Laserfiche WebLink
APPLICATI�.N FOR CONSTRUCI �ON PERMIT <br /> CITY OF EVERETT•BUILCING DIVISION � <br /> 3200 CEDAR ST��EET• EVERETT, WA 98201 •259-8810 <br /> f 1 DEMOLITION f 1 COMBINATION �';i BUILDING ! 1 MECHANICAL f 1 PLUMBING f 1 SIGN <br /> PROJECT ADDRESS <br /> �/i ,:� C;� ; �� ��.J ��/r,.r .—i <br /> � <br /> ow'+En Mnn��mness ' cm nn / rr�ovc p� <br /> �r �»aircn�.:��.J.� �.y �<'Jdv� �i✓l /SLbs' � �/D��i�✓lLCJ. �lYi✓/Y�r�:il� hJC'7.i-�G/D.� <br /> iEN•H. M�i,�noness ' arr z�v y r��oNr <br /> � y.z s �A�� <br /> �RCNITCGTOR�ESIGNFn ruaenoness cnr vir r�w�ue <br /> GENli1AlCONiO�CTOn r.��IL�OpRE55 Cllv 71P Pr10Nf PUTEIICENSE� <br /> .`_.•7(�� l,.� f 1.-',S � 7i d Y i <br /> MELMANICALCONTRIICTOR MqLADONF55 CITV ZIP PI10NE STATEUCENSE� <br /> PWMBINOCONTR�CTIX1 MML�DDRE55 CILV ZIP 1'110NE ST/.lEUGENSE� <br /> CONTR�CT PRICE OF WOdN <br /> �� HEATING SYSTEM: f l CiAS Y�ELEI:TRIC f-1___ <br /> DESCRIBE RH�Np iOU�RF.FOOi�GEINVOLVE� ^ CaNTACT PFRSONRNDfNONENO <br /> ..Q_c '_1� .�i�� . �t � .. � � J (u � <br /> ✓ <br /> �� s`� <br /> G Z � FiEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> APPLICA?ION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> vaovoseousi:oFauaar+a PqOVISIONS OF LAWS AND ORDINANCES 60VERNIN6 THIS TYPE OF <br /> ..�'L%-<�� �< •• •� f WO�K WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEOALDESC4IPT�(]NOFPROPERIY�SMOWNBELOWOR�TT�CMTWO�OPIE51 NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br /> LpT�L �J BLOCK ov AUTHOHiiY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTN:�R STATE JR LOCAI LAW REOULATINO CONSTRUCiION OR THE <br /> (^" �� � - / ,q--- PEiiFORMANCE OF CONSTRU:TION.THAT I AM AUiHOR12ED BY THE <br /> OWNER OF THIS PROPERTY PERFORM THE WORK FOR WHICH <br /> APPLICATION IS�ADE AND I COMPL�� WITH THE STATE <br /> PAqCELT/JI I.D.NUMBEN CONTRACTORS LAW'1827 RCW AN�296200 WAC. i <br /> CONSiRUCT10N LO�N LENUER.�DIX1ES9.TElEP110NE NUMBER /}- �' f t_ � / � �.+Z 7 d '� ' <br /> C / 7 �/ /�'S .�7vY Y C �! U�-{' J C� V SfGN�T E DAtE �. <br /> J�T �O � 3 CITV 6USINE55 LICENSE NO <br /> � _ <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TVPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—MiNDLC UNITS—H.P. � <br /> 2, BATHTUB ; FORCED AIR SVSTEMS—B.T.U. M E.A. ' <br /> --�— <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNIT HEATERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP i CLOTHES ORVERS _�_ <br /> DISHWASHER � VENTILATION FAN ; <br /> LAUNDRVTFlAY � RANGEHOOD i _ <br /> CLUTHES WASHER � WATER HEATER � <br /> URINAL WOOD ST(1VE ' <br /> DRINKINO FOUNTAIN � METAL FIREPLACE I WOOD OURNING) <br /> FLOOR ORAIN � FIREPLACEINSERT(WOQCIRURNING) ' <br /> — L— <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE __ i _ <br /> SINK(SERVICE—BAR,ETC.) OAS RANOE „ ' <br /> � aAS PIPING � <br /> , EXHAUSTFAN � <br /> —•-- <br /> � ' <br /> � _ � ' <br /> � <br /> — � i <br /> ._ <br /> SUB TOTAI. E ' SUB TOTAL E <br /> PERMIT S PERMIT E � <br /> TOTALFEE E TOTALFEE 5 ' <br /> FOR OFFICE USE ONLY: <br /> iRONTSEiP�C� �F�NSFTfl N j S�DESETB�CN / �lANC11EGNNUMPFR fCE � RECFIPTNO <br /> � � �� �� �� �� ._ <br /> use za+e i IOT PNE� wceNT sne FEES VALUATION FEE <br /> � 2. �,�ES �, No a���o�Na 5 39� � �� <br /> HEIOXT LIMIT�TION NO OF[)WELLINO 512E Of P1004i �� <br /> � � 1NIiS $ L1VIA/L PLUMPINQ <br /> � I //R.aCL <br /> OCCVP�NCV NJ Of SiLW�ES OCCUP�NI LO�O B�SEMEN� MECIUNICAI � <br /> ce ur3 + N /� <br /> flVES 0 � <br /> FIqE�LMM REO'D �E�SON �OD�IION�I PUN CNECN �— <br /> 1_IJ Oi11ER '��;2� C� <br /> _�1_ <br /> PIRESPRINKLERREOD REASON � — <br /> STA1E BUIlDINO SUIIC1URaE � <br /> � 7 EOFCONSt PlANS�P�ROVEDB�� , <br /> J .1 CITY OF EVERETT runur,wonns 2Cij -_ <br /> ��� LOCAL SALES <br /> �atE p TAX CODE IS�105 TOTAL <br />