Laserfiche WebLink
,- <br /> APPLICATIO.� FOR CONSTRUCTI.�N PERMIT <br /> CITY OF EVEHETT•BUILDING OIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259•8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ AAECHANICAL ❑ PLUMBING ❑ SIGN <br /> PRWECTADD ESS: 3/OS P��vE ST• E/iEX'F-rT� /�_ <br /> Soawll �Ra.-�n�s /R� Nrcrnesr�.,� Su�rF inr � �c�A 98/09 ��6J�$9 9971 <br /> OMMER 1. CIIY Z�P PIqNE <br /> GuESr- C�Asr Qiacr� l-la � ��as l�%NE 5r Ev�n--,�ac6 � 339•3333. <br /> TEIUNT MIUll100RE55 CITY TIV V110NE <br /> �RCM�CCTp1UE51GNER AWII�WRE55 Cltt 71P PNONE ONO• zOSJP <br /> �19 a�o xzv� QaoFr ivF� 9/�/6 Fa,K..�F7�-'c S' s.w � sc�q� WA . �?cw) 93x�v 8 S 7 <br /> OENEMLCONiR�GTdi MNLAOOHE55 �IfY JIt' M10 E Af�TEIICFNSE� <br /> MECM�M�CAICONTR�CT011 MnItADd1E55 Cltt IIP PHONE ST�TEIICENSE� <br /> RUAlNC CONTR�CTOR MAILAOOf1E55 CIIV pP P1qNE Si�TE LICENSE� <br /> CpITMCT PpI�E pF yq1V( <br /> /Z R °_` HEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ <br /> oe �w rooT�aesrvaveo cowue rensawu�o ra <br /> '� Ca�na O o0 LE" ! P ' /t/0 `t/ <br /> Zo •oSS <br /> 1 HEREBY CERTIFY THAT I HAVE qEAD AND EXAMINEO THIS <br /> vnoros¢o use a euKurq APPLICATION AND KNOW THE SAME TO BE TRUE AND CORqECT ALL <br /> � L PROVISIONS OF IAWS AND ORDINANCES(iOVERNIN6 THIS TVPE OF <br /> WORK WILI BE COMPLIED WITH WMETHER SPECIFIED HEREIN OR <br /> �°K°Esc"i°n°"aP"°"E"TM�a�°�""°Ei°�"°""T'"�"""°c°i"Es� NOT. THE ORAN7IN(i OF A PERMIT DpES NOT PRESUME TO GIVE <br /> iuT xoa a AUTHONITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR IOCAL LAW REOULATINO CONSTRUCTION OR TME <br /> PERFOpMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> ONMER OF THIS PROPERTV TO PERFORM TME WOHK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> ►w�i iac i. .M�p CONTRACTORS LAW 1827 RCW AND 298.200 WAC. <br /> � ' � � �/,(� [/'`, '7/n ' /�. p� p/ <br /> CONSTiMIC LdW LENOER.AODRE55.TElEP110NE H y�.�[Xl� 1���1i�1/�- D' O� /4. <br /> O(9f23 oae <br /> arr eus►�ss��cerisc no <br /> ���� MECNAINCAL <br /> NO. TYPE OF fl1ITIlRE OR ITEM FEE NO. 7YPE OF EOUIPMEM FEE <br /> WATER CLOSET(TOILEn � NC—AhiNDLO UNfT3 � <br /> �T�T� ' FOHCED AIR SYSTEMS � <br /> UVATORY(WASH BASIN) � HEAT PUMP , <br /> ��R ' UNIT HEATERS � <br /> KITCHEN SINK 8 DISP ; CLOTHES DRVERS ' <br /> qSHWASNER � RANGE HOOD , <br /> LAUNDRV TRAY ; WATER HEATER � <br /> CLOTHES WASHER � WOOD STOVE , <br /> URINAL � METAL FIREPIACE(WOOD BURNING) ' <br /> DRINKIN6 FOUNiA1N � FIREPUCE INSERT(WOOD BURNING) ; <br /> FLOOR DRAIN � GAS FIREPLACE � <br /> 9ACKFLOW PREVENTERS ; GASRANGE ; � <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPING � <br /> ' IXHAUST FAN � <br /> �' <br /> � �---- <br /> � i_ <br /> � � <br /> ' T� <br /> SUB TOTAL f ; SUB TOTAI f —� � <br /> PEFMIT S i PERMIT f �- <br /> TOTAL FEE S � TOTAL FEE S �_ <br /> FOR OFFICE USE ONLY: <br /> fRONT5ETB11C1I IIE11q$ETBACN .�ESETB�CK PlANC11ECKMIMRER fEF REf.tiPlNp <br /> us¢zor� IOi�REA v�awryre FEE VAWA710N FEE <br /> T <br /> ❑YES ❑� BUIlDIN6 ��v �C'f i <br /> 11E16NT LIM/�TbN Np OF OLYEIUIq SRE Of B106/f I 'f� <br /> UN175 PlU4BING i <br /> ��FNCY Iq pi 51M[5 OLCUPANf LOAD lASEqENT MECMeNICAL i <br /> ❑YES ❑NO -- <br /> FIf1E5%IIN1lLERREO'U RFASON AOOIiION�IM�NC11f.LN <br /> �__ <br /> ou�en I <br /> FIPEAURAIpEO'D RF��ON <br /> � <br /> ST�1E BUIIOwC SUn;,N��GE —_ —�'�f 1 � <br /> L]✓ <br /> TrvE a r,oNsr PUNS APPROVED BV CRY OF EVERETT runur,won■s <br /> LOCAL SALES — --�— <br /> o�rt TAX CODE IS J105 TOTAL �3 ;sv <br />