Laserfiche WebLink
,-.,� ,� <br /> APP�.ICAT14�1 FOR CONSTRUCT�ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259•8810 <br /> fl OEMOUTION fl COMBINATION f-1 BUILDING I-1 MECHANICAL �✓I PLUMBING fl SIGN <br /> PROJECTADDRESS r�s J� <br /> J <br /> OWNER MAI��ppRESS CITY ZIP PIIONE � <br /> C�6�,1�- ��� J�o&,� v�X �b �'� a s2-si� <br /> iENANT MAllppDqC55 QTV 21P PIIONE <br /> �RCNIiECTOR0E51GNER M�IL�D�RESS �Itt 71P PNpry[ <br /> GENERN.GONiMGTdi MAIL�DURE55 CIIY Z�P PII04@ $UiFtICENSE� <br /> Pc,��uosf� R,��, 31gs� �,rb �i �.��- �ioi �rb 94zo8 zy'a��y�� �I�GErI�C is�K�° <br /> MECIIA m �i nwnoa CITY ZIP PIIONE SiRE LICENSE� <br /> PWMBINGCONIRPCTOR MARADORE55 CIN 21P pNONE STAIEUCENSE� <br /> f �1�� u 3 l8 aN' �b JS�2 �f3s S '�S <br /> CONiRA TPpICEOFWORK <br /> HEATING SYSTEM: f 1 GAS �l ELECTRIC f l <br /> DESCRIBE WORN RND SOUARE FOOTpGE INVOLVED GONTACi PERSON�ND PHONE NO. <br /> I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PROPOSEDUSEOf BUItDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED FiEREIN OR <br /> LEG�LDESCRIPTIONOFPROPERTY�SHOWNBELOWORATTALHTIYOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oT BLOCN oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> OARCELT�%I.D.N1IMBER CONTRACT 5 LAW 18.27 RCW AND 296200 WAC. <br /> CONS7AUCTION LO�N LENDER,RDDRE55.TELEPNONE NUM�ER X_ !�j� �� <br /> 6 <br /> SIGNRIURE ppT� <br /> CITY BUSINESS UCFNSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATERCIOSET(TOILET) � A/C—A/HNDLGUNITS—H.P. � <br /> BATHTUB ; FOFiCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WqSH BASIN) � HEAT PUMP —�— <br /> � <br /> SHOWER � UNITHEATERS—B.T.U. M � <br /> KITCHEN SINK 6 DISP i CLOTHES DRYERS � � <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNDRV TRAY � RANGE HOOD <br /> CLOTHES WASHER � WATER HEATER , <br /> URINAL � WOOD STOVE <br /> DRINKING FOUNTAIN ; METAI FIREPLACE(WOOD BURNING) ; <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD DURNING) i <br /> BACKFLOW PREVENTERS ; GAS F�REPLACE � �`.I��� <br /> / SINK(SERVICE—BAR,ETC.) GAS RANGE , - <br /> GAS PIPING i - <br /> i EXHAUST FAN , � �� <br /> i <br /> ' � ,�� <br /> � , <br /> i <br /> � . _ <br /> SUB TOTAL $ ; SU�TOiAL S � <br /> � PERMIT 5 � PERMIT S � <br /> TOTALFEE $ � TOTAIFEE 5 � <br /> FOR OFFICE USE ONLY: <br /> fRONTSETPACN PERRSFTfiACK SIDESETBACR PUNd1ECKNUMUf:R FCE RFCEIPTNO <br /> USE 20NE lOT�REA v�c�Hi 5i1E FEES VAIUATION FEE <br /> IIYES (1 NO BUILDMG <br /> i <br /> IIEIGHTLIMITATION NOOFOWELLING 51?EOFBIOGrtI � -��,�� <br /> UNIiS � <br /> PLUMOIN6 � , <br /> OCCUPANCY NO O�SfORiES OCCUPANiLORO B�SEMENT --�- <br /> GRIX1P NEC114NICAl <br /> I1YE5 �I NO � <br /> FlREAURMPEOD RFR504 ADD1710NALPLANCN[CN � <br /> -�-- <br /> O7HER � <br /> FIRESPRINFIERPEOD REA�DN <br /> SiAIE BUIIDMC,SVRGMARC,E � <br /> �_� <br /> TVPFOFf,ONST P�ANSAPPqOVEO�Y CITYOFEVEREtt Pu01if.W0AKS �`. <br /> LOCAL SALES . — _� <br /> onrE TAX CODE IS 3105 toTaL <br /> � <br />