Laserfiche WebLink
��� . .. <br /> APPLIC tiTl�i�l FOR CONSTFtUCT .ON PERMIT <br /> CIl'Y OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259•8810 � <br /> I� DEMOUTION fl COMBINATION �. BUILDING �l MECHANICAL �l PLUMBING (l SIGN <br /> _� <br /> PROJECT ADDRESS <br /> oa�f/�c,e s�,r,�se /0�2 i �v�cb��v W� , �c�x�1r` l�1.a 9sao 4- <br /> � <br /> OWNER MRILADDi1ES5 CITV 21P PHONE <br /> S�iE�R f��-rr�s 9/s //8�'' A� S'� C,,,���i/o, g�ic�uc�� 1Ja 98c�5' 1�0�9�5-4/�s <br /> TENANT MRILA�ORE55 dN ZIP P110 E <br /> �v�2e��r sr.ar� lz�sraH� c.aeP• 24s1 isz"'oq� �y.�.� ,e�onw,� W,q �dosz ��.�o <br /> PNCHITECTORDESIGNER MAILAO�RE55 CITV ZIP PHONE l2��7Q7�s/7'� <br /> �a'r,� �Eti7z ��rE�r /&b /�b�' l�c� N�� , lSui� '�/a� . Beu�vi��a �&»S '�3s4g - <br /> GENERALCONTMCTOR MAILq�ORE 5 CIIY IIP PIIONG C ntEL EN E� <br /> �E�B �.OnSf7GCUIlwt 30!(� N.� . (.�qy,�LEv L '� 1 Q �2P'O� S�S-�0� <br /> ,g - � � SNITC��'�O �SE'ArLS K�H / �OS zPb3 G/�L 233KD <br /> MECHANICALCONTRACTOR MAILACORE55 CIN 71P PIIONE ST4TELICGNSE• <br /> TO FJE' REj�Lm/A.�lJ <br /> PWMBINGCONiPACTOR MAILAO�RESS CIiY 21P PHONE STATELICF.NSE� <br /> TO � GF.�TL-'(/.MI/�fi.D <br /> GQjl�PACTFRICEOF��N HEATING SYSTEM: f"1 GAS f-1 ELECTRIC fl <br /> �.Z 3G,Oo0 <br /> DESCRIBE WORN ANO SOURRE FOOTAGE INVOI.VED CONTACT PERSON A�N`O PHONE N0. <br /> 2L�Nh 6M1 R4 TO � Nb S �ILK� {.0 G!/T �I6 �4z—;�77 <br /> �ON, a.�� n� r�srn�.,u� G gzi s.F ��7'nc � D� /h <br /> I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNON/THE SAME TO BE TRUE AND CORRECT ALL <br /> PROPOSEDUSEOFBUILDING PROVISIOMS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> A"3 I�S�7�KQ/'�T WORK WILL BE COM"LIED WITH WHETHER SPECIFIED HEREIN GR <br /> LEGALDESCRIPTIONOFPROPERTV(SHOWNBELOWORATTACHTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior BLOCK__OF AUTHORITY TO VIOLATE OR CANCEL THE FFOVISION OF ANY . <br /> OTHER STATE OR LOCAL LAW REGULATING COP�STRUCTION OR THE <br /> /} PERFORMANCE OF CONSTRUCTION.THAT 1 �:rv1 AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORiN THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY \NITH THE STATE <br /> PARCEL TAX I.D.NUMBER CONTRA F1S Lf1W 8.27 RCW AN ZJB.POO WAC. <br /> 2 2 330 - G750 -OU /'/N <br /> CONSTAUCiION LORN L[NUER,ADDRE55,TELEPHONE NUMBEfl ��3�7 W <br /> _ �ATE <br /> CITY BUSINESS LICENSE NO. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF fIXTURE OR ITEM FEE NO. TVPE OF E�UIPMENT FEE <br /> WATERCLOSET(TOILET) � A/C—NHNCLGUNRS—H.P. ' <br /> BATHTUB � FORCEO AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> OWER ' UNITHEATERS—B.T.U. M <br /> KI HEN SINK 8 DISP i CL THES DflYERS i <br /> DISH SHER � VENTI TION FAN � <br /> LAUNDR TRAY ; RANGE H i <br /> CLOTHES HER � WATER HEATE � <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAI i METAL FIREPLACE(W D BURNING) i <br /> FLOOR DRAIN � FIREPLACE INSERT(WOO URNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ' <br /> T <br /> SINK(SERVICE—BAR,ETC. � GAS RANGE � <br /> ' GAS PIPING ' <br /> i EXHAUSTFAN i <br /> � � <br /> SUB TOTAL 3 ; SUB TOTAL 5 ; <br /> PERMIT 5 i PERMIT $ � <br /> TOTALFEE $ � TOTALFEE S ' <br /> FOR OFFICE USE ONLY: �a��• /� <br /> FRONT SEiPACN REAP SET6AGK S�OE SETBACK PIAN CHECN Nl'MBER FE ^ AECEIPi NO. <br /> ,SOis� O .s3 <br /> USEZONE ioraaen VACAN�SIiE FEES VALUATION FEE T_ <br /> — I IYE$ f i NO OUILUMG 07 733.J � � �� <br /> HEIGHT LIMITqTION NO.OF DV'ELLING 512E OF�LOG�fI i <br /> UNITS � � p�UMpING i <br /> GAOUPANCY NO Oi 5I0PiE5 OCCUP�NT LO � BASEMENT MEC114NICAL � <br /> i <br /> � � 7 f1VES �0 i <br /> FIFE ALAR FEO'f1 RGASON AODIIIONAL PL�N GNFCK �/yG! i C�Q <br /> � 5 O�p �Nh�/c E o,��E� <br /> FlRF.SP�INKL R REO'D RFASON <br /> i <br /> U STAIE�UILURlG SURCH�RGE � i Sv <br /> TYf'EOFf,ONST PfANSAPP VEDBV C�TYOFEVERETT PUfl11CWOPKS <br /> � n''1 LOCAL SALES � <br /> �-� uq,E 2 -Z$- g (� TAX CODE IS 3105 7oTAL o� D 'L-�� <br />