Laserfiche WebLink
APPLICATIA FOR CONSTRUCI%N PERMIT <br />CITY OF ET • BUILDING DIVISION <br />it 3200 CEDAR STREREETT - E <br />VERETT. WA 98201 •257-0810 <br />I - DEMOLITION Q•: COMBINATION !, BUILDING 17, MECHANICAL '-1 PLUMBING SIGN <br />PROJECT ADDRESS -A ... _. _ . i In l <br />ITCDc�TIis <br />51/ YC`i si <br />171u�:U3� r7k775— <br />�1d>�JY7 s1o� <br />TEx.ru MAnADDnESSEss <br />cnv <br />rm <br />rrarA -- <br />Apo" aox DESIGIIEEI MAILLWPESS <br />CITY <br />zW <br />pwNE <br />Zm <br />;2yl f lir� Lv7u,`G�,i �1Cf� PL o�fea <br />'ON1nACI mlcE a wopX <br />�OLA+Th•AGT-i at-y CP' (771ODU <br />- T— <br />HEATINGSYSTEM: GAS 7ELECTRIC <br />M.^.CDIDE WDRX AND SQUARE FOOTACE INVOLVED <br />NEW l""'PICIAC.T; - <br />LCNTACI PERSON AND AgMpg <br />.6«u yzs- ti <br />as d � r� -731 <br />�� ��''11 ^� <br />7- 0054(AIM760106 <br />0054 <br />I HERESY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORPECT. ALL <br />PROVISIONS OF LAWS 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 />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RC W AND 296.200 WAG. <br />/ _ G` ��-0 1 <br />[loo <br />nnorros[O sE-BuauNn <br />am[MscnnTurvaP �J wrvDuow oxA oII conitsl <br />LOT �,] OCX �(_L( <br />C EF` LOCgI- <br />�40.O/ D <br />PARCEL TAA 10 NOMDEII <br />AAFI1 �jAwf <br />slnucMXILONI LLNDEn, I[ss EaEl'rgN[r1vYR[n <br />_— <br />scruul� oA.L <br />/W� <br />GIYBUSIN[Ss�CN5EN0�7���— <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) / <br />AC—AHNOLG UNITS <br />_ <br />DAMTU13 / <br />FORCED AIR SYSTEMS <br />IJ <br />-L <br />LAVATORY (WASH BASIN) / <br />HEAT PUMP <br />'- <br />SHOWER / <br />UNIT HEATERS <br />•{ <br />I <br />KITCHEN SINK A DISP <br />DISHWASHER <br />i <br />i <br />CLOTHES DRYERS <br />RANGE MOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />/ <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />I <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />' <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />i <br />GAS RANGE <br />SINK(SERVICE — BAR. ETC.I <br />GAS PIPING �J <br />EXHAUSTFAN <br />r <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT $ <br />' <br />PERMIT S <br />TOTAL FEE S I <br />i 1 <br />11 <br />If, I juv TOTALFEE S <br />_ <br />FUR OFFICE USE ONLY: I • /�77. A/.2 <br />f ROM SETBACX <br />ZO <br />REAP SCTBAC <br />; <br />SWE mm" <br />�� ✓� <br />ryyKNCGX 49Cp <br />/Vj�\ <br />FEE Q <br />% <br />"EIPT NO <br />USE ZONE <br />_ <br />/ <br />LOTARrA <br />VACANT sin <br />°YES D NO <br />FEES <br />VALUATION <br />FEE <br />BUXdrq <br />562� <br />NEIGNEr,MITACpN I- <br />2 <br />UNITTS OwELIttID <br />3UE OF 13&�61te <br />RUMBYq <br />ODLR-UPAMY NO DE STORES <br />•3 J.E <br />OCCUPANT LOAD BASEMFM <br />Drss wIo <br />YFONANrCU. <br />ACq[KMIAL FIANCRECX <br />P <br />22 <br />iNE SPpINXLCR PEOD <br />REASON <br />OTHER <br />CmEAUFLI RE00 <br />pEASIXI <br />STATE BUADIND SUnZI A <br />7 <br />TYPE OF CONST <br />T- <br />.Y- <br />nANSAPPpovEDar <br />DATE 1(_ <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 0105 <br />r,sLIC EYOPAs <br />TOTAL <br />