Laserfiche WebLink
APPL�CAT�t+�nl FOR C�NSTRl�C7 �ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STR ET • EVERETT, WA 982oi • 259-8810 <br />f-1 DEMOLITION fl COMBINATION f�i BUILDING I� MECHANICAL r � p <br />PROJECT ADDRESS LUMBING �l SIGN <br />'� �ST 'D2�VE E/�� ` <br />DWNEfI MRIL�DORE55 CITV ZIP 1 �� <br />�,� .A�n_v�i `��Z N � PNONE <br />fVW�/KJt 1 f. ib9 Pt� �l:►pop�rl�tl.l.� �,(J� �IBoI'y 463- I1�J�rty� <br />fENANT MAILRDORE55 j�p �`i�/V <br />� /� CITY PIIONE <br />11i <br />Mall <br />z�OeD t-M"�R- <br />DESCRIB'e WpqK RND SOUARE FOpTqGE INVOLVED <br />�u., s�2 c, �? SF "� <br />� � 2 c-q-2 (�wnwt� E <br />LOT- BLOCK OF <br />`� � oF L (T`i UF �11QQL�iT :��qT' �.i+ <br />ILue.�ens ��-� �0 9SD bi5 oo7-U <br />PMCC TNf 1.0. NUMBER <br />`Y7:! -L�OG 'V �3 "C>GCJi <br />CONSTRUCTIONLO�NLENDER,ADDRESS.TEtEPNONENUMBER <br />GA< N <br />NO. TYPE OF FlXTURE OR <br />WATER CLOSET (TOILET) <br />BATHTUB <br />3 LAVATORY (WASH BASIN) <br />SHOWER <br />j KITCHEN SINK f: DISP <br />DISHWASHER <br />LAUNDRYTRAV <br />I CLOTHES WASHER <br />URINAL <br />�' DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK(SERVICF—aea cm� <br />SUB TI <br />PERMI <br />TOTAL <br />FOR OFFICE USE ONLY: <br />FRONT SETP�('j( � pEa11 SF.TP CK <br />c� � <br />USEZONE IOiAREA <br />HEIGIIT LIMITATION NO OF OWELLING <br />A �/ UNIIG <br />FIRF <br />TYPE <br />'ro <br />- Iv I onre <br />$ <br />S <br />$ <br />SIDE SETB^CN <br />�/ � <br />VACRNT SIfF <br />fIYES f1 t10 <br />GIIV <br />HEATING SYSTEM: f l GAS <br />LIL4YSE � <br />� <br />UCENSE / <br />I ICENSE � <br />n <br />�-•.....,, rc . nnv rnUNE NO. � � — <br />`nLl��- 17 i i ' OrJ <br />- 20f� 7�(0 �(o(ofo ( <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 COMPLIFG WITH WHETHER SPECIFIED HF.qEIN OFl <br />NOT. THE GRANTING OF ,� pERM17 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 />9 9'� PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER RTY TO PERFORM THE WORK FOR WHICH <br />APPLI ION IS MAD AN 1 COMPLY WI'H THE STATE <br />CONT ACTORS LAW 1827 AND 296200 WAC. <br />/, <br />x -� ��� i ��f <br />ri ui <br />BUSINE55 UCENF[ NO. <br />OF <br />A/C — A/HNDLG UNfTS — H.P. <br />FORCEDAIRSYSTEMS—B.T.U. M <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD . <br />WATEF HEATER <br />WOODSTOVE <br />METAL FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING <br />GAS FIqEPLACE <br />GASRANGE <br />GAS PIPING <br />EXHAUSTFAN <br />/G <br />OIIIL�ING <br />�A�o��Fc,v��y•r — <br />'= vwum;�, <br />� .CF G.viG1�' _ — -- — <br />'�ASE�M�ENt 1dFC114NIC�L <br />rnES I I Np <br />-- AOUIIION�L PLAN CH(.CK <br />_ OTNCR <br />STAtE f1UR01N0 SbqC11MGE <br />CITYOFEVERETT rumir,wonKs <br />LOCALSALES - <br />TAl( CODE IS 3105 TOTAL <br />SUB TOTAL $ - � <br />PERMIT $ � <br />TOTAL FEE $ � <br />FEF RECEIPTNO. <br />�/7 <br />VALUATION FEE <br />�v a ' °r� <br />1 <br />� I� <br />i <br />;U �D�:> <br />� <br />i <br />1 � <br />�/ i` . <br />