Laserfiche WebLink
APPLfGAT10� FOR CONSTRUCT'"�N PERMIT <br /> CITY OF EVERETT•BUIID�NG DIVISION �iCA��� <br /> 3200 CEDAR STREET•EVERETT,���A 9B2U1 •259-8810 <br /> ❑ DEMOLITION ❑ COMBINATION fl BUILDIN(3 �MECHANICAL f7 PLUMBIN(i C'1 SIGN <br /> PROJECT ADDRESS ��^ � ' U ,�r_27 <br /> UC/J <br /> OVMER M/ULADORESS CITY TIP PNONE <br /> ��° � a Co 3e � a� C�45/NI /LD �U RE?TWA /`S2U3 3-l2--�-8�s <br /> 7ENANT MML�DdiESS CITV 2� PMONE <br /> z�q. 4��30� 3�z'�8�3 <br /> �t B�a�- �'o�,��.�y �eesa s�r� 45-z zT=,PNa,E <br /> ARCNIiEGiOP0E510NER M1Ul��M�E55 ��N Z�P ' <br /> �Qi , �_�a7w- '?�00 'u) 3�7'.sl' �tir��WA 9fcAs� — <br /> OENEMLCONTMCTOR M/�IL�DI�ilE88 � CITY ZIP PNONE 9TATEliCCNSE� <br /> Fl�re•�e� G4Nf.a.d- 7ui u�sn.�..,F c�w� s�a�9b1�6� N6robJ0� D <br /> MECNMlIG�LGONiR/1CTON M/ULADDIIESS CITY ZIP "'9�Ja3 P�E '��ST�TEUGENSE <br /> �F �2x+alUSoN (� oicP• /� �/ �'^'�V�N Cfu�t�.7�A� 98a3! t�eHAe�.4.i�ASt' <br /> ��n. z�p PNONE 6TRE UCENSE� <br /> VWMBINOCONiR/�CTOR �NI�OM�ES3 � <br /> M/� — <br /> CONTMC7FN�CEOF IIOPK , �J ��� /��� HEATING SYSTEM: ❑CiAS O ELECTRIC ❑ _.. <br /> � <br /> DEBCidlEYANNMIDsqu�REfO0TWEINVOWEO CONTACTFERSONANDPMON�. ` G,7r����� <br /> �n7STstU.. W't- )r1a�y ST'f��a.r�F 5 � " �.� � - <br /> � �� ►n'r' i.��q..lL � <br /> 1 HEREBV CERTIFY THAT I HAVE FEAD AND EXAMINED THIS <br /> �iFR\C,n L�nn w.1S APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> P�EI USE OF BUILpNO PRUViSIONS OF UWS AND ORDINANCES 40VERNINO THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER 6PECIFIEO HEREIN OR <br /> LEa�LOEBCRII'TIONOF%10PERNI��SELOWq111TTACMTMOLOPIE8) NOT. THE ORANTINO OF A PERMIT DOE8 NOT PRESUME TO aIVE <br /> L� B� � AUTHOHITY TO VIOLATE OH CANCEL THE PROVISION OF ANY <br /> OTIiER STATE OR LOCAI LAW REOULATINO CONSTRUCTION OR TH[ <br /> PEFFORMANCE OF CON3TRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPF.qTY TO PERFORN. THE WORK FOR WHICH <br /> APP�.ICATION IS MADE AND I COMPIY WITH THE STATE <br /> COtJ1'RACTORS UW 1827 RCW AND 288200 WAC. <br /> pMCELTNfI.O.MIMBER � � <br /> � h -� L_ <br /> — �--'�4.L IrP.�_ U.I �o � �� '� ' S � <br /> CONBTRIICTION IOYl LENDfR.�D011E89,TELEPIIONE NUMBER OI1iE <br /> SI(iN�NRE <br /> ' CITI BU&NESB LICENSE NO. <br /> PLUMBINO MECMANICAL � <br /> N�, TYPE OF flXTURE OR ITEM FEE N0. TYPE OF FlIITURE OR ITEM <br /> FEE <br /> WATERCLOSET(TOILEn � A/C—AMN�Li3UN1T5—H.P. ;__ <br /> BATHTUB ' FORCEDAIRSYSTEMS—B.T.U. M E.A. '_ <br /> HEAT PUMP ' <br /> LAVATORY(VJASH BASIN) ' -- � <br /> SHOWER � UNITHEATER:i—B.T.U. M _ <br /> i <br /> ' CIOTHES ORYERS ' <br /> KITCHEN 61NK 6 DISP ' <br /> � VENTILATION FAN � <br /> DISHWASHER ' <br /> � RAN�E HOOD ' <br /> LAUNDRYTRAY � <br /> � WATER HEATE:R ' <br /> CLOTHES WASHER , WOOD STOVE. � <br /> URINAL �— , <br /> ORINKINQ FOUNTAIN i METAL FIREPIACE(WOOD BURNINO) � <br /> . i FIREPLACE INSERT(WOOD BURNINO) : <br /> FLOOR DRAIN ' ' <br /> . � OAS FIREPLACE ' <br /> BACKFIOW PREVENTEHS � � <br /> SINK(SERVICE—BAR,ETC.) � OA3 RANQE � � <br /> -- � dAS PIPINO --� <br /> EXHAUST FAIJ ' <br /> � — � <br /> � _ � <br /> i ' <br /> � — � <br /> J � � <br /> SUB TOTAL S ' SUB TOTnL �S �� <br /> PERMIT S � <br /> PEFMIT S ' TOTALFEE S ' <br /> TOTALFE@ S ' . <br /> FOR I�FFICE USE ONLY: neceivrno <br /> PUNCNE NMl 9ER FEE <br /> FRONf 6[TB/iCR Rf�H BETBIICN BIOE 6ETB/�CK ^�/ <br /> USE ZONE LOT 11RE� VI�CAN7 HTE <br /> — FEF.B VALUATION FEE <br /> ❑VE9 �7 NO BURDINU <br /> HEIONTUMI7MqN NO.O�UWEWNO BREOiBL00�i1 <br /> UNIT6 PLUY81N0 <br /> ppWPNCY Iq0iB10qE8 OCCUV�NTLO�D BASEMENT MECNANIG�L <br /> G ❑vE9 fl NO <br /> ADOITION�L PUN CNECK <br /> fIRE�UNMREO'D HEASON <br /> OiHER <br /> FINE 6PRINNLER REO'D HE�SON 6T�TE BUIlDINO SURCH�AOE <br /> TYVE OF CONST. Pl/�N: PROVEO BY CITY OF EVEREIT PIIBIIC WOfINS <br /> IL� �OCAL SALES <br /> o�tE - 'S TAX CODE IS 3105 TOTAL <br />