Laserfiche WebLink
APPLtCATIOr+ FOR CANST�iUCT1a�N PERMIT <br />CITY CF EVERETT • BUILDING DIVISION � <br />3200 Cti)AH Sl'REET • EVERETT, WA 98201 • 259-B810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ P�UMBING ❑ SIGN <br />PROJECTADDRESS: ��C�� { ���'-j �' ���V� <br />r <br />1,M,x.a:u,.trL /n•...�n11'-Gi�� l.a.an.•.� - 1[.IQ CFI�]!f <br />TENANt uulAfNXif55 f.ItY /iP <br />♦RCNIlCC10f1DE51GNER N�IIADIH1E55 <br />f'110NE <br />'2i:% <br />GENEIiNCON1pllGlOf1 MIJIApl1(IE55 (p1Y --_--...�.1• � -PpONE $IA�CIIC[NSE• <br />�:�ra,h� �3�r' ld,E,nruu�—q u�-L 41:1� 'cJEaoae.;:r��l'1y k�,�c�L U1�+3 tsS-4�IF ��E�CAIHAlaG�ts��' <br />MECHAMCALCONTRGCLOR MUL�DDRE55 CIiV � JN PI� NE SiA1ELICENSE� <br />PWMBINGWNIPeC10P MMLAOORE55 CItY Zi.+ pIpNE SiATELICENSE• <br />� �. ..�..� �:3 e .� `- <br />:n osou�A<<ooucen+vaveo <br />— � GP���A C <br />�E-1� - F�kiE,N�t.tiv <br />C F��vcr- <br />Oi BUIlO�NG <br />ir.cs� oescn�rnor+ or vnorentt �srwwr� aeiow on enece <br />LOT flIOCN Or <br />PMCEL TA%I D. NUMBER <br />r.(�STRUGTION lON! IERDER, MDnE55. IElEP110NE WMBER <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />UUNDRY TRAY � <br />CLJTHES WASHER <br />URINAL <br />DRINKING FOUNlAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL x <br />PERMIT S <br />TOTALFEE S <br />FOR OFFICE USE U�-NLY: <br />�ndlT SFTP�C1c � nE�n SFIB�CN SIDE SETBACN <br />USE 20NE <br />NE�GHT �IMIUSIOM <br />1 OI AfIF� <br />NO OF UwEII�NG <br />UHIf$ <br />DAIE <br />OY <br />FEE <br />IIEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />ro�nrc_ r[nsvri ��m rpa�e ra <br />1 IiEf1E�Y CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />�ROVISIONS OF LAWS AND ORDINANCES GOVE�NING THIS TVPE OF <br />WOfiK WII.L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. TkiE GfiANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUiIlOf11TY TO VIOLATE OR CANCEL TME PHOVISION OF ANY <br />OTHER ;�AIF_ OR LOCAL lAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM P.UTHOHIZED BV THE <br />OWNEH OF THIS PROPERTY TO PERFORM THE WOqK FOR WHICH <br />APPLICATION �S MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTOR_ LAW 18.27 qCW AND 296.200 WAC. <br />x <br />1 �-�l r� w��Yl- <br />sieN une ' nei- ' <br />( <br />c�rv nusivr ss i�c�Nsc No <br />EOUIPMENT I FEE <br />A/C — MiNDLG UNRS <br />1"OIICED AIR SVSTEMS <br />HCAT PUMP <br />UNIT HEATERS <br />M67TL FIREPLACE <br />FIR[PLACEINSEFT <br />GAS PIREPIAC[ <br />GAS RANGE <br />GAS PIPING <br />E:(Ii�UST FAN <br />SUBTOTAL 5 <br />PERMIT S <br />TOTALFEE S <br />PIANCIICf.NNULL10ff1 �fEE ��FCEIATNO <br />WL�HI SIL[ <br />❑YES ❑ HU p11�I111Hf• <br />SILEOfBLUG�I -- <br />PI114pIN6 <br />PASEMF.Ni MEGUNIf.N <br />❑vE5 OH� <br />CITY OF kVERETT <br />LOCAI SAIES <br />TAX CODE IS 9105 <br />��OIIIIIN�1 PI �H GIII CN <br />_i'—'— <br />Ot11U <br />S1qE OUIt[1iNG SL'OCIUOGE <br />P11011�. LV`Jf1NS 1 <br />TOTAL ._ __ __ — _� --�— <br />�__ <br />