Laserfiche WebLink
APPL�CATIO.d FOR CONSTRUC?.JN PERMIT <br /> CITY OF EVERETT• BUI�DING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> fl DEMOLITION fl COMBINATION I� BUILDING I-1 MECHANICAL r 1 PLUMBING fl SIGN <br /> PROJECT ADDRESS <br /> ����� C�o.ls� �4 \ F� � � .�(� <br /> OWNER M� DORES C ZIP PIIONE <br /> `� �.� �.�m�� �� �e ��5-�a.�� <br /> IEN�NT MAILAO�RF.SS CI1Y 21P P110NE <br /> � <br /> ARCNIT[CT OR DESIGNER MAII.ADDRESS GITY )IP PHONF <br /> GENEfiRLCONTRA�TIXi MAILADORESS GIIY 71P p110NG $IATELICGNSE� <br /> MECNANICALCONTRACTOR MRILADDHE55 CITY ZIP PHONF STA7ELICENSE� <br /> PLUMBINGCONTRA(;iOR MAILADDRE55 CIIV ZIP p110NE 5T4TEUCENSE� <br /> CONTqACT PRICE OF WORK <br /> HEATING SYSTEM: f I GAS I l ELECTRIC I-1 <br /> DESCRIBE WORK AND SOUARE FOOTAGE:NVOLVED CONT�CT PERSON AND P110NE NO. <br /> �cx���5 �,_ <br /> �. — <br /> i HEREBY CERTIFY THAT I HAVE READ AND EXAM�NED THIS <br /> PBOPOSEOUSEOFBUILDINO APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.qLL <br /> PROVISIONS OF IAWS ANO ORUINANCES GOVERNING THIS TYPE OF <br /> LEG�LOESCRIPTIpNOFPROPERTV(SIIOWNBELOWORATTACHTWOCOPIES) WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or e�ocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFOfiMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO pERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND ! COMPLY WITH THE STATE <br /> PARCEL TNt I.D.NUMBEH CONTRACTORS LAW 18.27 qCW AND 296200 WAC. <br /> CONSTRUCTION LOAN LENOER.ADDAE55,TEIEPNONE NUMBER "�•.� ` ^ � C��^`�� b_ Q � <br /> �GNA Ui R� \„ OATE ` <br /> CIiY BUSINE55 LICENSE NO. <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—AIHNDLG UNRS—H.P. � <br /> BATHTUB ; FORCFD AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER � UNIT HEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP ; CLOTHES DRVERS ; <br /> DISHWASHER � VENTILATION FAN i <br /> LAUNDqY TRAY ; RANGE HO00 <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAL � WOOD STOVE � � <br /> DRINKING FOUNTAIN ; METAL FIREPLACE(WOOD BURNING) ; <br /> FLOOR DRAIN � FIREPIACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ' <br /> SINK(SEHVICE—BAR, ETC.) GAS RANGE � <br /> ' GAS PIPING <br /> i E%HAUST FAN , <br /> i , <br /> � � <br /> SUB TOTAL g ; SUB TOTAL 5 ' <br /> � <br /> PERMIT 5 i PERMIT $ � <br /> TOTALFEE $ � TOTALFEE $ � <br /> FOR OFFICE USE ONLY: <br /> FRONTSFTPACN REARSFTBRCK SIDESET9ALK PLnNC11BC NUMAffI FE[ RECGIPTNO <br /> ����/ <br /> usezoNe torn�en VACAMSITF. FEES VALUATION FEE <br /> i ives �i No OIIItf/1NG ' <br /> � <br /> HEIGHT LIM'IATION NO Of UWEILING SIZE Of OIIXiRI �� � O -��-'-1—J <br /> IINIIG � <br /> rwnmirvu , <br /> OCGUPANCY NO Ot 90RIP5 pCCUPANT LOAO BASEMENi I <br /> GROUP bi[f.11�NICAI i <br /> IIV[5 (I NO � <br /> 6�D�110N4L M AN GNCCK � <br /> FIRE�URM REO'll R[ASON i ' <br /> --�-- <br /> piNEii i <br /> � <br /> fIRF.SPPINK1Ef1RW'D AF�SON ._ <br /> i <br /> SLNG�UII"iNf,SUIILNARf,E i � ' �� � <br /> �_1 � <br /> rvreorr,or+sr rtnHsnrrnoveoov CITYOFEVERETT runiicwonKs ' <br /> LOCALSALES � <br /> un,E TAX CODE IS 3105 rOiaL ; I <br />