Laserfiche WebLink
APPLICATIO�: FOR CONSTRUCTI JN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 1 •258-BB10 <br /> ❑ DEMOL.ITION ❑ COMBINATION 'BUILDING MECHANICAL PLUAABIN(i ❑ SIdN <br /> PRWECT ADDRESS: �' p,4� bri r�_T.�,�GPrPt�` <br /> ovm �w��ooness Cn :ir p� <br /> .E�.Q,-h l.Jan,�s ���� o%, f ��r. �aor�fl�1'�2u.3 P3 Y7- Sia�3 <br /> ARCNTECTpiDE516NER AWLI10D11E55 CITY 7IP PIqNp <br /> OEcNEML CONTP�CTqi M1ULA0011ESS n GITY,///1 ZII' PIIONE /1 SfRE LILENSE� <br /> �J�/ /UOM Jt)nJ+ LOiYASUPI�� \ Oh S�� 1�1f//OI� A�VI� /� '��� U�S/ �PIfCd��SillY <br /> dECN11N1�k�pNTRACipp MNLAODRE55 pTY llP V E .TATE LILENSE� <br /> PLUMlNGCONTRACTOR M�ILIIWRESS CIIY TIP PIqNE STATELICENSE� <br /> CONTMCT PiMCE OF WOPK <br /> HEATING SVSTEM: ❑GAS ❑ ELECTRIC ❑ <br /> OESfiMBEW�7111fAND5WMREFOOTAOENlVOWED f.ONT/�CTPER50NMIDP110HEN0/ �� ���� . <br /> Si�OI/Q �lO�C�ii�� <br /> G <br /> I HEREBY CEHTIFY THAT I HAVE READ AND EXAMINED THIS <br /> ��p���� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALl <br /> PROVISIONS OF UWS AND ORDINANCES 60VERNING THIS TYPE OF <br /> WORK WIIL BE COMPLIED WITH NRiETHER SPECIFIED HEREIN OR <br /> IEML DESCpIPiqN OF PIIOPERTY�5lIOWN BELOW 011�TTACN ir/0 COPIES� NOT. THE ORANTINO OF A PERMR DOES NOT PRESUME TO QIVE <br /> ip7�_µpp� ���?+ AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> (1THER STATE OR LOCAL LAW REODUTIN(i WNSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THA7 I AM AUTHOpIZED BY THE <br /> OYYNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICIITION IS MADE AND I COMPLV WITH THE STATE <br /> PARCEITA%I.D.MIMBER CONTRACTORS LAW 1827 RCW AND 298200 WAC. <br /> CONSiHUC1qN LOAN lENOEP.l100(IESS.TELEP110NE NUNlER 1/([� � �' (Q- ' <br /> SIfYV�1TIlRE WTE <br /> �_ <br /> CIIYBUSINES$LICENSE . <br /> PLUIIMN6 MECHANICAL <br /> N0. TYPE OF Fl%TUNE OR ITEM FEE NO. 7YPE OF EQIN!'MEqi FEE <br /> WATER CLOSET(TOILEn / � MC—MFMqA UNIi3 � <br /> BATHTUB ; FORCED AIR SYSTEMS - ' - <br /> LAVATORY(WASM BASIN) � HEAT PUMP � <br /> g►qWER / � UNIT HEATERS ' <br /> KRCHEN SINK 6 DISP -� � CLOTHES DRVERS � � <br /> - DISHWASHER � RAN6EHOOD - � <br /> UUNDRY TRAY ; WATER HEATER ; <br /> CLOTHES WASHER � � WOOD STOVE � <br /> URINAL � MEfAL FIREPLACE(YVOOD BURNINGJ � <br /> DRINKING FOUNTAIN , FIREPLACE INSERT(WOOD BURNINO) � <br /> FLOOR DRAW � GAS FIREPIACE � � <br /> BACKFLOW PREVENTERS � / GASRANGE i ; <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPING � <br /> � EXHAUST FAN ' <br /> � <br /> � � <br /> � � <br /> � � <br /> SUB TOTAL S ; SUB TOTAL f ; <br /> PERMIT S � PERMIT f � <br /> TOTALFEE f ' TOTALFEE S ' <br /> FOH OFFICE USE ONLY: (5�I(p.9.3 <br /> FIIONT SEilACK 11EM SET&1CN SIOE SETBACN / PLN!C11ECN NUAIBEP O FEF � �CEIPT NO � <br /> G(� ' � 7 <br /> use iar�y J tor�aE� VAGINT SITE FEES ALUATION FEE <br /> /�'� / ❑YES O NO BULDING O A./D <br /> 11EHiHTl1MIT�TH)N NOOFDMI�LUN6 SIZEOFe,�oortI � <br /> ?$ � uNirs Zc�S FS•GARR4Ek rw�.rert+c � <br /> � <br /> a�ANCY Iq O�SIMIIES OCCUO�NTIO�D BASEAENT i <br /> / MECN�NIC11l � <br /> 3 u_� oYes a�xi � <br /> FlRESPflINKLEflREO'D REASON �ODIIION�tPUNCNF.LN , /� i� <br /> 0111EB � <br /> y <br /> flREMMMREO'0 AEACON � <br /> STAlEBU1lUINf.50RCM�INiE � �D <br /> ' �_ <br /> TYPE OF f,qJST PlANS�PPROVE r CITY OF EVERETT �IIBI I�WMiNG - fn� <br /> J�Ci- <br /> LOCAL SALES <br /> –�� o�TE /y �'j TAX CODE IS 3105 TOTAL � �lpD <br />