Laserfiche WebLink
APPLICATIO..+ FOR COIdSTRUCT ,1N PERMIT <br />CITY OF EVERET i• BUILDING DIVISION � <br />3200 CEDAR STREET • EVE9ETT, WA 98201 • 259-8810 <br />❑ DEMOI.ITION ❑ COMBINIlTION ❑ BUILDING s�—MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJEGT ADDRESS: ��/3 �O �.�OtiP k va�� <br />/ r S sc �n G✓•— �7 � /D�lO iJ �%ltr� r. _3 u <br />7ENANT MML AO�RES$ //�, �v//� GI7Y ���P �/ � � I`�ION �/� � <br />ARGNITELT OR DESIGNER 1MIl AODRESS G�tt l�n PMONE <br />DESCRIBE VIORN AND SOUAflE FOOTAGE INVOLVED <br />PROPOSEO USc OF <br />LECaAL DESCRIPTIIXJ Of PROPEflTY �SNOWN BELOW OR �TTALH TWO COPIES) <br />LOT BLOCK OF_ <br />PAqCELTA%I.O.NUMBER <br />CONSTHVCPON LOAN LENDER. ADDRESS. 1 ELEPHONE NIIMBER <br />N0. TYPE OF FlXTURE OR <br />WATER I:LOSET ( i OII.ET) <br />BATHTUB <br />UIVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PAEVENTERS <br />SUB TOTAL $ <br />TOTAL FEE E <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK REAR SF.iB�CN SIDESETB�CK <br />USE ZONE � l0T �REA <br />HEI aHT L�MITATION NO OF DWELLING <br />UNII$ <br />OCCUPANCV Nu C�StOPoES OLCUPANIIO�D <br />FIFlE SFRINHLER RE�]'D <br />FIflE AIMM REO'D <br />TYPE OF f.ONSi <br />04TEJ b -�b' � <br />FEE <br />HEATING SYSYEM: �G.AS ❑ ELECTRIC ❑ <br />f.ONT�,,C,�I �V RSON AND PHONE 7N-p <br />,/C ✓� ✓'� ./�IGTG � C N <br />/— �os� . � �, 6'- �Y� � <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SP.ME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF U1WS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEFiM1T DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OP ANY <br />OTHER STATE OR LUCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE SThTE <br />CONTRACTOPS LAW 1827 RCW Ah'D 296200 WAC. <br />x �--2 7- y7 <br />SIGN�TUHE O�TE <br />CITV BUSINE55 UCENSF: NO <br />MECHANICAL <br />HO. ' ?E OF E�UIPMENT FEE <br />A/C— �NDLGUNRS ! <br />FORC .�AIRS'fSTEMS � : <br />UNIT HEATERS <br />C.LOTHES DRYERS <br />WOOD STOVE <br />FIREPIACE INSE <br />GAS FIREPLACE <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL $ <br />PERM�T E <br />TOTAL FEE S <br />PUh CIIECK NUMBEfi /J � vEF � FECEIPT NO <br />v�CnNtSnE FEts <br />❑VES ❑ NO pNLD�N(; <br />5�2E GF OIOGR.I — <br />Pl11MOWG <br />OASEMENT MFCIInNICAI <br />❑YES ❑ NO <br />— AUDIIIONN. PI AN G��ECN <br />ou��n <br />Si�TE IIUILUMt; SUfiCHnfiGE <br />�iTY 7P EVERETT �uoi ic wonrs <br />LOCAL SALES <br />� TAX CODE IS 3105 io7AL <br />