Laserfiche WebLink
APPLICATION FOR CONSTRUCYION PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CECAP STREET• EVERETT, WA 98201 •259-8810 <br /> f� DEMOLITION fl COMBINATION Il BUILDING f� MECHANICAL 7Xp MBING fl SIGN <br /> PROJECT ADDRESS � <br /> i//-S �O� tl :r <br /> �)Il� <br /> owr�cn unanooaEss arv zir r��oNE <br /> l'��Pis .d����� 76ao //� "ys,—,a� .n.^a�sai-w�,��t ,s..°�� �s3-�vsB <br /> TENRNT MAI�RDDRE55 CITY IIP PHONE � <br /> AnCHRCCTORL`i$IGNER MRIIAUOpE55 CITV 71P PHONE <br /> GFNfRRLCONTqqCTOR MRILADpRE55 CiIY 71P PIIONE SIRTEIICENSE� <br /> MECMANIUL CONiRACTOB MAII ADpRE55 CITY ZIP PHpNE STATE LICENSE� <br /> PLUMPINGCONiPAf,TOR MAIIAL+DFE55 CItY ZIP PHONE STATELIGENSE� <br /> �O��t/ /IlU.i1d�.�C" <br /> corurancr rnice oF wonK _ <br /> HEATING SYSTEM: f 1 GAS ' LECTRIC �l <br /> DESCF19E VJORN AND SOURRE FOOT�GE INVOLVED WNTACT PERSONAND PHONF NO. <br /> 5 L 'S ?f <br /> �('L,�cKT .1/,�d sufo•t!' .t/.�L�'S <br /> �� L�S�/�P¢{�i7� Au`%/`�•4dN2Q � HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> PNOPOSEDUSE 0�BUILDING AP�LICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIO�S OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEGRL�ESCRIPTIONOFP(iOPERTY�SNOWNBELOWORATTACMTWOCOPIES� �'�'ORK WILL BE COMPLIED WITH WHE7HER SPECIFIED HEREIN O�t <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or eiocK oF . AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCT!ON.THAT 1 AM AUTHORIZeD BY THE <br /> OWNER OF THIS PROPERSy TO PERFORM THE WORK FOF WHICH <br /> APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br /> PARCEL TA%ID.NUMBEH CONTRACTORS LAW 10.27 RCW AND 296200 WAC. <br /> CONSTPI;LTION LOAN LENUER,qDDRES$,TEIEPHONE NUMPER X ��r ��o/�/�J A/��//� <br /> SIGNFI E _ OAiE� <br /> —�.L <br /> an ouswess ucer+se r+o. — <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OP EpU1PMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H.P. � <br /> BATHTUB � FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) HEAT PUMP � <br /> SHOWER � UNIT HEATERS—B.T.U. M i <br /> KITCHEN SINK 8 DISP ; CLOTHES DRV[RS � <br /> DISHVJn$HER � VENTILATION FAN � <br /> LAUND��Y TRAY ' RANGE HOOD � <br /> CLOiHES WASHEF � WATc'_R HEATER � <br /> URINAL ' WOOD STOVE � <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFI.OW PREVENTERS ; GAS FIREPLpCE � <br /> SINK(SERVICE—BAR,ETC.) � GAS HANGE , <br /> GAS PIPING � <br /> i EXHAUST FAN � <br /> i � <br /> � � <br /> � <br /> SU8 TOTAL S � SUB TOTAL 5 � <br /> PEPMII' S � PERMIT $ � <br /> TOTALFEE S � TOTALFEE S � <br /> FOR OFFICE USE ONLY: <br /> fqONiSETppCN REAqSFiBRCK SI�ES^iBRCK PlANC11ECNNUMAfR FEE RECEIPTND. <br /> usezor+[ iauren vnenHrsrte FEES VALUATION FEE <br /> f1YE5 I1 NO <br /> — AUILDING i <br /> NEIGNiLIMiiPT10N NO.OFOWELLING SIZEOFBLOGRI <br /> i <br /> UNIfS � <br /> PLUMOING � <br /> OCCUP�NCY x�ors�nmEs OCCUPANiIOnU BASEMENi ~ <br /> GOOUP MECHI.NICAL i <br /> i <br /> fIYES IINO — — <br /> _ ' <br /> FIREALFRAIREOD RfR50N ADDifION�1.PIANC��F.CK <br /> __T_ <br /> on�en ' <br /> FmEsrniNK�.enneon BFISON _. <br /> I <br /> STNE BIIIl01NG SIIRCIInfiGE ' <br /> i <br /> �"_ <br /> rrForr,orusr rinHsnarnoveoev CITYOFEVF.RETT runnr,wonKs <br /> LOCAL SALES �-- �— <br /> ��aiE T/aX CO�E IS 3105 TOTAL <br /> I <br />