Laserfiche WebLink
. � <br />APPLIC.aT10�1 FOR CONSTRUCT�ON PERMIT <br />CITY OF EVEHETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />f-1 DEMOLITION fl COMBINATION rl BUILDING yl MECHANICAL �� PLUMBING fl SI(iN <br />PRWECTADDRESS yG� �� � , <br />LLr, IL� I�,.� �.�ick,o�.l i, �� v:-�� ��1�-��. i <br />OWNER MAIL ESS <br />�For'� /�J��"., � <br />TEN�NT M111LADORE55 <br />SAr►1t <br />cin <br />ARCHITEGTORDESIGNER MAIL�DDRE55 CITY zIP PMONE <br />GENERALCONTRJICTOR MAIL/�Op7E55 CITY � 71P PIIONE Si�TELICENSE� <br />MECMANIC�ICONTRRC MAILADORE55 <br />� fjMr <br />PLUMBINGCONTRACT NVL�DDRESS <br />� AME <br />CONiRACT7RICEOFM/ORIt�� I �Q .� <br />R <br />DESCRIBE VAMN �ND SIXMRE OO7AGE INVOIVED <br />P� P� Ra��� - ��' <br />PROPOSED USE OF BUIlUINO <br />iec�� oescr�Pnor� ov vnorERrr �sHown eeiow a+�n� <br />LOT BLOCN OF <br />CONS7RlILT10N LOIW LENOER. <br />WATER CLOSET (TOII <br />BATHTUB <br />UVATORV (VYASH BA <br />SHOWER <br />KITCHEN SINK 6 DISF <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKIN(3 FOUNTAIN <br />FLOOR DRAIN <br />TElEP110NENUMBER <br />OR <br />PERMIT S <br />TOTAL FEE S <br />FOR OFFICE USE ONLV: <br />FRONTSETN�CN RHRSFTB�CK <br />USEZONC LOTAREA <br />NEIGNTLIMIUTION NO.OFOWELLING <br />UNIfS <br />RE�SON <br />cin <br />SiDE SETBRCK <br />V�C�NT SITE <br />IlYES f' NO <br />• <br />. <br />HEATING SYSTEM: �GAS rl ELECTRIC fl <br />CONUCTpER50N RND VHONE NO. _. / <br />� o�- r co r. t,c -r �� <br />I HEREBY CERTIFV TH�1T I HAVE READ AND ExAMINED THIS <br />APPLICATION AND KNOW'!HE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHEN SPECIFIED HEREIN OR <br />NOT. THE ORANTING OF A PERMIT DOES NOT PRE3UME TO 61VE <br />AUTHORITY TO VIOUTE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REdULATINO CONSTRUCTION OR THE <br />PERFOFMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS E A D I COMPLY WITH THE STATE <br />CONTqACTOR W 18.2 A 200 WAC. <br />X / • ll� _CL� <br />NO <br />FORCED AIR SYSTEMS — B.T.U. M E.A. <br />HEAT PUMP <br />UN:T HEATERS — B.T.U. M <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RAN6EHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING) <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL S <br />PERMIT S <br />FUN CIIEGR NUMBER I FEF . I RECEIPT NO. <br />OUII DINC <br />512E OF BLOGRI <br />PUIMBMG <br />B�SEMENI MEC114NICRL <br />f h'ES Il NO <br />P�D�I IONPI. PLAN CHf.GK <br />OTMER <br />SiAIE 9UILDING SIIRCNARGE <br />CITY OF EVERETT rumic won�s <br />IOCALSALES <br />TAX CODE IS 3105 TO7AL <br />