Laserfiche WebLink
! <br /> � <br /> APP�ICAT14.d FOR CONSTRUC'► _O��I PEf�t�1�11T <br /> CITY OF EVENETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET� EVERETT, WA 98201 •259-8810 <br /> fl DEMOLITION fl COMBINATION fl EUILDING � MECHANICAL f 1 PLUMBING fl SIGN <br /> PROJECTADDRESS - r �. � <br /> ',�; s .�v,v,�� L;e, <br /> OWNER MARAODRESS CItY 11P PHO.E <br /> a�K;�,� ��sE ���s J�N,�-�� �.� F�-�E7,- ��� ��-���� <br /> TENANT MAIL RDDRE55 CITV ZIP PHONE i <br /> nRCHITEGTOFDE5�Gt1EF MAILADORE55 CItY IIP PMONE <br /> GENEfiaLCONiftAGTOP MAILAOOf.E55 CifV ZIP PIIONE 51ATELICENSE� <br /> NE/CHANI�ALCONTRRCTO� MAILAOORESS CITV Z�P PNONE STATFUCENSE� <br /> GS-� <br /> PLU�ABINGGONTRFCTOR MAi�A��RE55 CIiY ZIP PHONE $7ATELICENSE� <br /> �ONTRACT PRI E OF WORH <br /> �c'�d,Q4 HEATING SYSTEM: I�(�GAS f� ELECTRIC fl <br /> A�ESCAI�E WORN A��O SOUARE FOOTAGE INVOLVED CONTA�i FERSON ANp PHONE 1 "� <br /> f��-- sl�+n'l� or/� FXiSi�NC Ec�Cr11� ,nl ZS L-.�l�T <br /> ��,Pif� 7-� ,o �Gva�ru tiF�-r G/�S <br /> f//�in.�' �'�vs�AZ�- S� ��' C?� ��� A PE CATION ANDIKNOW THE SAME TO BE�TFUE AND GO RECT AI.S <br /> PROPOSED USE OF BUILDING PRQVISIONS OF LAWS ANO ORDINANCES GOVEF:NING THIS TYPE OF <br /> WOP,K WILL BE COMPLIED WITH WHETHER SPE�:IFIEO HE[iEIN OR <br /> LCGAl0E5CRIPiIONOFPROPERttISHOWNBEIOWORATfACNTWOGOfIE51 NOT. THE GRANTING OF � PERMIT DOES NOT :�RESUME 70 GIVE <br /> �oT BLOCK cF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION UF ANY <br /> OTHER STATE OR LOCAL LAW AEGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTIUN,THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH � <br /> APPLICATION IS MADE AND I CUMPLY WIiH THE STATE <br /> PARGEITA%LU.NOMBER CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> CONSTFUGTION lOAN LENUEII.�DURESS.TEL[PHONE NUMBER x ���/J, ,// ���---- �1`!/�//n <br /> lr <br /> SIGN/�YUR D4TE <br /> � <br /> CITY OUSINE55 UGENSE N0. <br /> PWMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR!TEM FEE N0. TYPE OF�EQUIPMENT FEE <br /> WtiTER CLOSET(TOILEn � A/C— A/HNDLG UNITS—H.P. ' <br /> 2ATHTUB � FORCED AIR SYSTEMS—B,T.U. M E.A. � <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER ' UNITHEATERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP ; CIOTHES�RVERS i <br /> DISHWASHER � VENTILA7101v FAN � <br /> LAUNDRY TRAY � RAtJGE HOOD �_ <br /> CLOIHES WASHER � WATEP.HEATER <br /> URINAL ' WOOD STOVE <br /> DRINK!NG FOUNTAIN i MFTAL FIREPLACE(WODD BUflNING} i <br /> FLOOR OflAIN FIREPLACE INSERT(WOOD BURNING) � <br /> BACRFLOW PREV��TERS � GAS PIREPLACE � <br /> SINK(SERV�CE—BAR,ETC.) GAS RANGE , <br /> � GAS PIPING <br /> � EXHAUSTFAN � <br /> i � <br /> _ � -- � <br /> i <br /> i <br /> SUB TOTAL 3 ; SUB TOTAL 5 ; <br /> PERMIT 5 i PERMIT S �` � <br /> TOTALFEE 5 <br /> � TOTAL FEE S �' <br /> FO" OFFICE USE ONLY: <br /> fRONTSf:Tfl0.CN REMSETOACN SIpESETBAf.N Pl�NC11ECNNUMOfR fEF PFCFIPTNO. <br /> us[zoNe ior nnea vnenr+r srte FEES VALUATION FEE <br /> iives r, nn nunnina � <br /> � <br /> IIEI(;IIiUMIiAiIOt! NO OF UWEILING Si2EOf�L�G/II � <br /> UNII$ F111M'1MG <br /> T <br /> OCCUPnNCV NO O�SIORrtS OGCUPAM LOFD BASEMENi MECiIArviCAI <br /> GROUP � <br /> fIVES II NO —' � <br /> FIRERLnPA1RE0D REA50Y A�DIIIONALPI.ANCNf.CN <br /> i <br /> OTH[fi � <br /> p�RF.SPRINKIERREOD AEASON <br /> i <br /> SiN[OIIIL�MC SIIfiCHAIiGE <br /> IYPEOPf,ONST PlANSAVPROVE�OV CIT1'OFEVERETT runiir.wonKs <br /> LOCAL SALES — <br /> untt TAX CODE IS 3105 70TA1 <br />