Laserfiche WebLink
APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •257-8810 <br />Cl DEMOLITION ❑ COMBINATION *BUILDING ❑ MECHANICAL—61LUMBING X SIGN <br />PROJECTADDRESS <br />- <br />� 2L1 GJECC-77 m iLL Jl v .T c C706E-17 1, Ih 9J <br />CNYIEN <br />SAMt aS ArzcHlrECj Po2ATC i* vlaP,P <br />MECNANCALCONINCTOR MA4Apd1E5S CITY ZV MAXIE STATE LICENSE, <br />PLUMBUa CONTMCTON "It ADDRESS CITY IV MKM STATE LCENSE0 <br />CONTRACT PR OF Np1M <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />DESCRIBE %4,CN AND SCARE I'MME MOLVED <br />Iva( �— <br />Cd1TACi gERSONAM <br />hl Cl 01.1/a^I J�Jh/� <br />1 0 569 - G9g6 <br />waposeo USE DE BU4DB10 <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PRCVSIONS 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 LOCAL LAZY 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 L1 <br />LAW 18.27 RCCW AND 296,200 WAC. <br />` <br />X , SIN G4 Iw -1 ( - <br />uou DESCPFTgN OF PT,oPERn ISNOA'N BELOW DR AnACN TROCOPCSI <br />LOT eLocK v <br />PANCEL TAX I D. NUMBER <br />CONSTRUCTCN IOAN UN'IE0. ADDRESS IELFPHIXIE INYBER <br />S TYRE j r NYE <br />CITYSUSWESS LOUSE W <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A(C—AMNDLG UNITS <br />BATHTUB <br />I <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />i <br />HEAT PUMP <br />�— <br />SHOWER <br />( <br />UNIT HEATERS <br />i <br />KITCHEN SINK a DISP <br />j <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />I <br />WATER HEATER <br />I <br />CLOTHESWASHER <br />WOOD STOVE <br />URINAL <br />_ <br />METAL FIREPLACE(WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />OAS FIREPLACE <br />BACKFLOW PREVENTERS <br />i <br />GAS RANGE <br />i <br />SINK (SERVICE —BAR. ETC.) <br />I <br />GAS PIPING <br />i <br />I <br />EXHAUSTFAN <br />i <br />I <br />I <br />i <br />SUBTOTAL S <br />i <br />SUB TOTAL S <br />I <br />PERMIT S <br />1 <br />PERMIT $ <br />' <br />TOTAL FEE S <br />' <br />TOTAL FEE S <br />i <br />FOR OFFICE USE ONLY: 4- ECIDD5-Ol$ <br />FRDIIT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />NECK <br />slrro _CFO3,oD <br />FEE <br />pECEIPT Ta <br />USE LONE' <br />Ile <br />LOT AREA <br />VACANTSRF <br />I Ins ❑ NO <br />FEES <br />VALUATION <br />FEE <br />BUXDM <br />HEXINT LIMRAICN <br />MOff DY um <br />$IZEUBL001�- <br />RUMBw6 <br />pANCY MP510AF5 <br />OCCUPANT LOAD <br />BASEMENT <br />OYES GNO <br />MECIUV,NL <br />AOORpBNPLANCHECK <br />FPS SPTIWKLEA 11E00 <br />REASON <br />O1NER <br />FNEALARMRE00 <br />REASON <br />STATE BU4UNU SVRCIMpGE <br />IMCFCONST <br />AIMS gpvEDBI <br />IEL <br />SAYE 1' <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />PUBLIC o KS <br />TOTAL <br />