Laserfiche WebLink
APPLICA4'10�� FOR CONSTP�UCT:.�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 • 259•BB10 <br /> ❑ DEMOLITION �] COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ pLUMBING ❑ SIGN <br /> PRpJECT ADDRESS: / '� ';L I�+ ���,�� , f�, • �=;�, .,,, <<- <br /> �ir:�r� : � �:- - ,���� <br /> ,OWNEn 41�l�ODREsp tirv T�r Pn�JNE <br /> TEN�NT 4M1 RIOfIf55 fliv 7�� P�IONE <br /> qICMTCCTdipE5lf.NER MI111MIp�E55 ) GI1Y )n� P��UHF <br /> P!' � t c�_ li �',^�•�- � / % �=�i� Y� f�� 17r� I� 'ri �, ��7��� •f, >>%•�y'��l 'l�lt i{1 �a('1��:., <br /> aEH¢nucornn�c�ar� , u��i�mncss nrv`,7- rm ri�oNE si� iictr+se� ��<�, <br /> MECN�MCq CONTN�LTOR M�II AIXNIE55 f.11V 7m PIION( i�TE UCENSE• <br /> PIUMBNGCONIR�GTOR M�IL�IXME55 CIfY IIP PIqNE Sf�tEIICENSE� <br /> � �"� <br /> GONTMC�WdIN — <br /> HEATING SYSTEM: (7 GAS ❑ELECTRIC ❑ <br /> OESCMlEV/OQN�ND$pU�qEf001�GEINVOIVED /! � _� i ' f.ONl�f.TPff150N�NDP110NF.Iq <br /> �/-7� ���� �i` �i �e c�- , {"�Y - "'3 /C. <br /> Cl -`— i <br /> i C n 4-� � ._ ..n� ✓ .T�[ � � <br /> �+ � � 1 HEREBY CERTIFV THAT I HAVE READ AND E%AMINEO THIS <br /> �n �� ` � c (�� t, � � ' APP�ICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> Vf10P06E0 USE Ot BUIldNO . , <br /> ��r " � PROVISIONS OF UWS AND ORDINANCES GOVEHNING THIS TYPE OF <br /> iea��oescnierwworrnovep i meeiowaa �cnrwo�oa�Es WORH WILI BE COMPUED WITH WHETHER SPECIFIED HENEIN OR <br /> NOT. THE �RANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior��aiocK or AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTNER STATE OR LOCAL LAW qEGULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTIOV.THAT I AM AUTHORIZED BV THE <br /> �J�,�� ^C�.•J���'�J�� A PLECATOIONHI SP MADE AND PI RCOMPLY EWI HRKT ER STATE <br /> ru�c¢�ruc i.o.ruMeea CONTRACTOFS LAW 1fl27 RCW AND 286.200 WAC. <br /> GON5T1111CTIONION/IEN�ER.�O(MESS,TELEMIONENUMBER x ,� y,�t,'-.. ,�-�'y— !T •� �' ' lY� <br /> ��L"��a_ / — / <br /> SIGN�10f1E �% O�If <br /> (. <br /> diY BUSII.F.SS IICENSC NO <br /> PLUMBINO MECHANICAI <br /> NO. TYPE OF fl1fTURE Oq ITEM FEE NO. 7YPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C-AMNDId UNfTS � <br /> � BATHTUB ' FORCED AIR SYSTEMS � <br /> J UVATORV(WASH BASIN) � HEAT PUMP <br /> SHOWER � UNIT NEATERS � <br /> 1 KITCHEN SINK 8 DISP ; CLUTHES DRYERS ; <br /> DISHWASHER � RANGE HOpU � <br /> � LAUNDRV TPAV ; WATER HEATER � <br /> ( CLOTHES WASHER � WOODSTOVE <br /> URINAL � METAL FIREPLACE(WOOD OURNING) � <br /> DRINKIfIGFOLNTAIN F�HEPLACEINSERT�WOODBURNING) � <br /> FLOOR ORAIN � GAS FIflEPLACE �— <br /> BACKFLOW PREVENTERS � GAS RANGE � <br /> SINK(SERVICE-PAR, ETC.) GAS PIPING � <br /> EXHAUST FAM <br /> � � <br /> ' � <br /> i � <br /> SUBTOTAL S ' SUBTOTAL f , <br /> �" PERMIT S � � PERMIT S —~— <br /> TOTAIFEE f ' � TOTALFEE f � <br /> i— <br /> FOR OFFICE USE ONLY: <br /> iRONlSEIP�CN REMSFTB�CM SIOESFIB�Ch P��NCIIFCKNUMBfR fEF I1Ff.FIPiNO <br /> USE TONE 10111RE• V�C�NI SItE FEES VALUAiION FEE <br /> ❑YES ❑ NO �— <br /> — q1nl01NC n <br /> HE1011T LIMI1�110N NO Of DWEIUNb SRE 0!11LD6R1 � <br /> UNqi i <br /> PI IIYOINfi --_���� 1 <br /> OCCUVANLI' NO M SInPoFS O(:CUP�NILO�D B�SEMENI { <br /> UROUV MFCM�Nif.�l i <br /> ❑rE5 ❑NO ---- '— <br /> FIRESPiiINNLERREO'U �f�50N �DIM�iONqPI�NCnfCN <br /> _�_—_ <br /> omen <br /> � <br /> FIREMMMpEQ'D RF�S <br /> StAtE OUIIOINC SIIOCIUOC•f -- ;�) <br /> Troeorr.or�st rinNs�nrnovrner CITYOFEVERETT �vnncwnnrs ' <br /> -- LOCAL SALES -- - ----- ;-- <br /> o.�e TAX CODE IS 9/05 TOTAL ; <br /> — - - -L- <br />