Laserfiche WebLink
P�rP�„� �1 N U <br /> `'� �`� �� APPLICATIOr�I FOR CONSTRUCT�N PERMIT � <br /> ` CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-BB10 <br /> fl DEMOLITION fl COMBINATION I-1 BUILOING I-1 MECHANICAL �C�LUMBING fl SIGN <br /> NRQJECT ADDRESS <br /> 2 'Z/ � Cc,ib =u-��.-Lff— <br /> OWNEF MAIL�DDR S CIiY ZIP PHONE <br /> 7}���` ��.l�n ���ti�m� .�/ � � f�G �`�' �� � ) nr� �� <br /> l�lANT MRILRD RE55 ryTy 2iP �NONE �y,//n�f <br /> 77� �V7W�/ <br /> ARCHITEGT OR OESIGNCR MRIL ADDRE55 CITv / 71P PIIOVE F� n�f/� <br /> l�J��57rLAJ �./�LtJ�/'Rl#ru-� 770/ F/cltic�.Sicc/ QGIi/u�j S��tc.37 4VR''9/"�/ <br /> GENERRL GONTARGIOR NAILApUpESS CITY PP ��PHOG6 cTRi[LICCNSE� <br />� <br /> MECNANICALCONTRnCiUR MRILADDPESS CITY 21F PIIONE ST�TGLIC[NSE� <br /> PLU�INGCON�RRf,TpFl �/A/ 41LADUPESSO /�6�� St $�U C�{yY�✓illU.t� wis 9kr3�,rN�71�2-737�,� 7pE�XPRCt.�,yt—�— <br /> CONTRACT PRICE OF WORN <br /> .�' aiu HEATING SYSTEM: ��GAS �l ELECTRIC rl <br /> � DESCRIBE WOHK�NO SOU�RE FOOTAGE INVOWEO CONT�GT PERSONAND PMON[NO <br /> /4 h S <br /> �o�c�. G-�al l7R�i,v.r l�l,�� «:as<<ic.r �.I�r�r <br /> t !4C �� I HEREBY CERTIFY TNAT I HAVE HEAD AND EXAMINED THIS <br /> PROI'OSED VSE OF BUILOING APFLICATION AND KNOW THE SAME TG BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR <br /> LEGRLDESCRIPTIONOFPROPERTY�SHOWNBELOWORRTTRCHTWOCOPIES) NOL THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or eiocK or AU?HORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> _ OTHER STATE OR IOCAL LAW REGULATING 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 /> APPLICATIDN IS MADE AND I COMPLY WITH THE STATE <br /> PMCEI LVI I.D.NUMBER C01JTflACTORS L 1827 RCW ATND 296.200 WAC. <br /> CONSiRUCT�ON IOAN LENDER.PDDRE9S TEIEPHONE NUMBER C� �t C.� � � 2 � l � <br /> I ' $IGN�TURE DAiE <br /> I . CITY OUOiNf.SSIiC[NSC NO <br />' PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> ��'� WATER CLOSET(TOILEn A/C—A/FiNDLG UNITS—H.P. <br /> � BATHTUB � FORCEDAIRSYSTEMS—B.LU. M E.A. ; <br /> 3 LAVATORY(WASH BASIN� i HEAT PUMP � <br /> � SHOWER � UNIT HEATERS—B.T.U. M ' <br /> ,`3 KITCN[N SINK d DISP i CLOTHES DRVERS i <br /> i . 3 DISHWASHER � VENTILATION FAN � <br /> I LAUNDRY TRAY ; RANGE HOOD ; <br />� CLOTHES WASHER ` WATER H[ATER jr- <br /> 1 URINAL � WOOD STOVE � <br />� DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNINC) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br />�� BACKFLOW PREVENTERS ; GASFIREPLACE � <br /> i , SINK(SERVICE—BAR,ETC.) � GAS FANGE <br /> GAS PIPING <br /> � E%HAUSTFAN � <br /> � � <br /> � <br /> � <br /> � <br /> � � <br /> SUBTOTAL S � SUBTOTAL S ; <br /> PEFMIT 5 � PERMIT $ � <br /> TOTALFEE S � TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> fRONTSETPRCN REARSETBRCN SI�ESETBRCH PLANCHECRNUMOER fEE RfC[IPTNO. <br /> use ior+e �ot nne� V�CAN7 SITE FEES VALUATION FEE <br /> IIYES �'� ��O BOIlf1MC � <br /> I <br /> NEIGIITUMItATION UNI�SPUWCLLINO 512EOFOLIXiIfI i <br /> PUlM01NG <br /> T <br /> OCCUPRNCV NO(K 51fMIF5 OGCUPANT LOAD P^�FNENT MELIIPNICRL <br /> GPOUP I ___ <br /> IVES (1 NO <br /> fIRE�LMMREOD RfA50Y p��1110N��Pt�NCMBCK _ <br /> OTHER � <br /> FlRF$PRINKIERREO'D NFPPON � <br /> STR1E BWLO�N(151/RCNRIIGE � <br /> �_ <br /> trrEofr,ONsr �InNSAPPROVEDBV C�TYOFEVERET? rueur.wonKs ; �i <br /> LOCAL SALES "�— ' <br /> �A�E TAl( CODE IS 31U5 7oTAL <br />