Laserfiche WebLink
ARPLICATI� FOR CONSiRUCTeON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />f7 DEMOLITION fl COMBINATIO!� fl BUILDING f-7 MECHANICAL � PLUMBfNG fl SIGN <br />PROJECT ADDRESS � „ � � � , _ „ � „ _ � f , _ <br />�� <br />TENANT <br />CONTR4CTOR <br />.............. �,.�.,� „� ..,,..n,% �, <br />DESCRIBE WORK AIlO SOIIPRE FOO' <br />LOi BLOCK <br />CONSTRUCTION IOpN LENDER, ADDFE55, TELEPMONE NUMBEq <br />TYPE OF FIXTURE OR <br />WA'fER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASi-i BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />61SHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SEPVICE — BAR. ETC.I <br />FOR OFFlCE USE ONLY: <br />FRONTSETA�CK RE�R SF.TOACK <br />USE20NE IOTAPEA <br />HEIGHT LIMITATION <br />FIPE <br />SUB TOTAL $ <br />PERMIT 5 <br />TOTALFEE S <br />cm ir <br />Se �� a <br />�ITY 21P <br />FEE <br />GITY <br />SIOF SETBRCN <br />VACANTSITE <br />f1YE5 (7 NO <br />P/IONE <br />�ll�_ - <br />ZIP PIIONE STATE UCENSE / <br />� .. . �. n.�_.�.i _ . _ _ _� . _ .�. <br />LILENSE • <br />HEATING SYSTEM: f.l GAS Cl FLECTRIC fl <br />CONTFCT PERSON AND Pf1ONE NO. <br />I HEREBY CERTIFY THAT i HAVE REAO AND E:CAMINED 7HI5 <br />APPLICATION AND KNOW THE SAME TO BE TRIIE AND CORREC7. ALL <br />PROVI510NS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUPAE TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROV�SION OF ANY <br />OTHEfl STATE OR LOCAL LAW REGULATING CONSTRUCTION OA THE <br />PEPFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY 7HE <br />OWNER OF THIS PRO?ERTY TO PEfiFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18,27 RCW AND 296200 WAC. <br />x ✓,� �al3��S <br />SIG RE `����^/� OAT ' <br />��y <br />CITV BUSINE53 LICENSE NO. � <br />MECHANICAL <br />NO. 7YPE OF E�UIPMENT FEE <br />A/C — A/HNDLG UNITS — H.P. � <br />FORCEDAIRSYSTEMS—B.T.U. M E.A. ; <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M � <br />_OTHES DRYERS ; <br />'NTILATION FAN � <br />� lANGE HOOD ' <br />WATER HEATER i <br />WOOD STOVE � <br />METAL FIREPLACE (WOOD BURNING) � <br />FIREPLACE INSERT (WOOD BURNING) � <br />GAS FIREPLACE ; <br />GAS RANGE <br />GAS F'I^;tJG ; <br />EXHAUSTFAN � <br />SUB TOTAL S <br />PEflMIT S --i <br />—� <br />TOTAL FEE 5 ! <br />PL�NCIIECKNUMOEB � FEE I �ECEIPiNO. <br />_ O111L01NG <br />NO.OPOWEL�INfi SIZEOFOLOGRI <br />UNlii <br />PLUM1101NG <br />UCCUPANT LOAU 9ASEMENT MEC��4NICAL <br />f1vE5 I'1 NO <br />R[450N A�OIIIONAL PL�N C��fGK <br />OT11E(i <br />REASON <br />STAIE LiUIL�ING SU�iGN�RGE <br />PL�NS �PPRpVED OY CITY OF EVERETT PIIpIIC WORN$ <br />LOCAL SALES — <br />onTE TAX CODE IS 3105 To7Al <br />■ <br />