Laserfiche WebLink
_ �. <br />ARP�ICATlt��l FOR CONSTRUCT�ON PERMIF� <br />CITY OF E�'ERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMULITION ' l�OMBINATION IV� BUILDING I� MECHANICAL rl PLVIY181NG f l SIGN <br />PRUJECTADDRESS /2�g <br />ONQ{F�[l._, . ,,.�....i M�I�pDDPESS <br />MAILADDRESS <br />in�toR�ti� �v,�. <br />Cltt 210 <br />�oRa.v�J �yc' ����e�rT� ur� <br />CRY 21P <br />PIIONE <br />353- '6�'i� <br />ARCNITECTOROESIGNER AUIL�ODRE55 Qtt ZIP Pi10NE <br />i�y���A�-<uyo ���� 5, 3�'�u�x�. �✓�;��Tr,wr�� yeza� 2r2-8>76 <br />GENERRICONTNRCtOq MAILR�OPE55 CiiY ]iP FNONC: EtAt[!ICENSE� <br />�p�.v� ,y�tisa,d,_/f,l�iso.v Gc,�StRverro,r/. _ <br />MECHANICAICONTFRCTOR MAILADDRESS Cltt 21t' PMONE 'TATE'_ICENSE� <br />PLUMBINGCONTRRCTOR MAILAODRESS LIN 21P PHO��E STATELICENSE� <br />OF WORK <br />SWRRE FO <br />...if _ <br />LOT _� BlOC1( OF_ <br />E�sr PoRrro,v o,� car 37 <br />PMCEL TAX I D. NUMBER <br />.SOS7 —�'JGO -O 3 7 -� D <br />CONSTRUCTIONLOANLENDER.�DORESS.TEIEPHONE �JMBER <br />PLUMBIN6 <br />TYPE OF flIfTURE OR ITEM <br />CLOSET (TOILETI <br />FEE <br />SUB TOTAL $ � <br />PERMIT 5 i <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />FRONTSF.TPRCN RERRSFTBACN � SIDESET9RCN <br />7�J � �ll/ � � <br />USEZONE v/ IOtRREA VACAMSIiE <br />(IYES li NO <br />HEIGHi IIMITAT10N NO OF DWEIIING SiZE OF BLOGRI <br />/1(Z.% UNILS 4� � , _�_ <br />OCCIIP�M1CY NO Of 9pFiES OCCl1PAYT LO`L <br />GROUP � <br />3 <br />FlqE RUFM PEO'D IIEAiON <br />FIRF.SPRINNIE9PFOD REAPCN <br />TYPE OF f,ON$T M 4N5 APFROVF.00Y <br />' �ATE �� <br />HEATING SYSTEM: �GAS fl ELECTRIC fl <br />CONTACT VF.f!SON AND PHOyF N0. ._ <br />I HEREBY CERTIFV THAT I HAVE i7EAD AN� E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF <br />`NORK WILL BE COMPLIFD WITH WHE7HER SPECIFIEO HEREIN OH <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND � CUMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />X����� G.�✓�./ G s� 9,1q�� <br />SIGN TU �� �A- 1E r <br />CItY BUSINESS L <br />MECHANICAL <br />NO. TYPE OF �QUIPMENT <br />A/C — AMND�.G I �NITS — H.P. <br />FORCED AIR SYSTEMS — B.T.U. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEAT.ER <br />WOODSTOVE <br />METAL FIREPLACE (WOOD BURI <br />FIREPLACEINSERT(WOOD BUF <br />GA� FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />NO. <br />PIAK C11ECK NUMBER <br />5� �� <br />pUIl01Nf. <br />PLUMPING <br />MECIIANICAL <br />ADDIIION�L PLAN CMFCK <br />OiMER <br />$Tn1E PI11lDING SUIICNMGE <br />CITYOFEVERETT rnni�r,wonKs <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />M E.A. <br />SUB TO' <br />PEFMIT <br />TOTALF <br />ree nFcrirrr�o <br />/Sz� l0`7 <br />