Laserfiche WebLink
APPLICATI�! FOR CONSTRUCI:ON PERMIT <br /> CITY OF EV[RETT� BUI�DING DIVISION � <br /> 3200 CEDAR STREET� EVERETT,WA 98201 �259-8810 <br /> (1 DEMOLITION f 1 COMBINATION I i BUILDING I MECHANICAL ✓PLUMBING I I SIGN <br /> PROJECT ADORESS � <br /> 4 G�'y c ,�v v rd r���c� � <br /> owNen ra�n�tmness /� r:irr m= m�o��r <br /> �ALj�"/L if�iU �-NG � Il) I,��x ��`� � ��ii7i7 ?���iD 7���� - ;; �. � <br /> tEN11Ni Mnll �OU�F55 ❑iY-rlU` P�IONF <br /> �NCIIITF.CT OR OESIGNER M�II�OOBE55 CITv )In 1`110NF <br /> GENFMICONTP�CTOR M�ILApIME55 (:ilv 71P PHONf SUTEIICENSE• <br /> MECN�NIC�LCONLR4CTOR MML�D11RE55 CITY Z�P P110NE Si�LELICENSE� <br /> PWMBINGCONTR�CTOq MqL�f10RE55 CIIY 11P PHONF. Si�1E LICENSE� /,j/f�/� <br /> �M/C f�M p� F�6"��ST• +�E �S � <c �_�i P'21C� 33Y�07� I�Y/5/!q/' <br /> corvTR�ct rmce cu vronK <br /> HEATING SYSTEM: I I GAS f 1 ELECTRIC fl <br /> UESCRiPE WONR�ND SOU�RE FOOT�6E�NVOLVED fON1nL1 PPniON�NO M10NL ND <br /> U �1J/� <br /> I HEFEBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> rnovoseov,Se ov au pNo APPLICATION AND KNOW THE SAME T(1 BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDIN. NC��S GOVERNINO THIS TVPE OF <br /> � WORK WILL BE COMPLIED WITH WHtfHER SPECIFIED HEREIN OR <br /> iea��oesc tr NovmoveRrv�sNovmneiowonnttecNTvrocories NOT. THE GRANTING OF A PERMIT Di �ES NOT PPESUME TO OIVE <br /> ior e�ocK or AUTHOFITY TO VIOI !1TE OR CANCE_ THE PROVISION OF ANY <br /> OTHER STATE OR LOCAI LAW REGULATINO CONSTRUCTION ON iHE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOR12ED BV THE <br /> OWNER Of THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPIICATION IS MADE AND I COMPLY WIiH THE STATE <br /> P�VICEL T�%I O.MIMAER CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> CONSTRUCTI(XI LO�N LENDER.AOORE55.TEIEPNONE NI/MBER X� �L yti iLt ���'y L� Y�3 <br /> 510 If1E � O�TE <br /> f.liV BIISINESS LN:FNtiE NO <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FO(TUHE OR ITEM FEE NO. TYPE OF FI%7URE OR ITEM FEE <br /> �{ WATER CLOSET(TOILET) � A/C—A/HNDL6 UNITS—H.P. � <br /> � BATHTUB � FORCEDAIRSVSTEMS—B.T.U. M E.A. ' <br /> LAVATORV(WASH BASIN) i HEAT PUMP � <br /> SHOWER � UNITHEATERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS i <br /> z, DISHWASHER � VENTILATION FAN <br /> LAUNDRVTRAV ; RANOE HOOD i <br /> 'Z CLOTHES WASHER � WAiER HEATER <br /> URINAL ' WOOD STOVF. ' <br /> ORINKINO FOUNTAIN METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR ORAIN � FIR[PLACE INSERI(WOOD BUPNIN6) � <br /> BACKFLOW PREVENTERS ; OAS FIREPLACE � <br /> SINK(uERVICE—BAR,ETC.) � CiAS RANGE __ � <br /> � GAS PIP1N0 ' <br /> i E%HAUST FAN � <br /> i � <br /> i � <br /> � _ i <br /> " , i <br /> SUBTOTAL S ' SUBTOTAL E ' <br /> PERMIT S i PERMIT S ��— <br /> TO7AL FEE S � ' TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: � <br /> fIIONT Sf.ID�CN RfAp SETBAGN SIbE SETB�CN PUN C�I[ R NII IIFR �fE pECFIPT NO <br /> 7�na/� <br /> usezor+e �otenee vec�Nrsr FEES VALUATION FEE <br /> nres n No euanirac <br /> IIEIQIITLIMITATIdI NO O[UWELLIN(3 51lEOf NIDORI <br /> UNILS PIUMpIN� <br /> 6 oUPANCV Iq0i5tORIES OCCl/P�NiIO�D B�SEMENt MECII�NIC�L <br /> I1YF.5 fi NO <br /> FlREAIAPMREOD RE�SON �W�T�OM�IM�NCNECN i <br /> OtNEN <br /> iIRES%IINNLERREO'� RE�SON <br /> ST�TE BI/IIDINd SURCIUf1AE <br /> 1YFEOFCONST PUNS�P{'ROVFU6Y CITYOFEVERETT runncwonKs ; <br /> LOCALSALES � — <br /> o�re TA%CODE IS 3105 7oTAl <br />