Laserfiche WebLink
APPLICATIC"�i FOR CONSTRUCT �N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />. 3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />❑ DEMQLITION ❑ COMBINATION ,� BUILDING p MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS: -��-=�=C[+S-HdO-RIL 9�_Z�c� <br />O. <br />:� _ � � �� ✓ L I: ��> . �,� � �J/ <br />ONMER M�Il�00PE5 GITY .2iP PIIONE <br />BOEING CO PO BOX 3707 M/S OH-13 SEATTLE WA 98124 266-3463 <br />TENANT M�IIAD�RE55 L�IY IIP PuONE <br />P�o�ING. <br />ARCHITECTORDESIGNER M�qApDHE55 arv .�� _.._._ <br />PLUMBINGCONTRACiOR MAIUDDRESS CIfV IIP PHONE STATE LICENSE � <br />DESCRIBE WORNAND <br />r3'1�F K E J <br />0�6i�E <br />Vi10POSED USE OF Bl <br />a�f=(c-E <br />LEG�I DESCRIPTION C <br />� �T <br />y� SOa <br />IOUARE FOOTAGE INVOWED <br />�� �PFf � �✓ �s i <br />.318 Sk= <br />LDINO <br />��i10PERTY (SHOWN BELOW <br />BLOCN OF_ <br />o� i4ni!, <br />PARGELTAXI.D.NUMBER � <br />CONSTRUCTION LOAN LENOER, AO�NESS, TELEPHONE NIIMBEH <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />SUB TOTAL S <br />PERMIT S <br />TOTAI FEE S <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK REAR SETB�CN SIDE <br />USE20NE <br />NEIGHT �IMITATION <br />�cuPu�cr wo a swai¢s <br />�g <br />FIflE SPRINKLER REO'D <br />/'i/J <br />FIRE ALAHM flE0'D <br />�� <br />TYPE OF f,ONST <br />Il - lH�z <br />LOT AfiEA <br />NO OF DWELIING <br />UNIf$ <br />VAC�NT SITE <br />❑YES ❑ NO <br />S¢E OF BLOG?.I <br />3i8 <br />❑YES yJ NO <br />CITY OF EVERETT <br />LOCAL SALES <br />- 2 C- S G TAX CODE IS 3105 <br />HEATING SYSTEM: D GAS p ELECTRIC ❑ <br />C0117ACT PFfi50N AND PHONE Np <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT qLL <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 LOCAL LAW REGULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br />OWNEF OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 pCW At1D 296200 WAC. <br />x��� /7�-� �n�ZG/��' <br />SIGNATUPE DA7E <br />CITY BUSME55 UCENS[ NO. <br />� <br />A/C — AMNDLG UNRS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES DRYERS <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />FIREPLACE <br />GASRANGE <br />GAS PIPING <br />PLAN CIIECN NUMplII <br />OI1IlDINC <br />PwumNc <br />MECHnNILAI <br />AO�IIIpNRL PIAN �H(CR <br />omEn <br />sraie omioiNc sunciunae <br />ruour.wonrcs <br />TOTAL <br />SUB TOTAL S <br />PERMIT S <br />TOTALFEE E <br />fEF pECFIPT NO <br />FEE <br />