Laserfiche WebLink
APPLICATII..� FOR CONSTRUr`� _dN PERIVIIT everett <br />meeoeiq.een TO BE COMPLETED IN INK—PLEASE PRINT � <br />CITV OF <br />everett <br />BUILDING DEPARTMENT � <br />259-8810 <br />DEMOLITION COMBINATION <br />OWNER� Id AODPES <br />����� ��� r <br />TEfy) N? _ � MAIL ADDRE55 � <br />J / 'L' � � <br />� <br />ARCMITECTORDESIGNER lnau ennaccc <br />CONTRqGTOR MMLAD�flESS <br />PWM�INGCONTRpCTOR MAILADOriESS <br />CLA55 OF WURN <br />..! NEW ��. �: ADDITION C.� ALTERATION <br />CONTRACT PRICEOF WORK /S �v <br />�ESCRIBE �RK ANO SOUAp� �pp{rGE INVOWED <br />PFOPOS U5p SE OF gO��pING <br />�/�i�� <br />LEGAL OESCRIPTION OF PqOPE <br />LOT _ BLOCN <br />HEATING SYSTEM: [] GAS ❑ ELECTRIC ❑ <br />r <br />BUILDING MECHANICAL <br />CITV 21P PMONE <br />, �L�. <br />��T� ZI� PHONE <br />�E E v� ce�/��u0 � <br />ciiv Zlp <br />CITV Z�p <br />CtTV 21P <br />PHONE <br />PHONE <br />PLUh'IBING SIGN <br />� � ' " "' <br />LICENSE r <br />LICENSE a <br />iJL[NSC R <br />REPAIR �. . DEMOLITION ,. WOODSTOVE/FRPL INSERT '� � BUILDING RELOCATION <br />I CONiACTPERSONANDPNONENO. <br />LOW OR ATTACH FOUR COPIES� <br />OF <br />PF0.IECT AO�RESS <br />/ 3 �/ SC z vP�c/�� <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY(WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWqSHER <br />LAUNDRI'TRAY <br />CLOTHES NlASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PHEVENTERS <br />_ ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE—aaa FTC 1 <br />FOR OFFICE USE ONLY: <br />FRONTSETBFCK REARSETBACK <br />USEZONE LOiAREA <br />IYPEOfC011i5.ALLOWhBLE <br />StZE OF BLDG. <br />OCCUPFNCYLOAO <br />REASON FOR SPFINKLERS <br />INT�NE BY <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAL FEE 3 <br />N0. OF STORIEu <br />FIRE SPRNKLERS REO'D <br />PLANSAPPROVED�V <br />I HERFBY CERTIF`/ THAT I HAVE READ APID EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUL: AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEF'NING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPE�.CIFIED HEREIN OR <br />NOT. TFIE GRANT'� �G OF A PERI.��T DOES NOT FRESUME TO GIVE <br />AUThiOl31TV TO VIOLATE OR CANCEL THE PqOVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTfiUCTION OR THE <br />PERFORMANC'c OF CONSTRUCTION. THAT I AM AUTF'ORIZED BY THE <br />OV✓NER OF THIS PROPERTY TO PERFORM THE WOI'iK FOR WHICH <br />APPLICFlTION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />SIGNATUFEOFCONTRACTOPORAUTMORI2EDAGENT �ATE <br />X 7 ��.s'�a�.,7'L <br />>�.�.e� <br />APPLICANTSCITY91151NE55LIC SENO.�N�BUSINESSNAME <br />N'G—NHNDLG UNITS—H.P. — <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M - <br />� <br />CLOTHES DRYERS �— <br />VENTILATION FAN � <br />RANGEHOOD T— <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY � <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN . <br />SIDE SETBACK PLqN CMECK NUMBER FEE <br />VACANT SRE FEES <br />9UILDING <br />p.'LYIF,INCY NDOipWRli1,GUNrtS <br />G���P — PLUMBING <br />nASEMENi h1ECHANICAL <br />MEIGHTLIl.IITAiION ADDITIONAL PLAN CHECK <br />OTHER <br />STP.TE BUILDING SURCHARGE <br />CITY OF EVERETT pUBLIC WORKS <br />LOCAL SALES <br />TAX CODE 15 3105 TOTAL <br />TOTAL $ <br />v11T $ <br />�L rEE S <br />RECEIPT N0. <br />i <br />� <br />;U <br />v <br />