Laserfiche WebLink
APPLICATIC'1 FOEi CQ�STRUCT'7N PERfnAA1T <br /> CITY OF EVERETT• �UILDING OIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259•8810 <br /> O DEMOUTION ❑ COMBINATION ❑ BUILDING C�ECHANICAL ❑ PLU6IBING ❑ SIGN <br /> PROJECT ADDRESS: � 6 I � a(p�,�„� ,�� � P��+� �f (��DI <br /> N p�e� Su��;,��., ;�y�Ess �a z� sl nl� �- �n � ,��P 9� a�1 6ti 8- >6 �.� <br /> P /q �d IJe an � ar rHor�¢ <br /> �.�.Jw eis 9 <br /> IEN�NT Y�IIl1DDRl55 GT� 71V PI�ONE <br /> ARLPoT[GTIXIOESIGNEN MNI�WqE55 CIIY 71P PNONE <br /> G�jNEOnICONTpACTOR MAIIADDRE55 Cliy )IP PnONE SIRGIIC[NSfr <br /> 1✓0•.� -n A�� ��a�x '�h � �1 p �.' P��TMl�� I o al G ,n, � 9P�rra! 771,' 6 Y L y <br /> MFCNulICAICONTqA�TOR � MAIIAWAE55 71P PIIONE STeiEIiCENSE� <br /> PLVMBMCCONTR�CTOR M�IL�ODRESS CIfY ZIP PIIONE p°'��r p" O��/� <br /> J � STATflUCENSE� <br /> CONIMC7 FqICE OF W�7111( <br /> HEATING SYSTEM: �GAS ❑ ELECTHIC ❑ <br /> DESCRIBE WORIf ANp SOU�RE FOOT�GE INVp�VEO /� CONIACT PEOSON�NO PNpNE NO <br /> C 04 � �{�i(Y' 4t <br /> v '.� e J � i ,, <br /> I HEREOY CERTIFY THAT I HAVE READ AND E%AMINE� THIS <br /> �'a0Po5ED USE or BUarnrvO APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALl <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> IEGALD[SCWFTIOHpFppppEp7y�5�pym8ELOWpiAT7A�NTN'0001'IES� WORK WILL BE COMPLIED WITH WHETHEH SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ��T e�aK oF AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTIDN OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTNORIZE�BV THE <br /> OWNEF OF THIS PROPERTV TO PERFORM THE WOqK FOR WHICH <br /> APPIICATION /�S MADE AND I COMPLY WItH THE STATE <br /> PARCEL TAl(I.D.MMBER CONTPl�CTO� 6 LA iB27 RCW AND 296.200 WAC. <br /> � / <br /> (:ONSTRUCTIq1lOANt[NOER,AppRE55.TELERIONENVMeER x(,�,%f �—� 'Q,(� <br /> SIGN�LUfIE � DAiE <br /> GiY BUSINE55 LICFNSC NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMEHT FEE <br /> WATEq CLOSET(TOILET) � A/C—AMNDLG UNRS �— <br /> BATHiUB ; � FORCED AIR SYSTEMS � <br /> LAVATORY(WASH BASIN) � HEAT PUMP - �— <br /> SHOWER � UNIT NEATERS i <br /> KITCHEN SINK 6 DISP CLOTHES DRVERS ' <br /> � <br /> DISHWASHER � R,4NGE HOOD � <br /> UUNDRY TPAY ; WATER HEATER � <br /> � <br /> CIOTHES WASHER � WOODSTOVE , <br /> URINAL � METAL FIREPLqCE(WOOD BURNING) � <br /> DRINKING FOUNTAIN ; FIREPLACE INSERT(WOOD BURNING) ; <br /> FLOOR DFAM � GHS FIR[PIACE � <br /> BAGKFLOW PREVENTERS � GASRANGE � <br /> SINK(SERVICE—BAR.ETC.) GAS PIPING � <br /> ' EXIiAUST FAN � <br /> i � <br /> i � <br /> i � <br /> � � <br /> i � <br /> SUB 70TAL f � SUBTOTAL S ; <br /> PERMIT S � PERMIi E 'j� <br /> TOTAL FEE S � TOTAL FEE E `��'"� <br /> FOR OFFICE USE ONLY: <br /> fRONT SETBA�N RE�R SFTB�CN SIpE SETB�Ck P{�NCiI[CR NUMflFII fGF t1Ff.E��T NO <br /> usEzone tOr�n¢� VAC�NTSIIE FEES VALUATION FEE <br /> ❑YES ❑ No nmirnNa ' <br /> HEIG/IiLIM17ATION NOOFOWELLING 512EOF9L0(i/fl <br /> UNIiS <br /> PlUM01NG <br /> OCCUPANCY 1q Of SIORi[5 OCCVPANi IO�D BASEMENi MFf,11sNiLn1 I <br /> GRWP <br /> ❑YES ❑NO — - <br /> FlRE SPf11NNLER REO'0 IIEASON �OUIf101UL PIAN CufCN <br /> onim , -- <br /> � <br /> FIREAURMREO'0 NE�SpN <br /> SiqE OUItUING SIIpCN�pOE <br /> i <br /> rrr¢orr,or+sr o-inNsnrrnov¢oer CITYOFEVERETT runiir.won�s <br /> LOCAL SALES — --1— <br /> oere TAX CODE IS 3105 TOTaL ; <br />