Laserfiche WebLink
APPLICATIG.� FOR CONSTRIICT .JN PERMIT <br /> CITY OF EVERETT • BUILDING OIVISION � <br /> 3200 CEDAR STREET • EVERETT, WA 98201 •259-8810 <br /> i l DEMOLITION � I COMBINATION �� BUILDING I MECHANICAL PLUMBING SIGN <br /> PROJECT ADDRESS _ <br /> � � ir.. J � u C �ib2 .�s'�s (.i/, C'�I.S...�J �c� <br /> �-. <br /> oWNFfi M�II�DDress ��(' ]ir rnovP � <br /> �asN ,�s � a��s— w. ��,4s,.,,r _�?� .�►z�r� !✓.e. ��ae� 7�/s - a3,� <br /> J___—_ <br /> IF�N�N7 �� 4�11 pnORF55 �'div ]�P P�IONF <br /> L-�!'�ja�r-on�S�C'-L o?So1S :u..GAS�niD �:��.[� ,�'�S'T. 7i=�,�ar��F�!J/� $'�2e� <br /> �b�v J05FPN o?�ll /�/�✓d sfz- __�?p! �k"LLir!/ur �il/�� <br /> (3[NEMICONTRRCIOR M�IUpP0055 fA1V 7�� PIIqN[ SI�iF110ENSF� � <br /> ��Itit Co..rs�. �3cds �nrc . �05 sa „�o s,-. ,�-�,�,v7r �r/A �yzv� <br /> MECH,\NIC�LCONTRaCTOR MM��DDf1l.55 CITv 7u' PIIONf STRTTICl/ISE� <br /> — - ���CoS1D77[—Ih <br /> PLUMBINGCONTR�CTdI MAIL�f1I1NF.$� Cliv Jn` PnONE STRifI1CFN5F� <br /> CONtR�CI l AICE OF WOf1N <br /> I�D� OOO� Od HEATING SYSTEM: ( 1 GAS fl ELECTRIC f l <br /> OESCNIBE YlOfik�ND SwOU�RE Pp�p/7(�GE INVpLVED/7� fONI�CI PfqSUN�Hfl P�IONG NO Q <br /> �� 1 L.1J N�S/ l�C�/N � �� l�-� � ��/p � <br /> or'i=�c iz s �v w�,��Naus�e s�acs as �- s�as <br /> I HFRFBV CFRTIFV 7HAT 1 HAVF READ AND F.XAMINFD THIS <br /> — HPPLICATION AND MNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PRO�'09EDUSE OF BUIIDINU PROVISIONS OF LAWS AND ORDINANCES GOVERNINO THIS TVPE OF <br /> _�/�pzESAL� ['e�(77P�4,L /L5 A(A!�R��1�S yyORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> lEO�IbESCRIPTIfXI�:foqOPERiY1SNONT1PElOW VR�TT�CIITWOCOPIE51 NOT. THE GRANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br /> �oi e�ocK ov AUTHOR17V TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REdULATINO CONSTRUCTION OR THE <br /> PERFORMANCF.OF C04STRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNEF OF THIS PROPEFiTY TO PERFORM THE WORN FOfi WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> PAPCEL TAM I N flF.R �/ ,�/ CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> C0115TR�ON��O E/ T��/U MPFIi X �(� ��r�+/'JLK-4�jL. ������� <br /> SICNRi�IfIF �� � c_ '/ �AfF <br /> V `� <br /> r.irv nusiNrs�ur.er+se No <br /> PlUM8iN0 MECMANICAL <br /> NO. TYPE OF FI%TUHE OA ITEM FEE NO. TYPE OF FI%TURE OR ITEM FEE <br /> WATER f,l OSET(TOILET) � A/C--AMNDLG UNITS--H P � <br /> BATHTUN ' FORCED AIH SYSTEMS—B.T.U. M E.A. ' <br /> LIVATORY(WASH BASIN) i HEAT PUMP �— <br /> SHOWER � UNIT HEATF_RS—B.T.U. M � <br /> KITCHEN SINK 8 DISP i CLOTHES ORVERS i <br /> _ DISHWASHER VEN?ILATION FAN `_ <br /> LAUNDR'/TFAV � RANGE HOOD � <br /> CLOTH'cS WASHEF � WATER HEAIER <br /> URINAL � WOOD STOP[ ' <br /> DRINKING FOUNTAIN i METAL FIREf'LACE(WOOD BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSEFT(WOOD BUf1N�NG) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ; <br /> SINK(SERVICE—BAR, ETC.) � GAS RANGE <br /> ' OAS PIPING <br /> � EXHAUST FAN i <br /> � i <br /> ___ _ '_ � ... <br /> i � <br /> _ 1 ' — <br /> SUBTOTAL S ' SUBTOTAL E ' <br /> PERMIT S i PERMIT S � <br /> TOTAL FEE E ' TOTAL FEE E ' <br /> FOR OFFICE USE ONLY: <br /> fRONT5F.IP�CN PFanSETp�CN SIbF.SfTe�f.N ru�H��NNOIMejJ� fFF / RFCEIPTN�� <br /> y , <br /> usezone io*ene� wc.�+rsne FE S VALUATION fEE <br /> _ i�.rrs �� No ouunwa �(. ppp <br /> ��� <br /> NEIOHt LIMIT�TION r�o or nwewNc sze or ni or,m — <br /> IINIIS <br /> I '7 � O 1'111Mi11NO <br /> 1 <br /> Uf:CUPANCv Iq 0�StORtES OCCIInqNI 1U�0 P.1 EMF.NL MCCIUNIGI <br /> CiRUIIP <br /> . / 3`� EMP��`(ffS iirrs .rNo � <br /> lIRE�LARM REO'� Rf�SON �IN�IIION�I.PI�N CNFCR i <br /> Y�S ORB. '���. -92 --- mi�rn --�— <br /> FIRESPRINNLERREOt] RF�SON — <br /> Yf S �`/�7/�� SiQE BUIIl11N0 SUIMIIAR[iF � <br /> rvreovcoNsr— ruNs rnoveoev CITYOFEVERETT rueiir,wonKs � <br /> � �1 LOCAL SALES � <br /> I�� - ^� „A�E 3 _ 1 _ 5 S TAX CODE IS 3105 tOTAI_ _ � fi v <br />