Laserfiche WebLink
APPLICATICA FOR CONSTRUCT& PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET F EVERETT, WA 98201 •259-8810 <br />❑ DEMOLITION 'R COMBINATION ❑ BUILDING NO MECHANICAL f9 PLUMBING ❑ SIGN <br />PROJECT ADDRESS: .SE C 1/E4'F r7 12713L. L &2V <br />li N.r /�JSEY i4/o z LEVERET LEA 5',QOA _ <br />pWNFn ..LAOMESS Cln tlr rllp:C <br />�� ec: Q� ✓� et ¢',ot� irk u i ya c� t eFn �n� ruAy a6PZ r. uffil 4daoF <br />TENANT YAKAEWESS utr )m rI,C4f <br />GIY <br />CONInAct PWCE Ow 'No" <br />HEATING SYSTEM: El GAS El ELECTRIC Cl <br />CfSLWBE MORR Axp SPUME IIS;E NVOI O , <br />CnNIACIn.ASON I PNONE NO <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 COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCH. LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC, <br />/ ���/Jf <br />vlg MEO USE OE MALDNG <br />0 c(/rl E- <br />LEGALOESCWPTIONOF r ER[Y ISF#OYM BELOW a+ARACH Tvro LpNESI <br />LOT BLOCK OF <br />— <br />FdoRAncEL TAa IO. NLnIBER E <br />C YFUCTIOH LOAN LENDER, ADDRESS. TELEMNWE NUMBER <br />AF WE <br />OIY BUSNESS LICENSE 10 <br />PLUMBING <br />MECHANICAL <br />NO. <br />RE OR ITEM <br />TYPE OF!BASIN) <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />—�_ <br />/ <br />WATER CI OSETT) <br />AIC—AMNOLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS _ <br />e <br />LAVATORY (WAS <br />HEAT PUMPSHOWER <br />UNIT HEATERS <br />KITCHEN SINK A <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />i <br />I <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE —BAR, ETC.) <br />GAS PIPING <br />Gh A + ._} r <br />EXHAUST FAN <br />SUB TOTAL $ <br />SUB TOTAL S <br />PERMIT S <br />PERMIT $ <br />TOTAL FEE S <br />TOTAL FEE S <br />_ <br />FOR OFFICE USF ONLY- <br />FnONC SETWA <br />REM SETBACK <br />SIpC 5F10A ex <br />MAN CIKCK WkWn <br />99� - <br />[CF <br />MC.FWT NO <br />USE ZONE <br />EUT AREA <br />vACRG WE <br />FEES <br />VALUATION <br />FEE <br />nundw: <br />OYES D. <br />NE'GHT UWTACION <br />NO OF DWEWND <br />SUE OF&IXVCI <br />UNITS <br />MNNINO <br />GC pANIr <br />MMSI ws <br />OCCUPMfL0A0 <br />BASEMEN( <br />MH N.CAt <br />D rFs OxO <br />ACQINMALMMUCtO <br />i <br />RM SPfl ,ER MOD <br />RFASW <br />oRKn <br />RREAIMFAREO'D <br />RFA.0 <br />STAI[oVTpNO SMN:IMTgE <br />i <br />MrEoFCONST <br />PLANSMPPOVIO nY CITY OF EVERETT <br />nrelr. wpnes <br />-- <br />LOCAL SALES <br />TOTAL <br />— <br />TA%CODE IS J105 <br />DATE <br />