Laserfiche WebLink
r. -- <br /> APPLICA�TIOrI FOR CONSTRUCT�ON PEl;MIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 32001:EDAR STREET• EVERETT,WA 98201 •259-8810 <br /> C] DEMOLITION fl COMf�INATION f°( BUILDING f-1 MECHANICAL rl PLUMBING f 1 SIGN <br /> PRWECT ADDRESS /���, L�,���� �� <br /> al�(ER �w"`A\; M�IUDORESS CIfV 21P PNONE ' <br /> ���� r•,c� Ic�22 f,�•�.� 99 S Eu�e��r wa. <br /> j�(Jf� Vwt•� <br /> 1 �NT AIMLADDRE55 CITY 21P PHONE <br /> cv3�R'� •,(W�i �c 363o u,�l,ara �f C n«1 w�4 �y2a3 3'/�-3/6Sr <br /> ARC�v DESIG�,NS M�I�ODRESS_ �� �� �ZI PHONE �D�� Ne � o6�s2 <br /> /YjY <br /> GENERAtC TPACTOR MML�ODRE55 CIiY 21P VHONG STATELICENSE� <br /> �� �/l 3 3/!o->/� <br /> MECH�NICALCO4TRRCTOR MMLADDRESS Cltt ZIP PHONE ^ STATELICENSE� <br /> PlUM81NGCOM� nCTOR M�II�DDRE$S Cltt 21P PHONE STATELICENSE� <br /> CONTiUCTPRICEOFWORN I VU <br /> HEATING SYSTEM: �AS (-1 ELECTRIC f-1 <br /> OESCRIBE WORN�NO SOUAR! FOOTAGE I VOIVED CONT�T VeR50N FNO HO�O. <br /> U ��'*c '�aZea�a.� (�VJ3lIS �,c1�J � C <br /> -Cl , <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALl <br /> rnorosEo u uaoirvc PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> � 1�f- WORK WILL BE COMPLIED WITH WHETHEF SPECIFIED HEREIN OR <br /> LEG/�LOESCRIPTIONOFPROPERTY�SHOWNBELOWOpAT1ACHiWOCOPIES) NOT. THE 6RANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> wr e�ocK_ oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PEHFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATI M E AND COMPLY WITH THE STATE <br /> PMCELTN(I.D.MIMBER CONT TORS L N 827 CW 296.200 WAC. <br /> � o0 o X � � 2� <br /> CONSTRUCTI OANLENDER.AOORESS.TELEPNONENUMBER <br /> _ SIGN TUR O�TE <br /> ' CITY BUSINESS LICENSE NO. <br /> � plUMsllq MECHANICAL <br /> Np. TYPE OF FlXTUNE OR REM PEE NO. TYPE OF EOUIPMENT FEE <br /> � WATERCLOSET(TOILE� � NC—A/HNDLGUNITS—H.P. ' <br /> BATHTUB � FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> UVATORY(WASk BASIN) � HEAT PUMP � <br /> � SHOWER ' UNITHEATERS—B.T.U. M ' <br /> KITCHEN 51NK E DISP � CLOTHES D9VERS � <br /> DISHWASHER � VENTILATION FAN <br /> LAUNDRY TRAV ; flANGE HOOD ' � <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAL ' WOOD STOVE ' <br /> �� DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> � FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLON'PREVENTERS ; GAS FIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE � <br /> ' GAS PIPINO ' <br /> ; E%HAUST FAN �_ <br /> i ' <br /> � ' <br /> � ' <br /> � ' <br /> SUB TOTAL $ ' SUB TOTAL $ ' <br /> i ' <br /> PERMIT $ � PERMIT S � <br /> TOTALFEE 5 ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: � <br /> FRONT SETAAGK pEAP SETOAf.K SIDE SETBACN PUfI CHEC NU FEE RECEIPT NO. <br /> � <br /> USEZONE LOTRRE� VAC�NTSITE FEES VALUATION FEE <br /> �IYES ft NO io� <br /> Pllll�ING i <br /> HEIGNTIIMITRION NOOFUWCLIJNG SIZEOFBLDG/fl. ' <br /> UNI7S ['n � <br /> 9�� FI�Sf(�`, P�U�IBING � <br /> OCGUGANCV NO Of5I0RIE5 OCCUPANTL04D BASEMENT MECHANICRL � <br /> GRWP �j <br /> 2 �( � flvE3 NO � <br /> ADD�iIONnL PIPN CHf.CN i <br /> FIRE�URMNEO'D REASON � <br /> � � irY 0/�plN•9�l/CE o,NE� � <br /> � <br /> FIRESPA�NKLERREO'D REASON i <br /> � STATE BIIILDMG SURCIInRGE _ {� <br /> TYPE OF f,ONST PLANS RPP�VEO BY CRY OF EVERETT �'UPLIC,WO�KS � <br /> ���,� / LOCAL SALES � <br /> �� DATE /�- Z�–7 S TAX CODE IS 3105 TOTAL I <br />