Laserfiche WebLink
APPLICAT111.J F4R CONSTRUCT. JN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> f"1 DEMOLITION ( 1 COMBINATION fi�BUILDING I� MECHANICAL I l PLUMBING f 1 SIGN <br /> PROJECT ADDRESS 3003 GV- C�G-S,iNo ii-U �S•- 7/� 3 <br /> OWNEII MqL�0pRE55 GTY ]IP PHONE <br /> r��r l3cE��c lLa• P•o 6e�c g�e7 s oN�3 Se�-7TG� w,a. 9P/Z� <br /> TEN�NT �AML� RF55 cltt 71P P ONE <br /> �jGE/�/G � <br /> �RCNRfCT OR DF.iIGNER MML�DOP 2�1� CITV ZIP PIIONE <br /> �OE lN C. -- <br /> OE R�LLONTfUCTqi �A�IL�UO��[59 �:I'Y 71n PHONE STVEIICENSEr <br /> �R,oWE2 FC � '1 ��I • 4'}� <br /> MECHIINICALCONTRACTOR M�IL�OCRESS CIiV ZIP PNONE STAiELICENSE� <br /> PLUMBINO CONTR�Ci0i1 M�IL�OORE55 CIiY ZIP PNONE ST�iE LICENSE� <br /> CONTR�CTPRiCEOFW011N �',� —_ <br /> HEATING SYSTEM: f� OAS fl ELECTRIC Cl <br /> OESCRIBE W011R ANO SW ApE FOOUOE INVOLVE� CUNi�Ci OER.iON�N�PNONE NO <br /> A'D'D 2-'f FE7f'T' PA'2T/Tle✓ L�nrR�� �t.s�/ 2Go-3s�7 <br /> I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AIJ�KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSED USF.OF BUILOINO PqOVIS�ONS OF LAWS AND ORDINANCES OOVERNINQ THIS TVPE OF <br /> G�i{r[� f�UNGr/ONS WORK WILL BE COMPLIED WITH WHETHER SPECIFIFD HEREIN OR <br /> lEOAL OESCPIPTION OF PROPENTV ISHOWh BEIOW OR 11TT/�CN TWO COPIES� NOT. 7HE ORANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br /> inT BIOCK ov AUTHORITV TO VIOLAT[ OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REdULATINO CONSTRUCTION OR TNE <br /> PERFOFMANCE OF CONSTRUCTION.THAT I AM AUTHOPIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOH WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH 1HE SfATE <br /> PARCELTA%I D MIMBER CONTRACTORS LAW 1827 RCW AND 288200 WAC. <br /> CAN9TRUCTION LO�N LENDER.1100RE58,IEIEPHONE NUMBE(1 x �� / ' 11 J/"���'✓' "" N�t�y <br /> SI IIRE D�TE <br /> CITY BUSINE55 LICENSE NO. <br /> PLUMBINO MECHANIC�L <br /> NO. TVPE OF fll(TURE OR ITEM FEE NO. TYPE OF FUITURE OR ITEM FEE <br /> WATER CLOSE?(TOILET) � AIC—AMNDLO UNITS—H.P. ' <br /> BATHTUB ' FORCEU AIF SYSTEMS—B.T.U. M F.A. ' <br /> LAVATOHY(WASH BASIN) i HEAT PIIMP � <br /> SHOWER <br /> � UNITHEATFRS—B.T.U. M ' <br /> � <br /> KITCHEN SINK 8 DISP � CLO'HES DRVERS _ _T_ <br /> DISHWASHER � VEN7ILATION fAN ' <br /> LAUNDRYTRAV ; FANGEHOOD ,_� <br /> CLOTHES WASHER � WATER HEATER ' <br /> URINAL ' WOOU STOVE i <br /> DRINKINO FOUNTAIN i METAL FIREPLACE(WOOD BURNIN�) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNINO) ' <br /> BACKFLOW PRF.VENTERS � OAS FIREPLACE � <br /> SINK(SERVICE--BAR,ETC.) � OAS RANOE : <br /> � OAS PIPINO <br /> , EXHAUSTFAN ' <br /> � ' <br /> •— � � <br /> � <br /> _ — r <br /> SUB TOTAL S ' SUB TOtAI f ' <br /> PERMIT E � PERMIT S � <br /> TCTAL FEE E � TOTAL FEE f ' <br /> FOA OFFICE USE ONLY: <br /> fR7NT5ETB�Ck PF�RSETBACK S�DESETB�CR PUNCNEC.R UMPE FEE REf.EIPTNO <br /> � �'���? <br /> use tor+e ior�nee ��C�NT SITE FEEB VALUATION _ FEE <br /> n rEs n r+o eu�iowa �'� <br /> NE'OHTb.IIT�iION NOOfDVIELLINO SREOFBlIX3R1 <br /> UNITS /� D� p��)MBINO <br /> OCGUP�NCY Iq Of SfORIE° OCCUP�NT LO�D B�SEMENT MECII�NIC�L <br /> OPOUP I 'I --. <br /> n -� _ flVF.S NU <br /> L ADpIION�I PUN CNECN <br />' FIRE�URMREO-D RF�SON <br /> �1� OTIIER <br /> FIIIE SPHINM �REO'D Rf�SON � <br /> ST�iE PUILOINO SURCIUf10E t <br /> TVPEOFCONST PLANS�P OVEDBY CITYOFEVERETT �UAIICWORNS <br /> 1/_ � /ry� LOCAL SALES — <br /> o�,F: � . �• ' TAX CODE IS 3105 TOT�I { <br />