Laserfiche WebLink
APPLICATIO.� FOR COl�S'1fRUCT../M PE�iMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDNR STREET•EVERETT, WA 98201 •259-BB70 <br /> � DEMOLITION ❑ COMBINATION O BUILDING G�'MECHANICAL ❑ PLUMBING p SIGN <br /> PROJECTADDRESS: �;� AY1' tic, r� �q��E2�I <br /> S�-ev� NAnt l�� 2G4/Z 213:. Jz yn��ac� W�d � 9�ro3b $bb :;r,71� <br /> Of�� p M/.R�OD{iE55 11 S GI1Y �/z� OiP �7PNLOjN[ /-- <br /> 11U��V� � / �U�e �"`�� /1J G <l�it C� Wl� /��� / 7J- 7s�b <br /> 1ENANT 4A11 AOD11f.55 CIIV jll` PI�ONE <br /> ARLNITECIORDE51GpER M'a1M�PE55 CIIY liP PMONF <br /> GENEP�LCONfRALIOq MAILAppqE55 L11Y jIP PIIONE [UI[IICENSE• <br /> � �'- cfl�� ���Sec.;ice ��5�� �'cr5r u� �3��t��I £uc rl��l4CLt3 ?.�4-'!s�Y ArP�NN�oG6�t%:� <br /> MEC �N.^��CONTRACTOR MIJUDDRE55 CITY )IP PIIONE ST�tE LICENSE• <br /> PWMOINGCONI��f,7pP MMLADpqE55 [ItY ZIP PNONE STAIEUCFNSE� <br /> �9-�1_0� <br /> CONTRAC�rniCE Of w�PR <br /> T� A � -wnw-- a..�., uc � HEATING SYSTEM: �GAS �ELECTRIC � <br /> DESGRIBE WORK�NO$OWAE FOpUGE INVOIVED CONiACT PBRSONAND PNONE NO <br /> �.i I �.�� ! !! . <br /> / <br /> I HEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> raorosco e oEwi e — APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> _ � PROVISIONS OF LAWS AND ORDINANCES GOVER��ING TH�S TYPE OF <br /> �� WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREiN OR <br /> «CALOESCRIPTION vra PERtt�S110WNBELOWIXIATTACMTWOCOP�ES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior eiocK oF_ AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATI�G CONSTHUCTION 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 ANO I COMPLY WITH THE STATE <br /> PA{ICELTA%I.D.NIIMBER CONTRACTORS LAW 1B.27 RCW AND 296.200 WAC. <br /> CONSTRUCTIONtO�NLEN0Ef1.�DpRE55.TELEPHONENUMOER x��i �� /U1//.'/ <br /> JI 17V <br /> SIGN� IR ^ � <br /> ���J1.:7�� <br /> CIiV pU51NE55 LILENSC NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF Fp(TURE OR ITEN FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNRS � <br /> BATHTUB ; FORCED AIR SYSTEMS ' <br /> LAVATORV(WASH BASIN) � HEATPUMP , <br /> SHOWER � UNIT HEATERS � <br /> KI7CHEN SINK d DISP ; CLOTHES DRVERS ; <br /> DfSHWASHER RANGE HOOD <br /> LAUNDRY TRAY ; WATER HEATER <br /> CLOTHES WASHER � WOODSTOVE <br /> URINAL ^ � METAL FIRFPLACE(WOOD BURNING) � <br /> DRINKING FOUNTAIN i FIREPLACE INSERT(WOOD BURNING) i <br /> FLOOR DRAIN GAS FIREFLACE � <br /> BACKFLOW PREVENTER5 ; GAS R4tJGE ' <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING �— <br /> EXHAUST FAN <br /> i <br /> � <br /> i � <br /> � — i <br /> SUB TOTAL S � SUB TOTAL S �� ; <br /> PERMIT 4 i PERMIT E j � <br /> TOTAL FEE S � TOTAL FEE E � <br /> FOR OFFICE USE ONLY: <br /> LPONTSGTOALK pE�qSFTO�CN SIDESFTB�CN Pl�NC11EGNNUMPCR fEF RECGIPTNO <br /> US[20NE tor�nen wc�vtS�rE FEES VAIUATION FEE <br /> — ❑YES ❑ NO pU1LpING <br /> i <br /> NEIGHTLIMITeT10N NO Oi DWELLING 512EOf DIOGRI <br /> UNIfS PLIIAIpING <br /> OCCUPANpY Iq(%SIORi[5 OCCUPANI IO�D BASEMENT —�� <br /> GRWP �Aff,11RNIC�L <br /> ❑YES ❑HO '— <br /> FIRESPFINKLEqf1E0'D �F�SON �CDIIIONRLPI�NCH(GN <br /> —�'— <br /> O�HEII <br /> iIREALAFMREO'0 Af�S(k! � <br /> $in1E OU�l01NG Sle'CIIARGE <br /> IYPEOPf,pNSI PUHSMPnOVE�OY CITYOFEVERETT �Uqlif.WOPNS <br /> LOCALSALES — — — <br /> u.tE TAX CODE IS 3105 70TAL y— <br /> --�— <br />