Laserfiche WebLink
m <br />APPI.ICAT16�d FO�% CON�TRUCT�ON PERMIT <br />CITY UF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />fl DEMULITION f 1 COMBINATION fl BUILDING f}� MECHANICAL � PLUMBING fl SIGN <br />a` E ��f �k�'� l.S f�c <br />OWNEP MRILAODRESS ��n' ZIP PNON[ <br />�,(,�A�� �u'JEnI �605 �✓r'.�'GC'�r� wRN GdE£tjf <br />TENFNT MAILADORF.SS CITY ZIP P110NE <br />S;yi n-G-CP HGv,�G��CCE:s,�/ t�,RN SrL�f_ ��.,txvn N�A <br />ARCNIIFCTORDESIGNER MRIIADDRE55 qTV 71P PIIONF. <br />G�Ncqp�CC1`IifiAGTOR MAILA�OfI[SS GIfY plP PIIONF SiAiEIIC[NSF.• <br />�.,m1_:niJSTf.�.r.tc+F! .%�:i.> I753L $�i�'r�4 �Ns Avi /1oum,�� �� y'1'7L> GS2-3�73 �7x ����c;4��_ <br />1�^A I A M�R4CTOF MRII>DDRE55 Cltt 7.I{' PIIONE STATELICENSE� <br />_����"�.�°l.i��f�'_rs�t/'ANG �.Ir. //W7 275%LSiJ.!�LIN4r'K �'/�213 �J3tXZU CG`lV£P(-IiS58 _ <br />PLC`Af�n�;GOI1TPn�7O4 MFIIA RE55 CIfV ZIP PIIONE STATEUCENSE� <br />�p -•;; ��,:'��-;r�.:;,';a,Mc. � aJ7 � 24S F_ 'UA�GRh� l,i.A �if :ZS yD"��cG1J C,QAv£fN5>SS <br />r_�_��. <br />�conr;:��'.i Fr,.";;: ':,'r.,nH <br />�_ ;� _,.;�D�_ �� HEATING SYSTEM: b(I GAS rl ELECTRIC fl_ <br />f�j�ESCaIPE WORK �4D SOUnRE FOOT�GE INVp�VED CONTACT PERSON AND PIIONE NO. <br />4/3• 1NStM.�MUn1 p� Pc��H-II� h��) LPA'.JO W�e�L' k�' ♦SILS <br />LEGAL DESCqIPT10N OF PROPERTY (SHOWN BELOW OR RTTPGM <br />LOT� BLOCK OF <br />PARCELTAXID.NUMBER <br />CONSTRUCTION IO�N lENOEfl. ADDfiE55. TELEPNONE NUMBER <br />PLUMBING <br />NO. TYPE OF flXTURE OR ITEM <br />WATER CIOSET (TOILEn <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 />SINK (SERVICE — B.4H, ETC.) <br />�� <br />SUB TOTAL 5 <br />PERMIT S <br />FOR OFFICE USE ONLY: <br />fRONTSETPpCN REAR SETOALK <br />USE 20NE <br />MEIGNT LIMITATION <br />OCCUPANCY NO ( <br />GfiOUP <br />FIqE ALARM REOD <br />FIPF SPfiINNLER RI <br />LOTRREA <br />NO OF DWELLING <br />UNlii <br />SI�E SETBaCN <br />VACANTSItE <br />IIYES f1 NO <br />SRE OF ALDGRI <br />f1VE5 il h0 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME 70 BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAK'S AND OR�INANCES GOVERtJING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHL•THER SPECIFIE� HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT i AM AUTHOq12ED BY THE <br />OWNER OF THIS PROPEfiTY TO PERFOHM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />'�,�_._-����'�` <br />SIGIfR�UPE �AiL <br />CITV B1151NE5S IICENSE NO. <br />MECHANICAL <br />TYPE OF ECUIPMENT <br />A/C — A/HNDLG UNRS — H.P. <br />FORCED AIR SYSTEMS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYEPS <br />VENTILATION FAN <br />WATER HEATER <br />WOODSTOVE <br />FIREPLACEINSE <br />GAS FIREPLACE <br />GAS PIPING <br />EXHAUSTFAN <br />PLAN CIIECN t1UMOf:R <br />BUIl01NG <br />PLUIfOING <br />MECNnNICAL <br />ADDIIIONAL PLAN CHF.CK <br />OTHGR <br />STAIE AUIl014G SURCN�RGE <br />CITYOFEVERETT rueiicwonns <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />FEE <br />SUB TOTAL 5 ; <br />PERMIT 5 � <br />TOTAL FEE 5 <br />fCE RECFIP7 NO <br />