Laserfiche WebLink
x <br />APPLICATA FOR CONSTRUCTON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •257-8810 <br />0 DEMOLITION ❑ COMBINATION fd BUILDING 0 MECHANICAL ❑ PLUMBING 0 SIGN <br />PROJECTADDRESS <br />lv/A reWggZE IF A/�r <br />OWNER MAILADDRE5S CITY ZIP PHONE <br />ARCHITECT OR DESIGNER MAILADDRESS CITY ZIP PHONE <br />G[N5�m� <br />ERAL CONt i0R MAILADDRESS LILY TIP PHONE SLATE LICENSE <br />MECHANICAL CONTRACTOR MAILADDRESS CITY ZIP PHONE STATE LICENSL• <br />PLUMBING CONTRACTOR MAILADDRESS CITY ZIP PHONE STATE LICENSE• <br />COWRACTPRCE OFIYORB 2 <br />HEATING SYSTEM: 1XGAS ❑ELECTRIC ❑ <br />DE%RIBE WORK AND SW ARE FOOTAGE 11NQVE <br />CON ACT P RSON AND PHONE NO <br />r An Z <br />a aim '1 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <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 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 STATE <br />CONTRACTORS LAW 18.27 RCW AND 296 200 WAG. <br />X <br />PROPOSEDUSEOFSUILO`G. <br />51 "� <br />LEGAL DESCRIPTION a PROPERTY Ell 1. DBLOW laITTALN TWO COTT <br />'EGT i7�BLOCK OF <br />C / I r (I D/a r <br />n E,IS <br />G ' <br />vxacEL TAx m. NuueER r — <br />CONSTRUCTION LOAN LENDER, ADDRESS TELEPHONE NUMBER <br />5 URE D fE <br />CITY BUSINESS LCENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIC—A'HNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASINI <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK X DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GASRANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL 5 <br />SUBTOTAL S <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE S <br />Cop nFFICF IISF nNLv- <br />ColrlLl-Al5 <br />FRONT SET DAL <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOTAREA <br />VACANT SITE <br />❑YES ❑ No <br />FEES <br />VALUATION <br />FEE <br />BUILDING 431, <br />HEIGHT LIMItAIUN <br />NOIOSF DWELLING <br />SIZE OF B.II <br />/' 7 S. i / <br />(O <br />PLUMBING <br />pCLOUPANCY <br />IA 9 SIOFBS <br />Z <br />OCCUPANT; <br />BASEMENL <br />❑YES 0 <br />MEC .ANICAL <br />ALOITION0. PLAN CHECK <br />PRE SPRINKLER REOo <br />REASON09 <br />OTHER <br />FIRE ALARM RED D <br />REASON <br />STATE BUILDING SURCHARGE <br />TYPE OF COHSE <br />(( <br />FLANS APPROVED Br <br />DAm 17 r7Q <br />CITYOFEVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLIC WORKS <br />�Y/1 <br />N4 <br />TOTAL <br />