Laserfiche WebLink
APPLICATI4A F'01� �QNSTRUCT.ON �Ei�MIT <br />CITY OF E4ERETT • DUILDING DIVISION <br />3200 CEDAR STHE!:T • EVERETT, WA 98201 • 259-8810 <br />fl DEMOLITION fl COMBINATION I-1 BUILDING 1-1 MECHANICAL rl PLUMBING Il SIGN <br />PROJECT ADDRESS / tiLp� /� � �r � /f �f4� 4 �c.�G /I Aa r' �Qf �,�� � <br />9 ��� IV� ( <br />owyen A / ^?°i�nooaEsF ,nr zm _ � r�ioNe .. . — . , . <br />s ai <br />'�1a�t�t�++c�i% /�� � <br />��T� <br />4( 4 S �cc#r7 <br />GITY <br />ITY <br />3-- IZv� Jc �. <br />CITV <br />��� ff GU� 4� <br />' PIIONF <br />zm <br />� <br />���� <br />�� STAT@ LIGENSE e <br />' �-a.s� <br />ST4TE UCENSE � <br />PWMBINGCO4TFACTOR IAAI�A�DRE55 CIiY 21P PIIDNE STATELICENSE� <br />OESCRIBEWORNANDSp UAREFOOTAG INVOLV J <br />�C'�HicOQP� S�ic�✓�'��n7� <br />� r��K� <br />PROPOSFO USE OF BIIILOING <br />LEGAL OESGRIPTION OF PAOPERTY (SHOWN BEIOW OR ATfACH <br />ior e�acK or <br />PAPCELTAXI.D.NUMBER <br />CONSTRUCTIONI.ORNLENOER.AOOFESS,TELEPMONENUMAEfl <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORYfWASH BASINI <br />KITCHEN SINK 8 DISP <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR. E7 <br />FEE <br />PERMIT 5 <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />FRONT SETPACH RBAfi Sf.TBACN <br />I15E20NE I IOTAREA <br />HEIGHTLIMITATION NU.OFUWELLING <br />❑NIIS <br />OCCUPANCY NO 0(SIOWES OCCUPANTLOA� <br />Gi1GU l, / ^ � ^ <br />LJ � V /'� <br />�l�s%C) � <br />PRINNLER itEO <br />F�St(, <br />SIDE SETflACN <br />VAC�NT SITE <br />f1VES fl NO <br />SIZE OF �LDGRI <br />HEATING SYSTEM: f-I GAS (-7 ELECTRIC rl <br />I HEREBY 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 BE COMPLIED WITH WHETHER SPEC�FIED HEREIN Ofl <br />NOT. THE GRANTING OF A FERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE UR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANGE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF 7HI5 PROPERTY TO PERFCAM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I C MPLY WITH 'fHE STATE <br />CONTRA----�= 5 LAW 18.27 PCW /I�I 20Q WAC. <br />x <br />/ Z �� <br />SIGNATU DAT <br />CITY BUSINE55 LICENSG NO. <br />MECMANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />A/C — A/HNC•LG UNITS — H.P. <br />fORCED AIA SYSTEMS — B.T.U. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />VENTILATION FAN <br />PANGEHOOD <br />WATEA HEATER <br />WOOD STOVE <br />METAL FIREPLACE <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL S <br />PERMIT $ <br />TOTAL FEE $ <br />r�n�+ci+�cKNUMum � rer � nFcemrNo. <br />ouurnr+c I i Oo o I /DH I— <br />CD,f {ilL C�Ly rwuniNc <br />B�SEMENi / MEf.11�NICAL <br />f1Y[5 j�(NO <br />Appi110NA1. PI �N CIIf.CK <br />OTIIEA <br />srnie ounowc suncimnce <br />mcuntii rinrvsn�•��vvcuur CITY OF EVERETT runur.wonKs ' <br />� � / /}�� LOCAL SALES - — — <br />�V onte/R-/N_S1 TAXCODEIS3105 TOTAL /�7� ��'�' <br />� <br />