Laserfiche WebLink
APPLICATI�.N FOR CONSTRUCI .ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 <br /> ❑ DEMOLITION fl COM8INATION f] BUILDIN� ❑ MECHANICAL ❑ PLUM81Nfi !� 8NiN <br /> PROJECT ADDRESS �03 � �3�N0 <br /> �.v tfo -u. z (c•s) <br /> ��Ep MAILAOIXIE59 <br /> iE�� ��61N6 Cio r� �Q.QOK �7e7 � C011-/��,SE'�►tIFL6��4✓A. PNonE Z^'�3?9 <br /> 9l!?-1� 3�f <br /> atr ziv viarie <br /> f3es�N�. <br /> Ai1CN1iECTORpESI6NER MIUL�WRESS CI7Y IIP p�pNE <br /> �C�/�• <br /> • <br /> OENERALCONTp�C�Tp+i M�IL�OpiESS CITV 71P PNONE 91ATELICENSE� <br /> �V� <br /> MECN�MGLLCONTN�CTON M�ILAUOf1E55 CITV iIV PIqNE gTREllf_N9E� <br /> PLUMlMqCp�TqACTOR MIVLAODNE49 CITY ZIP PIqNE ST�TELICENSE� <br /> CONiMCi PIMCE OF WOfllt <br /> �SO00 HEATINO SYBTEM: O OA8 ❑ELECTRIC ❑ <br /> OEBCNME MVIM�NO BpUMiE fOOTAOE INVOLVEO CONT�CT PERSON I1ND P110NE Np. <br /> R.�A'R�NbC OFf/GS� (.f'Ow/�� �3T�1MQi01Cf�I Z�►��'��i� <br /> I HEREBV CERTIPV THAi I HAVE READ AND EXAMINED TMIB <br /> vnoros¢o uae oF ew�dra APPUCATION AND KNOW THE BAME TO BE TRUE AND CORRECT.ALL <br /> DR,r� PFOVISIONS OF LAWB AND ORDINANCEB OOVERNINO THIB TVpE OF <br /> WORK WILL BE COMPLIED WITH WHETNEq BPECIflED HEREMV Op <br /> LEMLOE9CNPTbNOFFROPENIY1dbN71lELOWpiAiTACNTV/OCOPIES) NpT. THE OMNTINO OF A PERMIT DOEB NOT PREBUAAE TO �IVE <br /> �oT e�ac�c oc AUTHORITY ?O VIOLATE OR CANCEL TME PROVI810N OF ANV <br /> OTHER BTATE OR LOCAL lAW REOULATINO CONBTRUCTION OR THE � <br /> PEHFORMANCE OF CONSTRUCTION.TNAT I AM AUTNORIZED BY THE � <br /> OWNER OF tH13 PROPERTY TO PERFORM TME WOpI( FOq W►NCH ' <br /> APPLICATION 13 MADE ANO I COMPLY WITM THE BTATE <br /> ou��t�i.o.r��n CONTRACTORS LAW 18.27 RC1M AND 2B6R00 WAC, <br /> CONlTRUClION LdW LENDER.ADOflE69.TELEVIIIX�IE MIMlER y��/� (�7� ��t.I/�� . <br /> �f 011tE ir� . <br /> pTY BU9INEBS 110EN5E/q. <br /> ��� MECMAMCAL <br /> N0. TITE OR RIfTUIIE 011 REM RE N0. TYPE Of FI7ITIME 011 ITEY R[ <br /> WATER CLOSET(TOILEn � A/C—AMNDLa UNITB—M.P. � <br /> �TMT� ' FORCED AIR SVSTEMS—B.T.U. M EA. ' <br /> LAVATORV(1NI18H BASIN) � HEAT PUMP � <br /> S��R ' UNITHEATERS—B.T.U. M � <br /> KITCHEN 81NK 6 DIBP ; CLOTHES DRYER3 , <br /> OIBHWASHER � VENTIUTION FAN � <br /> LAUNDRV TRAY ; RANOE HOOD � <br /> � <br /> CLOTHE6 WASHER � WATER HEATER � <br /> URINAL � WOOD STOVE � <br /> DRINKINf3 FOUNTAIN ; METAL flREPUCE(WOOD BURNINO) , <br /> FLOOR DRAIN � FIREPUCE INSERT(WOOD BURNIN(i) � <br /> BACKFLOW PREVENTERS ; OAS FIREPLACE � <br /> SINK(BERVICE—BAR,ETC.) � UAS RANfiE � <br /> ' OAS PIPINO � <br /> � EXHAUST FAN � <br /> � , <br /> � � <br /> � � <br /> SUB TOTAL 3 ' SUB iOTAL f ' <br /> PERMIT S � PERMIT S � <br /> TOTAL FEE f � 10TAL FEE { � <br /> Fon o�ce use oN�r: <br /> FqON�SETBApf REM SETd1CN SIOE BETBACN PUN CNEC NUMBER fEE RECEIPT N0. <br /> _ � (OJ��I <br /> usE:a+e ior�au v�NTs�re FEE6 VALUAiION FEE <br /> nres n r+o BUILDINO / Qv <br /> �iaNT uwunoN ra.a owewra sze oF e�nari <br /> UNITB <br /> O OOJ PWM91N4 <br /> ANCY ND Of 810PoE5 OCCUV,Wf LOM 8 MENT � MECNMlICAL <br /> N ��0 ❑YES Tl NO <br /> FlREAUIIMREOD REASON ADp710N�LPLANCHECK <br /> �f� ��5 1(j OTHER <br /> FIRE 6PRINNLER REp'0 REA90N <br /> ���f ��}} /� Si�TE BUILDINO SUflCN�MiE �`1 <br /> iYPEOFCON4T %ANS yVROVEDBY CRYOFEVERETT PUBLICWORI(5 <br /> � � _ A� LOCAL 8ALE8 <br /> wTE i �_ 1-'j� TAl(CODE 18 3105 TOTAI <br />