Laserfiche WebLink
APPLICATIt,�I FOR CC,PlSTRUCI.ON PERMIT <br />CITY OF EVERETT � BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />I 1 DEMOLITION I I COMBINATION i I BUILDING f� MECHANICAL i 1 PLUh9BING i I SIGN <br />PROJECT ADDRf_SS /� <br />112 W. Intercity Avenue �1F-�J <br />OtvNER ��NLqpOnES$ Clrv 2�r PI�CNE <br />Blanlc fi Blank Properties P.O. Box 2266 Everett 98203 355-4725 <br />TEN�NT MAILADDfiE55 Cltv ZiP PHONE <br />ARCHIiECTOR�E5IGNEP �1AILAOORE55 fITV ZIP PlIONE <br />GFNEf��LCONTRACtOR MAILA�DRE55 ❑iY ZIP PNO4E StATELICENSE� <br />BLank & Blank Properties P.O. Box 2266 Everett 98203 355-4725 <br />MECH�NICALCOYTRACTOR MAIIADUPE55 CITV 2�P PIIONE STATELICENSE� <br />i'WM1�tl�YGCONiRACTOR NNLA�DRE55 <br />Robinson P1bg.,Inc. 607 SE Ev Dtall <br />CONiRAGT PRICE OF WORK <br />DESCRIpE WORN AND S�l1ARE FOOTAGE INVOLVEO <br />Sarinkler svstem <br />LEGAl0E5CRIPTION OF PROPERTV �SHOWN 6ELOW OF aT7AC11 TWO COPiES) <br />LOT BLOCN OF <br />PMCEITA%ID.NUI.IBER <br />CONSTRUCTIONLOANIEN�ER,AD�RE55,TF.LEPNONE NUMBER <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAM <br />BACKFLOW PREVENTERS <br />SINK (SERVICE — BAR. E7 <br />❑iY ZIa PH04E STAtELICENSEd <br />4�26, Everett 98208 355-6171 ROBINP*272C2 <br />HEATING SYSTEM: I_1 GAS rl ELECTRIC rl <br />�OYTACi PER50Y ANp PHONE NO. <br />I HEREBY CERTIFV THAT I HAVE READ �ND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WI1H WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVI510N OF �1NY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI�ED BY THE <br />OWNER OF THIS PqOPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STF7E <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />X '.k�k+'=�Ln� /�� .Q/(/� � <br />SIGNATl1R[ AT[ <br />CITY IlU5ME55 LICENEE N0. <br />MECHANICAL <br />FEE N0. TYPE OF FI%TURE OR ITEM <br />� A/C—A/HNDLGUNITS—H.P. <br />; FORCFD AIR SYSTEMS — B.T.U. I <br />i HEAT PUMP <br />� UNIT HEATERS — B.T.U. M <br />' CLOTHES DRYERS <br />�T <br />� VENTILATION FAN <br />RANGEHOOD <br />� WATEF HEATER <br />_ SUB TO� <br />PERMIT S <br />TOTALFEE S <br />FOR OFFICE USF. ONLY: <br />FRONT SF.TI3ACK ' REAP SETpACN SI�E SETOACK <br />US[ZON[ LOTAREA VACANi51tE <br />f1YE$ fl NO <br />IIFIGIITLIMITATION NO.OfUW[�LRIG 512EOF7lOG/CI. <br />UNITS <br />Flt1E <br />OG'UPnNT�0�0 I BASEMENi <br />f7vES l NO <br />iiEA50N <br />WOOD STOVE <br />METAL FIREPLACE ( <br />FIREPLACEINSERT <br />GAS FIREPLACE <br />GAS RANGE <br />G.AS PIPING <br />PLAN GHECK NUMOF.R <br />U�i�� <br />9WLDING <br />: .JIA�ING <br />NECHANICAL <br />App1710NAL PLAN CHECK <br />Oi11ER ��,� ��� <br />STAiE BWIDM(3 St1pC11ARGE <br />CITY OF EVERETT I runi.ic wonns <br />LOCALSALES F <br />TAX CODE IS 3105 � TOTAL <br />BURN W G� <br />r BURNIfVG) <br />SUB TOTAL 5 <br />PERMIT 5 <br />TOTAL FEE S <br />fEE FECeIPTNO. <br />/%`� <br />� <br />FEE <br />