Laserfiche WebLink
,� <br />APE�LiCAT14.J FOR CONS'�'RUCT.JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-BB10 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING '� MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS:%�(`�� E fC�Mr2C��i �ast �`'��'/ <br />- ' — .—./� ./I_. ... /�.....�, _ � . � n� an..c ��'%'�iy �2�Y <br />I�aW�� Xcl-,w,�ae ��I�Cn A�;a 1c�"� (3et(�Y� `i�ao� ��,n3• S�oZ — <br />IEN�NT �AllA00PC.55 LIIY 21P PIIONE <br />ARGHITECTOROESIGNEfi MNt�DOf1E55 ��T'� 7��' PHONE <br />GENE11AlCONTRAGIOR M�ILAODf1E55 CIIV liP PI10NE SfATEIICFNSE• <br />MELHANILALCONTRACTO(1 MALAOOf1E55 Cltt ZIP j'��NRE� STATELICENSEi <br />'Y ` . . � 1 � d n � �. . --..n .. . i .. .... �Fia,$271 �r.�n <br />- - - _ i��e.oe�,-u�nSSf.1R <br />OESCHIBE WOHN ANU SOU�RE <br />�►t57�11 Rft`�' <br />{o l�-� <br />A L S�O; <br />PROPOSED USE F B111L01NG <br />LEWLDESCRIPTION OF PROPI <br />l0T BLOCN <br />eocaess <br />i1, C <br />INVOLVEO <br />oe�ow on <br />_ OF_ <br />CONSTRIICTION lON! LENDEA, ADDtiE55, TElEP110NE NUMOER <br />WATER CLOSET <br />BATHTU� <br />KITCHEN SINK 8 DISF <br />LAUNDRYTAAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVEN <br />CINK fSFRVICF—RA <br />OR ITEM <br />SUB TOTAI S <br />PERMIT 5 <br />�_ TOTAL <br />FOR OFFICE USE ONLY: <br />FRONTSEiB�GN PF.APSETO�CK <br />USEZONE LOiARE� <br />NEIGHTLIMITATION NOIrOFDWELUNG <br />110 <br />PLAHS <br />tOAD <br />nr <br />HEATING SYSTEM: I�GAS ❑ ELECTRIC ❑ <br />LONT�Ci PCRSON �NO 1'HONE NO. _ <br />I HEFiE[3Y CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AU7HORITY 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 AUTNORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPIICATION IS MADE AND 1 COMPLY WITN THE STATE <br />C TORS LAW 10.27 RCW AND 296.200 WAC. <br />p�5������ ^- /1�2� /9(�— <br />x D E <br />SIGNATUIIE <br />CITV OUSINE55 UCENS@ NO. <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />� A/C—NHNDLGUNRS <br />; FORCED AIR SYSTEMS <br />—� HEAT PUMP <br />� UNIT HEATEPS <br />; CLOTHES DRYERS <br />� RANGEHOOD <br />� WATEF HEATER <br />i <br />� WOODSTOVE <br />� MEl'AL FIREPLACE (WOOD BURP <br />� <br />� FIREPLACE INSERT (WOOD BURI <br />� GASfIR[PLACE <br />� GASRANGE <br />--;— GAS PIPING <br />EXHAUSTFAN <br />A <br />tl <br />SI�E SEiBACN <br />VACnNf S��E <br />❑YES ❑ NO <br />SI2E OF OLOGrtI <br />BASEMENT <br />OYES O N� <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />PLAN GIIECN NUMpFli <br />OUIL�MG <br />PLUMOING <br />MEC�InfUCAI. <br />ADDI IION�L PLAN GIIf.CN <br />OuiEl1 <br />STA-i E OUiIIL�+O SunLunflOE <br />rimi ir. wonKs <br />Tora� <br />FEE <br />SUB TOTAL 5 � <br />PERMIT E �`> � <br />TOTAL FEE E � ' <br />FEF f1ECEIPiNO <br />