Laserfiche WebLink
APPLICATIC.II FOR CONSTRUC7JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION 4--7T <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-BB10 <br />rl DEMOLITION FO COMBINATION CI BUILDING Fl MECHANICAL 1-1 PLUMBING f I SIGN <br />PROJECT ADDRESS / <br />5 S c_O CITY 71P PHONE <br />MAILAODOES 7S, <br />1V,*rIc,� R:RUB le �� �� ��,a�� 98ozr z4 <br />_ cITV ✓ ZIP PIIONE <br />/004j&-�, <br />DESCnIBE <br />('6 ) <br />INVOLVED <br />LEGAL DASCRIPTION OF PROPENIY la— <br />LOT 3 r `j BLOCK or. <br />Il:l .10,11 tloy/n1 <br />PARCEL TAX I.D. ❑UMUhn <br />3N <br />7—!05'7-003CLG <br />COt <br />CITY <br />I <br />HEATING SYSTEM: )<GAS X ELECTRIC 11 <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 On LAW THE <br />PERFORMANCE OFOCAL CONSTRUCTI GU. THAT I AM f UTATINGRt ORIZOED BY THE <br />pPROP Y ERFORM THE WORK FOR WHICH <br />A LICAT % II E 1 COMPLY WITH THE STATE <br />.. oen n c e 1R 9 W AND 296.200 WAC. <br />CITY BUSIOSS LICENSE NO. <br />MECHANICAL <br />G <br />FEE NO. <br />TYPE OF FIXTURE OR ITEM <br />TYPE OF FIXTURE OR ITEM <br />A/C —A/HNDLG UNITS —H.P. <br />WATER CLOSET (TOILET) <br />I <br />I <br />FORCED AIR SYSTEMS — B.T.U. M <br />BATHTUB <br />I <br />HEAT PUMP <br />LrVATORY (WASH BASIN)' <br />I <br />UNIT HEATERS —B.T.U. M <br />SHOWER <br />I '� <br />CLOTHES DRYERS <br />KITCHEN SINK & DISP <br />I <br />VENTILATION FAN <br />DISHWASHER <br />I <br />RANGE HOOD <br />LAUNDRY TRAY <br />I <br />WATER HEATER <br />CLOTHES WASHER <br />I (2rr <br />WOOD STOVE <br />URINAL <br />I <br />' �--�— <br />METAL FIREPLACE (WOOD BURNING <br />DRINKING FOUNTAIN <br />I � <br />Flf1EPLACE INSERT (WOOD IN( BURN <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />IT <br />GAS RANGE <br />SINK (SERVICE —BAR, ETC.) <br />I ! <br />GAS PIPING <br />EXHAUST FAN <br />SUB TO' <br />SUBTOTAL $ <br />i <br />PERMIT <br />PEP.MIT $ <br />' <br />TOTAL F <br />TOTAL FEE $ <br />' <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR S7ETz>OACK <br />/ <br />USE ZONE <br />LOT n A <br />L/J C <br />I IEUHT LIMITTAIJON <br />SF OWELLING <br />UNo NI <br />OCCUPANCY NO.OF STONES I OCCUPANT LOAD <br />J <br />3i <br />SIDE SETBACK PLAN <br />VACANT SITE <br />❑YES IIO <br />BUILDING <br />SIZE OF BLDG/TI, <br />I i 1 G <br />PLUMBING <br />----- <br />BASEMENNTT <br />MECIIANICAL <br />I4YE5 F7 NO <br />��—_ <br />ADDITIONAL PLAN CHECK <br />OTHER <br />STATE BUILDING SDnCIIARGE <br />CITY OF EVERETT <br />PUBLIC WDRKS <br />SALES <br />TAX CODE IS 3105 <br />TOTAL <br />FEE <br />E.A. <br />RECEIPT No. <br />