Laserfiche WebLink
�..��, <br /> APPLICAT11.rd FOR CONSTRUCI .ON PERMIT� <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT,WA 98201 •259-8810 <br /> fl DEMOLITION f 1 COMBINATION BUILDING f-1 MECHANICAL fl PLUMBINO fl SIdN <br /> PROJECTADDRESS 3003 (�J Q/;5/,�O �II �0-- S f�� Z <br /> om�en Mnii�ooness em zm rrw e <br /> 1�4C (3oE��G Co., �.0. /3ox '37o� �^SoN-13,SL��-�TGE,wA 9�/'sy ?✓z - �.?39 _ <br /> IEN�NT M�ILMDf1E55 CIIV IIP PIIONE <br /> _ ( �E�n�G <br /> ANCH�I7^ECf OR DESIGNER M�II�DDRE55 Citt ZIP PHONE <br /> (3��//�G• <br /> QENERQCONiMCidi MUL�DUf1E55 CItY ZIP PIbNE STRELICENSE� ' <br /> LumPK �rJ <br /> MECHANIf.�ICONTR�CTOB M�IL�DDRESS CI1Y ZIP PIIONE SUiELICENSE� <br /> PLUMBINOCONiR�CTOR M�IL��OHE55 CITY IIP PHONE STATEUCENSE� <br /> CONTMCT PRICE Oi WORK <br /> 6�1 Do HEATING SVSTEM: fl aAS ❑ ELECTRIC fl_ <br /> OESCRIBE WJRN ANU SOU�RF.FOOTME iNVOIVEU CONTACf PERSON AND FHONE N0. <br /> �oN�rtip fhr�bo2sw ZLL-3,s'L3 <br /> /N�4-K6 CONPlr/L6�vCd ��am I HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINED THIS <br /> VqOPOSEU USE OF BUIL�ING APPLICATiON AND KNOW 7HE SAME 70 BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES 60VERNIN6 THIS TVPE Of <br /> ��F�GE WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> IEQ�LDESCRIPf10NOFPROPENTY�SNOWNBELOWOR�TT�CNTWOCOP1E51 NOT. THE �RANTINQ OF A PEHMIT DOES NOT PRESUME TO OIVE <br /> �ot e�ocK oF AUTHOFITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR IOCAL LAW REOULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL TA%I.D.NUMBER CONTRACTORS LAW 10.27 RCW AND 298200 WAC. <br /> CONSTRUC710N LOAN IENDER.IWDRE59.TEIEPNONE NUMBER � �'A I G�i��/M� ^ I�y/r7� <br /> x �' �ATE <br /> SI�TUflE <br /> Cltt BUSINE55 LICENSE NO. <br /> PLUMlIN6 MECMANICAL <br /> NO. TYPE OF FlMURE OR ITEM FEE NO. TYPE OF FlXTURE OR ITEM FEE <br /> WATER CLOSET(TOILEn � AIC—A/HNDLO UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SVSTEMS—B.T.U. M E.A. ' <br /> UVATOHV(WASH BASIN) � HEAT PUMP � <br /> SHOWER ' UNITHEATEHS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP i CIOTHES DRVERS i <br /> DISHWASHER � VENTILATION FAN ' <br /> UUNDHYTRAY ; RANGEHOOD � <br /> CLOTHES WASHEH � WATER HEATER � <br /> URINAL ' WOOD STOVE ' <br /> DRINKINO FOUNTAIN � METAL FIREPLACE(WOOD BURNINO) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNINO) ' <br /> BACKFLOW PREVENTERS � OAS FIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) OAS RANGE ' <br /> OAS PIPINQ ' <br /> , EXHAUST FAN � <br /> ' � <br /> � ' <br /> � <br /> � <br /> � <br /> � <br /> SUB TOTAL E <br /> � SUB TOTAL S ' <br /> PERMIT S � PERMIT S � <br /> TOTALFEE S ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACK RE�RSETBACN SIOESETB�CN PlANG1ECKN MPCP FEE REGEIPiRO. <br /> USE20NE �OTAREA V�CANTSIif FE S VALUATION FE� <br /> flYES ❑ NO BUIlDINO �j00 � <br /> -� — <br /> NE�ONTUMIUTION NO.OFDWELUNG SIZEOFPLD6R1. � <br /> UNI15 �e � / � PLUTABIN� _ <br /> �p <br /> OGCCOUPANCY NO OfStOPoES OLC�ANTLO�D 9ASEMENI �/ MEGN�NICNI _ <br /> ❑YES ynu <br /> FIRE AIAPM REOD RE�SON �DDI710NAL PUN CHELK <br /> �,(S �ZSt ��. on�ea <br /> FIRE SPRINKLEN REOU RE�SON <br /> Y�5 ��5 T L. , ST�TE OUILOINO SUHCMAMiE � <br /> TYPEOFCONSt. PUNS� PROVEOBY CITYOFEVERETT P�AUCWORKS ' <br /> /� LOCALSALES <br /> I ( ' N o�TE� '" _ � _ TAX CODE IS 3105 TOTAL <br />