Laserfiche WebLink
APPLICATIVi�I FOR CONS7'RUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 ' <br />f-1 DEMOLITION fl COMBINATION fl BUILDING f`i'MFCHANICAL fq'p��MBING fl SIGN <br />PROJECT ADDRESS��Q � �, j v� ��e�� ��� �� , J� � <br />•G 1/ <br />OWNER MnILF�URE55 CITY 21P PIIONG <br />TENANT <br />DESIGNER MAILFOOfiE55 <br />( �2 v� �dl_. <br />crvniceorwonK � <br />Ca�.c S� <br />MAII ADDRE55 <br />MAIL ooaEss <br />���,...rs: <br />//CITV �+ 21P FHONE <br />G�-� �S��K <br />PFOPOSEO USE OF BUILDING <br />LEGAL DESCFIPTION OF PROPERTY (SHOWN OELOW OR ATTACH <br />�or BIOCK or <br />PARCELTA%I.D.NUMBER <br />CONSTRUCTION LOFN LENCEfi. ADDRE55. TELEPHONE NUMBEA <br />NO. TYPE OF PIXTURE OR ITEM <br />WATER CLOSET (TOILEn <br />BATHTUB <br />� LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK lSFLiVi(:F _ RAR FTr 1 <br />.� <br />SUB TOTAL 5 <br />PERMIT S <br />TOTALFEE $ <br />J� U2 �„ � ,.,,,,n� „A,�,���rv,r. <br />U�TY � ZIP PIIONE ST�TE IICENSE � <br />S3�-s�2�i ;��,�ep ��oB�i <br />�II � ���"� ZI(�rF f� /fHONE � n ��JTATEIJCErySE• ��i �T <br />�n�� <br />«. ��, �i y �, <br />HEATING SYSTEM: f 1 GAS �I ELECTRIC f-1 <br />�� _ CONTACTPERSONAN�PHONENO <br />FOR OFFICE USE ONLY: <br />�PONTSETOACN PEM SFTBACN SIDESETBACN <br />US[ 20NE <br />❑EIGI li LIMIiATION <br />FlRE ALAfiM PEOD <br />FEE <br />I IiEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICA710N AND KNOW THE SAME TO BE TPUE AND CORRECT ALL <br />PROVISIONS OF LAWS AP1D ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATIO I IS MADE AND I COMPLY WITH THE STATE <br />CONTRA RS LAW 1827 RCW AND 29 00 WAC. <br />V �`�s �i �ol� <br />QTY DUSIry�KS LICGNSE N0. <br />NO. TYPE OF EQUIPMENT <br />A/C — A/HNDLG UNIiS — H.P. <br />FORCED A�R SYSTEMS — B.T.0 <br />HEAT PUMP <br />UNITHEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VEIJTILATION FAN <br />RANGE HOOD <br />WATER HEATER <br />WOOD STnVE <br />METAL FIREPLACE (WOOD BUF <br />FIREPLACE INSEFiT (WOOD BUI <br />GAS FIREPLACE <br />/ GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL 5 <br />PERMIT 5 <br />PtAIlCIIECNNUMf1[R � FF.F I �ECGIPiNO <br />LOTAREA VACnNT51TE hCtJ <br />f I vE5 f 1 NO OUIIIJINC. <br />NpOFOWEILING SIZEOFOLDG/CI — <br />❑NIiS PI UMBRJG <br />O6CUPANTLOAD OASEMENT ��E�qpqlCnL <br />IIYES I1 NO <br />fiF�SON M1DDI110NAL Pl4N CHF.CK <br />Oi11EF <br />RF�SON <br />ST�TE OUll�l'1G SURCIIARGE <br />PLANSAPCROVEOBY CITYOFEVERETT runnr.wonKs <br />LOCALSALES <br />����E TAX CODE IS 3105 TO7AL <br />