Laserfiche WebLink
/�,PPLICATIt��I FOR CONSTRUCT �ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STFEET • EVERETT, WA 98201 • 259-8810 <br />I-1 DEMOUTION ( 1 COMBINATION pf BUILDING MECHANICAL � <br />�on �cnT ��.'..,.-.... � PLUMBING fl SIGN <br />[ ur �n <br />757- � �oo <br />""' +'v r�wNE <br />ARCNIiF.CTOR�E5IGNER MAILA��RE55 CITY <br />7�� PHONE <br />�Si .� ��ti�f �9/S n�a�/�.w-� Evr��f� y��iZo_3 %ZaG� S�-6S3/(T��/�� <br />GENERM NiRnCi(M MAI�pD�BE55 ���Y — <br />ZIP p110NE SIAT[LICGNSE• <br />�l�c . �� 4� E� �r4Y ���%��-�ic 7c2G Gi ol 4J�t �nHJcu/ cf(j037 �z�G � 7°7 G7�c� <br />MECHANICALCONTRAPTOR MRI�pD�RE55 C�� E�ECTEc IIOQI{ <br />� L ��P PIIONE STATE LICF.NSE • <br />/ 1 J � G <br />�'CC /r(4 � �1� jqy! ��/ia�/`i I l-�2� � �.�ccl � 4.ky Lyti:��,r�/ /�� � �%U�l %°% �+7�� LEG7E ���� <br />PLUMBINGLONiRnCiOR MAI�qODRE55 ��ry � G <br />/ Z�P PHONE STATE LICENSE � <br />�(� /�( R .1�/a �ul�i��'�if G�ZIJ �l–Eu�?Lt/' � nn<ycuJ %Yv) % � % r <br />CONjR� T PRICE OF WORK —L 2�� ��• '�7GV G�L TFL I IO�' <br />_'��Uuc7o. c� N � ��, <br />'^' '� ,4 .� ,/ /' � HEATING SYSTEM f I GAS I-1 ELECTRIC ( 1 <br />DESCRIBE RK AND SOVr1PE FOOTRGE OlVEO <br />26 <br />8 ry,Us,� �!-�l <br />6 �Y��,� -(,� / <br />0 U�E OF B�IILDING <br />��H i7H���r�9 / <br />ior v aiaK <br />PARCELLVII.D.NUMBER <br />mainW UrvIV��/NIENDER.�p RE <br />/G+'t / /!/ �j�ln <br />33 Z S t-� Ev�.�7/ <br />LUMBING <br />NO. TYPE OF Fl <br />WATER CLOSET (TOIL <br />BATHTUB <br />o LAVATORY (WASH BA; <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWqSHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />FOR OFFICE USE ONLY: <br />fRONTSEipRCK REM; <br />'7iT � � <br />USE ZON� � <br />� <br />NEIGIR UMR�� <br />OCCUPANCY NOC�S <br />ncnour n <br />F' ✓ � L <br />Fin �uaMneon <br />FIRF. SPRINRI ER Rf.OT <br />trve or r,oNcr <br />�� _ <br />i �� <br />�l� <br />OR R' <br />55� TFLEPMONE NVMDER <br />%� <br />�,�,�,,; �:,y r <br />XTURE OR ITEM <br />SUB TOTAL $ <br />PERMIT S <br />TOTAL FEE $ <br />SIOE <br />__...__.. �...,......�....., � _- _ <br />� NIZ% �i+�.k�� �L�Y>� >j��/%i-, <br />Z ���� .,Liin U � ��v) 787-6700 <br />1 HEREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS <br />APPLICATIO� AND KNOW THE SAME TO BE TFUE AND CORR�CT ALL <br />PROVISIONS OF LqWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTHUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF T PROPERTY PERFORM THE WORK FOR WHICH <br />APPLICATI IS MADE U I CO Y WI7H THE STATE <br />— CONTRA S LAW i8,t7 W ND 296. WAC. <br />/ / <br />x �� `� �2-is-ys <br />51 Nrl URE Dr1TE <br />�D%/ 7 CINBUSINESSLICENSENO <br />FEE I NO. <br />� <br />TYPE OF EQUIPMENT <br />FORCED AIR SYSTEMS — B.T.U. M <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRYERS <br />RANGENOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE i <br />FlFEPLACE�NSERT <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />PLANCIIFCKNUMBfR IFEf <br />SDJ (�S <br />i.oranen vncnHrsir FEES <br />a I�Y$ fINO <br />DOIL�Mfi <br />NO OF D^IELLINf. SIZE OF BLOG41 <br />UNIfS Z zlv76 S.f. G/vxKr L <br />.� �� �1VM01NG <br />OCCUPANILpnU BASEMENI <br />MEC11/NICRL <br />N ti ��YEs �b� <br />nFnsou aoonioHni r�nN c��rck <br />on�ei� <br />�1FAS0!1 <br />STA1E OUILDIN6 SIIRC11AfifE <br />cinvsnrrqovFnnr <br />J� CITY OF EVERETT roni ir. wonKs <br />LOCALSALES <br />untt 1�/Z�9G TAX CODE IS 3105 TOTAL <br />SUB TOTAL S <br />PERMIT $ <br />TOTALFEE S <br />RECFlPTNO <br />l l�U <br />i <br />