Laserfiche WebLink
APPLICATtQ"�: FOR CONSTRUCT;�)N PERMIT/ <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVEAETT, WA 98201 • 259-8910 <br />❑ DEMOUTION ❑ COMBINATION � BUILDING G MECHANICAL ❑ PLUMBING ❑ SI(iN <br />PROJECTADDRESS: %D� NiqGVT/YU,e%/E Sr <br />or�a wu��ooness an zm n�oa¢ <br />R/CN.9RoN�<<Soi►' �'i9ir7E ttiEX6lT 9PdDi dSy-33/i <br />TENMlT MN11100�E55 CITY lIP FIqNE <br />�qq�IECTOROESIG11Eq \WIMdiE55 GITY IIP P11pNE <br />SUNSET O�S' .SND/fOq'y5/j (o(og-78y7 <br />aer�iweoNttucraa MNLIIDDl1E55 crtr nr mar� sutet�nse. <br />�awacKta�m�cla� ww�oo�ss citt rm PIIONE ST�TELICENSE� <br />PWIANGCpNTRACTdi Mu1A0011E55 CIfY IIP PIIONE ST�TEIICENSE• <br />GONIIMCT PWGE OF WdU( <br />� .�soo <br />OElCRIlE WOIII(AND SOU�RE FOOTAOE NVOWED <br />,PEPCACE RaOFOYE�f DEC.t <br />lE6K OESGRPI�OM OF PfqPERTV (SN01M/ BELOMI ON I1R11GN <br />�or ! e�odc 000 � �00 � H/9LUTh <br />�qDl�t T/ DN <br />PAqCEI TIUI I.D. MIMlER <br />�f��rs -oao-oo�-Doa9 <br />fANSTIMIC110N LdW LENOER. Md1E55. TELEP/IONE M1MlER <br />N0. TYPE OF FlXTi <br />WATER CLOSET (TOIU <br />BATHTUB <br />UVAI ORV (WASH BAf <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASFIER <br />UUNDRY TRAY <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL f <br />PERMIT t <br />TOTALFEE f <br />FOR OFFICE USE ONLY: <br />FIIONTSEiMCK REMSETBIICK <br />USE 10�1E <br />11Fid11 IIMTATION <br />OCG�P�NCY rq ( <br />6 , <br />FiRE SVNHKLER flEl <br />N� <br />FliIE AIMM RC-0'D <br />N� <br />rrve oF' r,or+sr <br />V-� <br />IOTARE� <br />ra a owEwra <br />UNITi <br />SIMES OLCUP�N.1TIOAD <br />� r � . <br />SIOE SETMC1c <br />V�G1NT SITE <br />❑YES ❑ NO <br />s�zE or xoort.i <br />OYES <br />�veo ax CITY OF EVERE7T <br />i� LOCALSALES <br />. �_ q(, TAX CODE IS 9105 <br />HEATING SYSTEM: L7 GAS ❑ ELECTRIC ❑ <br />CONf�GT PEfI50N A!q PIIDNE Np <br />A/CK ni/ELSoni .�GG-GG/F C�K <br />�25y'- 33// ffM <br />1 HEREBY CEHTIPY THAT 1 HAVE READ AND EXAMINED THIS <br />ApPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPIiED WITH NMETHER SPECIflED HEREIN OR <br />NOT. THE ORANTIA3 OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR IfKAL LAW RE6ULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. TMAT I AM AUTHORIZED 8Y THE <br />OWNER OP THIS P,90PERTY TO PERFORM TTiE WORK FOR NMICH <br />APPLICATION IS ��AOE AND 1 COMPLY WITH THE STATE <br />CONT ACTORS lAW 1.27 RCW AND 296.200 WAC. <br />Y ��.,i� ��G, G�S�9L <br />SN'.�i1 Nl�� � D�TE <br />CITY BUSINE55 LICENSE NO. <br />MECHANICAL <br />TrPEOFEWNPMENT FEE <br />A/C — AhMOLO UNfTS <br />FORCED AIR SVSTEMS <br />UNIT HEATERS <br />RANGE Fi00D <br />WATER HEATER <br />MEfAI <br />SUB TOTAL <br />s <br />Pll1NC11ECNNUMBfR � FEF f �CEIPTNO <br />BUILO'��6 <br />PtUMflING <br />MEG�UNILq. <br />11Dp110N�1 PUN GIF.CN <br />on�en <br />S1AlE BUIIUINR $IIRG1pi(iE <br />ruei �r, won�s <br />TOTAL <br />