Laserfiche WebLink
-. � <br /> APPLICAT�JN FOR CONSTRU�, i ION PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> O DEMOLITION fl COMBINATION f 1 BUILDING rl MECHANICAL fl PLUMBING 5d"SI <br /> PROJECT ACDRESS/oas ��G�F�� �vE _ �_f/EizGTT u✓�- S�� � <br /> MML�OINiLSS GITY /iP PHON[ <br /> Ny�ET S��N� <br /> i�cruNEq utnz� /oaS Pa�ci��c /�v� rt/errff (✓Y�-55'�ot ZS`r.5 /9J <br /> TENANT MML�DDRf.55 /� CITY lll' PIIONC <br /> PU�:-�T SOvH!� DU S n+�e.�(' �c. 19Ve. . /:✓¢��l"I- v�1i4 iY201 .�S`f �' y I�I, <br /> K�DNE�f �N fr- / <br /> �PCNIT[CT0170ESIGNER MRI�NUDRL55 QTY ]IP PIIONL <br /> BE/ZI�J�i/�/E'ON CD. /?J. �dX 51.6�� Lti�y_w �cd k-•�4�G'J�/4' %J�a-�Y35 (3E122`�NcU 77c <br /> 6ENERALCONtRAG70p MMLAODRESS CIV 21P PNONE STATEUCENSE� <br /> �`,C°12Y NrdN c0- /?<J- �3CX -s 2G,5 uiv�nwcn� W�; SyO1I( 77(��SY33 13�1[/Z�/N' 077C <br /> MELMANIL�LCONTRRCTOR MAIL/�DOf1ES5 GTY 21P PHON@ STATEUCENSE� <br /> PWUBINGCONTRACTOii 1AA�LAODRESS CIIY IIP INONE STATELIGENSE� <br /> �pMRAGt�R�GEOFWO�KJ HEATIWGSYSIEM^-R-GAS-EI-ELECTRIC ❑ <br /> �Q � <br /> pE$C IBE MNRI(11t1� ARE FOOfAGF�NVOLVE CONT�CT P[RSON AY�PNONE NO. � � � <br /> ��-.{„�,C�.1.7 CJ1 0� Noni i4��n��nwn� �2C F L '7 <br /> �E'trr2s' o.v BLt�G-_ Fl�+-cr� . <br /> I HEREDY CERTIFY THAT I HAVE i7EAD AND E%AMINED TF <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.F <br /> rnoroseo use oF auadnc � pROVIS�ONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE� <br /> /C�ESL I�QG/-/ '� /�U5 p/T/��- WORK WILL BE COMPLIED WITH WHETHER SPECIFIED MEREIN � <br /> LEGALDESCRIPTIONOFPf10PLRttISHO�OELOWO�p�T�CMIWOCOPIGS) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GI <br /> Lp� // � �S eL�N 72 3 oF D �v�5ic/v tf p.UTHORITY TO VIOLATE OR CANCEL THE PROVISION OF A <br /> CTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR T <br /> PERFORMAkCE OF CONSTR�JCTION.THAT I AM AUTHORIZED BY T <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHI� <br /> APPLICATION IS MADE AND I COMPLY WITH THE STA <br /> . CONTRACTORS LAW 18.27 RCW ANO 296.200 WAC. <br /> PARGELTNlIO.NUMBER /l ' <br /> y37S- 7z3 p il - o � ��--- x ���..?�--,. �� 1 3-11- �5� <br /> GONSTRUCt�ON LO/�N L[NDER.�UDNE55.TELEPNONF NUAtOLA O�TE <br /> SIGN�TVIIE O� �� y� <br /> J <br /> CITY OCSME55 UCENSG NO. <br /> PLUMBIN6 MECHANICAL <br /> HO. TYPE OF FIXTUHE OR ITEM FEE NO. TVPE OF FU(TURE OP ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—ARiNDLG UNITS—H.P. ' <br /> BATHTi'l FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) HEAT PUMP ' <br /> SMOWER UNITHEATERS—O.T.U. M � <br /> KITCHEN SINK 8 DISP i CLOTHES DRVERS ' <br /> D�SHWASHEH VENTILATION FAN ; <br /> LAUnDRV THAV ' RANG[HOOD <br /> CLOTHES WASHER —'-- WATER HEATER ' <br /> � WOOD STOVE � <br /> UIIINAL ' <br /> DRINKING FOUNTAIN � METAL FIREPLACE(WOOD BURNING) � <br /> i FIREPLACE INSERT(WOOD BURNING) ' <br /> FLOOR DRAIN � <br /> BACKFLOW PREVENTERS GAS FIREPLACE � <br /> SINK(SEHVICE—BAR.ETC.) GAS RANGE ' <br /> � GAS PIPING _� <br /> E%HAUST FAN ' <br /> . ' <br /> i <br /> � <br /> SUD TOTAL E ; SUB TOTAL E � <br /> PERMIT $ PERMIT E � <br /> TOTALFEE E ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: ����'�'� � �� �� yr <br /> � PL�N CI IGCN NUMOgq f@Ei�"- RECEIPT NO. <br /> FPONTSETBACN RERp SEiORGN SI�GSETOACN i <br /> 4-� �•�� �_ <br /> LOT�AW vncnNisrte FEES VALUATION FEE <br /> USE r J <br /> .i`� Il VES (1 NO OUQUING �`� � <br /> ✓ � <br /> MEIGHT LIMITATION NO Of OWLLLING 5�1E O�01.WR1. � <br /> LNITS PIUMpING <br /> � <br /> 1 <br /> I <br /> OCGUP�NGY fq.Of SID111L5 IICGUI'ANI LU4U O�SLMENI � MCCII�NIGM � <br /> GROUP <br /> h' ��YGS 11 NO ///''^�� <br /> ADOI710NR1 PLAN CIIf.CK J�t' <br /> PIREAU��MAEO'D Il[�SON � <br /> on��n <br /> I FIAE S��NI(LEfl RE00 RE�SIXJ STATC OUIIOWG SUfIC1UPGE ���'�� <br /> V r <br /> . i <br /> � TVPE OF LONST. PL�NS rrnov�u ov CITY OF EVERETT runuc wonKs <br /> �SM LOCAL SALES '� '� <br /> i <br /> D�TE <br /> .L � TAX CODE IS 3105 TaTA� � • J i <br />