Laserfiche WebLink
APPLICATIO� FOR CONSTRUCT lN PERilA1T[ <br /> CITY OF EVER'ETT•BUILDING DIVISION CC���� <br /> 320o CEDAR STAEET•EVERETT, WA 98201 •259-BB10 � <br /> ❑ DEMOUTION ❑ COMBINATION ❑ BUILDINO �MECHANICAL (] PLUMBINO fl SION <br /> PROJECT ADDRESS ��^� 7� 3O2 <br /> (.S/ <br /> OWNER M�IL�ODRESS CITY 21P PNONE <br /> �"�1L BoC-.�,ul� C�O• 3oe,a q7, [+qsi.ve 20.�u QEu.wA 99wa 3�z-'i-&�3 <br /> TENANT M�ILAOORESS CITY 21 PIqNE <br /> -rr+� Bo�aU c�n���,y reua se�res 45-22� . �s-z}9 4s-3o� 3�2� �8�3 <br /> RiCnRECi OR DE510NER MUL A00RE55 CITY � ZIT-�PNONE ., <br /> F�+��l�ry �3t�u su�,x�a- �ao 5 li� ���s� �,+r,e,�4�� 9�o,ss' <br /> OENER�I CONTMCTOR MAILADORESS CITV iIP PIqNE SUTE 110ENSE/ � <br /> GY�rc.�e� G�n�E.a� 7��� .u. �vosn.G,..� t�tiy S�aui� �btr`d�� �/Eros�/0�/�� <br /> MECHNIICAL CONTR�CTON MAII ADDRE55 dTY IIP -9���3 VIIONE j'T�ST�TE LICENSE f <br /> �f�e►,..aNsoN L� orr.p. i� ai aNn ,au�N rtwry.7a 98a.�� t�E,�.�,�e�.1�rAst <br /> PLUMBINOCONTi/�CTOR M�ILAODRE53 CIiV IIP PNONE ST�TELICENSE� <br /> M�� <br /> CONTMCT PRICE OF VIORI( � <br /> � '�� ��o£I ���� — HEATING SYSTEM: ❑OAS 17 EIECTRIC ❑ <br /> DE6CPoBE NtlRK�ND U�RE FOOTAOE INVMVED CONTIICT VERSON AN�PNONE NO, <br /> NSn+U-- 5 5 � o � 6. ��5`- `j'��� <br /> � <br /> !] � �. I HEREBV CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> vno eo use a euaona APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF IAWS AND ORDINANCES GOVERNINO THIS TYPE OF <br /> WORK WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEOALDESCRIPTIONOFPROPERTV�SNOWNBELOWORATT�CNTY/OCOPIES) NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br /> iot e�ocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATIN3 CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZEO BV THE <br /> UWNER OF THIS PROPERTY 'i0 PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PMCELTN(I.�.NUMBER CONTRACTORS LAW 1827 RCW AND 288200 WAC. <br /> LONSiFUCT10N LON1 LENDER.MDRESL.TEIE�HONE NUI.IBER X I. .��CI� C� � ���� � �I � �-. <br /> SIONATIIPE D�TE <br /> CITr BUS�NESS UCENSE N0. <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF flIRURE OR ITEM FEE N0. TYPE OF FIIfTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—AMNDLO UNITS—H.P. � <br /> BATHTUB ' FORCED AIR SYSTEMS—O.T.U. M E.A. ' <br /> LAVATORY(VJASH BASIN) � HEAT PUMP � <br /> SHOWER � UNITHEATERS—B.T.U. M ; <br /> KITCHEN SINK 8 DISP i CLOTHES DRYEFS i � <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRV TRAY � HANOE HOOD i <br /> CLOTHES WASHER � WATER HEATER —� <br /> URINAL ' WOOD STOVE ' <br /> ORINKINO FOUNTAIN i METAL FIFEPLACE(WOOD BURNIN6) � . <br /> FIOOFi DRAIN � FIREPLACE INSERT(WOOD BURI:INp) � <br /> BACKFLOW PREVENTERS i 6ASFIREPLACE i <br /> S'NK(SERVICE—BAR, ETC.) � OAS RANGE � � <br /> ' OAS PIPINO ' <br /> � EXHAUST FAN � <br /> i � <br /> � <br /> i � <br /> J � � <br /> SUBTOTAL S ' SUBTOTAL S ' <br /> PERMIT S i PERMIT S � <br /> TOTALFEE S � TOTALFEE E ' _ <br /> FQR OFFI�CE USE ONLY: <br /> FRpJT SETB�CK RE�R 6ETBACN SIDE SETBACK PUN Cl/EGN NLM9ER �j > FEE RECEIPT NO. <br /> � /�/!r <br /> usezor+e LOT�RE� V�C�NTSITE FEES VALUATION FEE <br /> nres n rio BUIlDIN7 <br /> NEIQNT UMITATION NO.OF DWEll1N0 fiIIE OF BLOORI. <br /> UNIT6 PlUM81N0 <br /> GROUP^NCY NO OfSfOPoE3 OCCUPANTl0�0 BASEMENT MECN�NIG�L <br /> ❑YES ❑ NO <br /> FI�iEALARMREO'0 RE�SON �W�TIONILVLANCNECN <br /> OTMER <br /> FIRIi SPRINNLER REC D RE�SOV � - " � <br /> ST�TE BUI101116 6URCN�ROE <br /> TYPE OF CONST PU S�(.PPROVED BV CITY OF EVEREIT PUBLIC WORKS � <br /> �M LOCAL SALES <br /> E 3 ' '1 • ) TAX CODE IS 3105 TOTAL <br />