Laserfiche WebLink
❑ DEMGLITION <br />PROJECT ADDRESS <br />�1�AY1C. _J F�R CO[dS'iRllC7 oJl�l PERMIT <br />CITY OF EVERtTT • BUILDING DIVISION \� <br />3200 CEDAR STREET • EVERE'R, WA 98201 • 259-8810 <br />i I COMBINATION � I BUlLDING ���MECHANICAL il PLUMBING �I SIGN <br />OWNER NIaLnC <br />.�.Urv�� o t� � <br />TEN�NT IdAIL1C <br />/1'le � t v' � �-/ <br />� N ic.u, /,%is � <br />1NICAL CONTqACTOR <br />�� / � �!/ l V t��, GIJd --� <br />i,y f, <br />LM O� �L' 0 �-3 � in �� �/, nr vr�o�/ . �ijl1� �J�f�/.1.f <br />.�/i' S /' �vlv' ccio,.. <br />RE55 CITV piP PIIONE <br />��� c�«���. %�,�o� 3.dY� 9/%s— <br />CIiY TIP PIIONE STqTEUCENSca <br />dw��, �'�r v f f y�,t d� ,� s.�-,t,,t �/��lli_ �t � <br />� f.itt ' TIP PIIONE STqTE LICENSE n <br />PLUNBIYGCONiRACTOR MAILApOFE��_ CLY ZIP FNONE STFTELICENSFM <br />CONTqqCT PHICE OF WORK <br />� � �O —'"— HEATING SYSTEM: -� AS ❑ ELECTRIC ❑ <br />OESCR�" VfORKANDSaU�3; POOTAGEINVOLVED — CONTACiP[RSONANpPH01JEh0. <br />� / x f 7` .�C� G/ ��l � ✓ ✓ N��-[-2 <br />� v !�! �w � �n . <br />PROPOSED USE OF 5UI�DING <br />�EGAL �ESCRIPTION OF FPOPERtt (SHONM <br />LOT CLOLK <br />PARCELTAIf I.D. NUMBER <br />GONSTRU.'.T10NLOANLENDEP.ADOAESS,TFLEPHONE NUM�ER <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />BATHTUB <br />IAVATOrIY (WASH BASIN) <br />SHOWER <br />KITGHEN SINK S 71SP <br />DISHWASHEF <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR, ETC.) <br />_ SU8 TOTAL 5 <br />PERMIT 5 <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />PRO4TSFTAACN R[nl±SET�4CK <br />USE ZONE <br />HEIGMT LIMRATION <br />OCCIIPANCY NO ( <br />GFlOUP <br />IOT�REA <br />NO OP pWELIJNG <br />UNIiS <br />FIRE SPpIYKLER REO'D � REASON <br />SIOE SETBACK <br />I HEFEBY CERTIFY THAT I HAVE REA^ AND EXAMINED THIS <br />APPLICATION AP.ID KNOW THE SAME TO AE TR�E AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WIl"H WHETHER SPECIFIF.� HEREIN CR <br />NOT. THE GRANTING OF A PERMIT DOES �IOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF AN'f <br />OTHER STATE 0�9 LOCAL LAW REGf �LATING CONS7RUGTION OR THE <br />PERFnRMANCE O� CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPL ICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTO� LAW 18.27 RCW D/296200 WAC. <br />X .� " "` /S�/`^C <br />£IGNAT!IF1E pATE <br />CITV BUSIN[SS LICEI�S2 N0. �i „( {^/ ► <br />FEE NO. � TYPE OF FIXTURE OR ITEM <br />T -- - <br />� A/C—A/HNDLGUNITS—H.P. <br />i FORCED AIR SYSTEMS — B.T.U. M E.A. <br />� HEAT PUMP <br />VACA��i SITF. <br />�7VES fl ^:O <br />SIZE OF ptDG/il. <br />B�SEMENi <br />❑VES C] NO <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />FIREPLACEIN <br />GAE FIREPLA( <br />GAS ��.NGE <br />G.4S PIPING <br />EXHAUSTFAN <br />PUN CHECK NUMDER <br />FEES <br />ouamNc <br />PWMOMG <br />MECMnNICAL <br />ADDITIONAI PLAN CH[CK <br />OTHEfl <br />STATE OUIL�ING SURCMARGE <br />CITY OF EVERETT auoucwoaKs <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />SUBTOTAL $ <br />PEFMIT S <br />TOTAL FEE S <br />FEE I RECEIPTNO. <br />FEE <br />FEE <br />