' <br /> KITCHEN SINK 8 DISP i CLOTf1ES DRYERS i <br /> DISHWASHER � RANCaE HOOD � <br />� UUNDRY THAY ; WATE-R HEATER ; <br /> CLOTHES WASHER � WOODSTOVE � <br /> URiNAL ' METAL FIREPLACE(WODD BURNING) ' <br /> DRINKING FOUNTAIN i FIREPLACE INSERT(WOOD BURNING) i <br />� FLOOR DRAIN � GAS FIREPIACE � <br /> BACKFLOW PREVENTERS ; GASRANGE � <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPING � <br /> � EXHAUSTFAN ' <br /> � � <br /> � <br /> � � <br /> � . � — <br /> , � <br /> SUB TOTAL S ' SUB TOTAL f ' <br /> i � <br />' PERMIT S r PERMIT f � <br />' TOTALFEE S ' TOTALFEE S ' <br /> FOH OFFICE USE ONLY: <br /> fRONTSGT0l1CN fiEAP5ET0ACN SIOESETOACN �I�NCUECNNUMOlfi �EF /„� RECiIPTNO <br /> � � � L �ir' <br /> USE 20NE wT enen YAC�NT SI1E FEES VALUATION FEE <br /> C.� , ❑VES NO '� <br /> 011llbMf. � <br /> 4EIGNT IIMIT�TION NO OF DWEILING SIIE OF BLD6RI � <br /> �S/ UNIfS .\%7♦ (� / Pl11Al01NG i <br /> V � �� <br /> OCCUPANCY Iq O/SI(uUfS OGCUPANf LO�D BASEIAENT MECIUNILRI. � <br /> G11IXiP <br /> 2 ❑YES ��NO <br /> FIRESPRINKIFflREO'D �EASON ADbIIION�l1`L�NC11ff.k , _ <br /> i <br /> /'YQ ou¢n ; <br /> FlREAIMMREO'D RFASON i <br /> _ IJ $IA1[OUIlOINC SIII1GIInIif.E —_ T�_ <br /> /ll <br /> TYPEOFf,ONSi �I�NSAP QVfDOY CITYOFEVERETT �IIOIICw011N5 — � iL�C.i� <br /> V � _ /� �� LOCALSALES ��;�� <br /> ��� o�Te — a I_ � TA% CODE IS 3105 TOTAL <br />