Laserfiche WebLink
AP�LICATII,�f FOR CONSTRUCI ON PERMIT <br />CITY OF EVERETT • BUILDING DIViSION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />f-I DEMOLITION J�F COMBINATION fl BUILDING <br />f] MECHANICAL n PLUIWBING fl SIGN <br />PROJECT ADDRESS <br />� ic� <br />GFNEpqLCp ,-7: <br />LA.. � <br />PRICE <br />EVE'Rr'T7- , WA Lai / <br />M�I� <br />SOU�RE FOOT�GEINVOLVED <br />sIN�Lr r-A,� �� y ���L <br />FROPOSED USE OF BVILDING <br />LEG�L OESCRIPTION OF PROPERTY (SHOWN BELOI <br />�or' �J' <br />BLOCK OF. <br />I.O.NUMBER <br />7-noo-pl�-O/00 <br />ONLOaNLENDER,AUDRE55,TELFPHONENUMBER <br />n�• TVPE OF flXTURE OR ITEM <br />Z WATER CLOSET (TOILEn <br />� BATHTUB <br />�� LAVATORY (WqSH BASIN) <br />�' SHOWER " <br />KITCHEN SINK 3 DISP <br />DISHWASHER <br />-= LAUNDRY TRAY <br />7� <br />9 <br />PIIONE <br />HEATING SVSTEM: CI GAS <br />f� <br />R <br />_ lVv!/f / ',i,�`] _.i)�e-Y_ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPUCATION PND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISION i OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WqL BE COMPLIED WITH �.JHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF q PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCF,L LAW REGl4ATING CONSTRUCTION OR THE <br />PERFORMAPICE OF CONSTRUCTION. THAT I qM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATIUN IS MADE AND I COMPLY W�TH THE STATE <br />CONTRACTOFS LAW 18.27 RCW AND 296200 WAC. <br />�( � �[ /`� •(� ��% � —Y� <br />51 RE <br />O�TE <br />�ITY pUSINESS LiLENSE NO <br />�E NO. TYPE OF EOUIPMENT <br />FEE <br />' ` A/C—A/HNDLGUNITS—H.P. <br />i � FORCED AIR SYSTEMS — B.T.U. M E.A. <br />� — HEATPUMP <br />' � UNIT HEATERS — B.T.U. M <br />vtNnLATION FAN <br />RANGEHOOD <br />WATER HEATER <br />— WOOD STOVE <br />_ J METAL FIREPLACE <br />EVENTERS � ' FlREPLACEINSERI <br />BAR, ETC.) GAS FIREP�arF <br />— � GAS RANGE <br />— � — GAS PIPWG <br />FOR OFFICE USE ONLY: <br />fRONTSETPRCK REMSFTBRCK <br />� /O <br />USEZONE LOiARE� <br />/Z` � �f8o� 6 <br />HEIGNTLIMITqTIpN NOOFUWELLING <br />iR uNirs , <br />r+o a <br />TOTAL $ <br />NIT g <br />1L FEE 3 <br />SIDE SETBACK <br />u� � d� �A <br />VACANi SIiE <br />�S I1 NO <br />rinN aiECK <br />OUILOMG <br />SIZE OP BLOGrtI <br />�IZ SY7 ,S E rwunn�c <br />ASEMENT <br />� MGCl/nNICAL <br />f1YE5 �✓qp <br />AD�I110NAI. PLAN GNl.CN <br />CiHEl1 <br />F STAiE DUIl01NG SUPCII�RCE <br />r" CITY OF EVERETT runuc wonKs <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />FEF <br />SUB TOTAL S <br />PERMI"f g <br />TOTAL FEE S <br />n�cEirr No. <br />