Laserfiche WebLink
APPLIGATIt�N FC�i; CONSTRUCI �ON PEi3MIT� � <br /> CITY UF E:�ERETT• BUILDING DIVISION ,���-�— <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 ��� <br /> CI DEMOLITION rl COMBINATION 1 1 BUILDING �l MECHRNICAL �PLUMBING rl SIGN <br /> PROJFCT A— D—�RESS �Zd 3 �' � � (�V r- �,// � i/� <br /> J. ,a•c,c� � <br /> OWNER � II OL`RES CITV ZtP ��0�[ <br /> �G �- /�//5 2rr� �I��� ��,�ia , 9�//f/ <br /> TE MNLRDDRES° CRY ZIP �IONE <br /> �TG U <br /> ARCHITLCTOROESIGNEil tdAILN�OBE55 GITV IIP vqONE <br /> GENERALCONTRACIOR MAILAODfiESS CRV LF PIIONL STA7El.ICENSE� <br /> MLCHANICFLCONTAACiOH MAILADORESS CITV ZIP PHOKE STATELICENSEM <br /> PLUMBWGGONTRACTOR MAILA�Dfl'S5 CITY ZIP PNO`'F STAIELICENSEM <br /> �,a Co' � �w��SGZo� tiao��u,l� aa ��`�•�3z(o sEw c�o�zM� <br /> CONIRACT PRICE OF WORK <br /> HEATING SYSTEM: C' GAS ❑ ELECTRIC ❑ <br /> DESCFIBE WORK AND SOUARE FOOTAGE INVOLVED LONT4CT PERSC.`!�tiG PHONE NO. <br /> 7ENa.4+� .1./�'� E b�� <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PPOPOSED USE OF BUILUING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHF.R SPECIFIED HEREIN OR <br /> L'cGPlDESCRIPTIONOFPROPE9tt�5HOWNBELOWOqARACH?WJCOPIES� NOT. THE Gf7ANTING OF A PERMIT DOE� NOT PRESUME TO GIVE <br /> i�T_ e�ocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAI LAW FEGULATING CONSTRUCTION OR THE <br /> PERFOFfdANCE OF CONSTRUCTION.THAT I Atd AUTHORIZtD BY THE <br /> OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH <br /> APPUCATIO IS DE AND I COIAPLY WITH THE STATE <br /> PARCELTAX I.D.NLIMBER CONTRAC LA 2 RCW AND 296.100 WAC. <br /> CONSTP.UCTION LOAN IEY�ER.P�ORF.SS.TEIEPNONE NUMOER <br /> NATUR DATE <br /> Clrv[1USME55 LICENSE N0. <br /> PLUMBING MECHAVICAL <br /> NO. TVPE OF FIXTl1RE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. � <br /> � BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER ' UNITHEATERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS i <br /> pISHWASHER � VENTILATION FAN <br /> LAUNDRY TRAY ' RANGE HOOD i <br /> CLOTHES WASHER � WATER HEATER <br /> URINAL WOOD STOVE ' <br /> DRINKING FOUNTAIN � METAL FIREPLACE(WOOD BURNING) i <br /> � FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS � GAS FIREPLACE � <br /> T <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE <br /> � GAS PIPING <br /> i EXHAUST FAN � <br /> i ' <br /> SUB TOTAL 5 ; SUB TOTAL S ; <br /> PERMIT S i PERMIT S � <br /> � TOTALFEE S ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> FFONT SETBFCN REAR SETBFCK SIDE SETBFCK PLAN CHECK HUNDER F[E RECEIPT NO. <br /> usezoNe LOIAPEA VACANTSITE FEES VALUATION FE�_ <br /> flYES �1 NO BUIL�ING � <br /> i <br /> HEIGHTLIMITATION NOOF�WELLING SIZEOFBLOCRI. <br /> UNITS PWMOING <br /> OCGUPANCY NO OFStORIES OCCUPANTLOAD BPSEMENT MECHpNICAL i <br /> GROIIP <br /> ❑YES 'l NO <br /> �DDIiIONAL PLAN CHECK � <br /> FIREALARMfiEO'� REASON � <br /> i <br /> OTHER � <br /> FIPE SPRIIlK�ER REO'D REFSOY � <br /> STATE OUIL�ING Sl1FCN�RGE � <br /> TVPE OF CONST PLANSAPPii0VE0 PY CITY OF EVERETT PUBUC WORKS i <br /> LOCAL SAL�S <br /> oqTE TAX CODE IS 3105 TOTAL � <br />