Laserfiche WebLink
APPLICATIGA FOR CONSTRUC? rON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />fl DEMOUTION fl COMBINATION fl Bl11LDING n iuccueuirei r, .,�.�...,...,. ,-, _._.. <br />GENERALCONTlIACiOR MAILAD�R[55 GRY ZIP PIIONE STATELICENSE� <br />3 <br />AND <br />LOT' BLOCK <br />CONSTflUCiIONLOANLENDEP.ADDRESS.TELEPHONENUMBER <br />PLUMBING <br />NO. TVPE OF FlXTURE OR ITEM FEE <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR. ETC.1 <br />SUB TOTAL S <br />PERMIT $ <br />TOTAL FEE 5 <br />FOR OFFICE USE ONLY: <br />FRON7 SETPACK REAR SETBACK SIUE SETBACK <br />USE20NE <br />HEIGHi lJMI7ATION <br />FIRE <br />PIIONE STATE LIC SE � <br />? �s7ZS�6S �H t�/�41 <br />ZIP PV{ONE STA7E LICENSE � <br />HEATING SYSTEM: fl GAS f-] ELECTRIC I-1 <br />CONTACT PERSON AND PHONE NO. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNUW TFiE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMFLIED WITH WHETHER SPEC�FIED HEREIN Ofi <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW FEGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION �S MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS lAW 1827 RCW AND 296.200 WAC. <br />x ,� , � /�-�1's <br />SMrcAIUFE✓ v DATE <br />/ ` <br />CIN BUSINE55 LICENSE NO. <br />A/C — A/FiNDLG UNITS — H.P. <br />FORCEDAIRSYSTEMS—B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />VENTILAT�ON FAN <br />WATEF HEATER <br />WOOD STOVE <br />F�REPLACE INSERT <br />GAS FIREPLACE <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAL FEE $ <br />PL�NCIIECKNOMAGR I F[E I AELEIPTNO. <br />LOTAREA VpCANT5ITE FEES <br />fIYES fl NO pUIL�WG <br />NOOFDWELLING SIZEOFBIDG?I. <br />UNI75 <br />PLUMI3ING <br />OCCUPANTIOAD B�SEMENi MECH4NICAL <br />fl�ES I1 NO <br />RFASON ADDIIIONAL PLAN CHEGK <br />OTIIEli <br />REASON <br />STATF UUILDINf.SURCHMGE <br />PLANS�PPROVED�Y CITYOFEVERETT rum.icwonKs <br />LOCAL SALES <br />oAtE TAX CODE IS 3105 TOTAL <br />