Laserfiche WebLink
"_ .-�r <br />APPLICATIt+A FOR CONSTRUC7 �ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />fl DEMOLITION f 1 COMBINATION �1 BUILDING ( 1 MECHANICAL i 1 pLUMBING f 1 SIGN <br />PROJECT ADDRESS <br />3703 f{a�.�� �✓L� <br />OWNER M�ILRDDRF55 CI�Y IIP PIIOY.[ <br />�srT l�r����o� a�.o� Ffu�vp� �►s �,E�Er-r 98a�� �ss—�s33 <br />ICN�NT MGII ADpp[55 f.11Y lIP PIIONE <br />ARCIIITf.CiOR0E51GNCR M�IIA�OIlE55 �Iiv )IP PIIONE <br />�tJf�S�F�ED �i.11Sf�J�GfS 3�oa-2�a"'= IJ,.�,���„K-T�qgy�3(3�o)y3� o�h{�I 3���18 <br />�ENEfinLCONiMCiW MrIIL�ODfi[55 CIIY )iP PIIONG cfnifllCPNSf.� <br />.. CT..�._ /_ _.., r. ....�_ _ " _ . <br />MECNnNICALCONIq�CTOfI MAILADpPF.55 CITY 71P p110NE [TALEIICENCE• <br />PLUMBINGCONIRRCTIXi MAILA�URE55 CI1Y IIP p110NE $Tr1IELICGNSE� <br />l� �ri. .9-rJ"O . :� /'� '7/ — <br />pESCRIBE Y/Oi1K <br />iec�i oescmm�or� oF �ori <br />LOT BLOCK <br />TNfID NUMBER <br />INVOLVED <br />..0 S – <br />� <br />cor+stnucnor� �o�r+iEr+oEn, noonEss. reiEr��orvE r�u�.nen <br />PLUMBIN6 <br />NO. TYPE OF FlXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV(WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISP <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />UR�NAL <br />DRINKING FOUNTAIN <br />BACKFLOW PREVENTERS <br />SINN (SEHVICE — BAR. El <br />.� � o <br />Twocomes� <br />SUB TOTAL 5 <br />PERMIT 5 <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />ff10Ht SFTPALK RGnfISF.TBACK SIDE SETB�CK <br />US[20NE <br />NEIGIIT UMIT�iION <br />OCC^�ANGY 1q f <br />Gn r I <br />f IRE AUR41 REO � <br />Na <br />nne svaiNKi r a m <br />N� <br />TYf E O� f.ONSI <br />V 4 /V <br />HEATING SYSTEM: IIGAS f1ELECTRIC f� <br />eor�rncr vensor� nrm r��or+e No <br />1 HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORD�NANCES GOVEPNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIFD 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 I AM AUTHORIZED BV THE <br />OWNER OF THIS PqOPERTY TO PERFORM THE WORK fOR WHICFI <br />APPLICATION IS MADE AND I COMP�.Y WITH THE STATf: <br />CONTRACTORS,IAW 18.27 RCW AND 29620L WAC. <br />x l�z��"��u._�!�.._ 7- "L�!- �'� <br />sicr��nme oatc — <br />na'7 � ��01 <br />GfY OUSAI[SS LICENSC NO <br />NO. TYPE OF EQUIPMENT FEE <br />!VC — A/HNDLG UNRS — H.P. <br />FORCEDAIRSYSTEMS—B.T.U. M E.A. <br />NEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BUFNING) <br />FIREPLACE INSERT <br />GAS FIFEPLACE <br />GASRANGE <br />EXHAUSTFAN <br />SUB TOTAL S <br />PERMIT 5 <br />TOTAL FEE S <br />PI�IICII'HC�U��� �(EF���� IRFCEIPTNO <br />� <br />iot�nFn vcnNtSitE FEES <br />IIYES 1 NO <br />AI➢tDi9G <br />NO OF D1VElUNG SIT[ O� flIOGRI <br />UNRS :1 (_O PlUNf1iN. <br /><lO <br />OCLUPnNIIOSD AASEMENi MFf.1UNlf.�l <br />� IIYES / <br />PFASOY <br />ADp110N�1 M FN CHCCN <br />�,,.« <br />STAtE pIPlD1Y0 $IIRCIIMOE <br />CITY OF EVERETT rimi�c wmKa <br />LOCA� SALES <br />TAX CODE IS 3105 TOTAL <br />07J <br />"� <br />