Laserfiche WebLink
--� -, <br /> _ ._,�„ APPLICATIO�1 FOR CONSTRUCT�ON PERMIT <br /> , CITY OF EVERETT• BUILDING DIVISION <br /> �•� - 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> >,., <br /> `'��� f-I DEMOLITION `� COMBINATION f-1 BUILDING !-1 MECHANICAL �� PLUMBING f l SIGN <br /> �,a:., <br /> ,�.y"' '� PROJECT ADDRESS /) , � <br />�.'�-' .. (�� / � <br /> ''�!°7'� ER � M�IL ODRESS Cltt ZIP PNONE <br /> ,{,�J •.,. � ' � a��e�eT, �G � Z� � <br /> �Y3',h•l�. 1 NANT MAILPDDRE55 CITV 21P PHONE <br /> ''��".'. <br /> :5����+'� ARCHITECTOROESIGNEi1 MPILADDRE55 G1TV ZIP PHONE <br /> 3�' <br /> .•x'1�;;`� <br /> f�� -: GE RAL T TOR MRILROORE55 / � CIiY ZI� / �,Pu0`E FTAT@ LIC(E'N(S�/E� �+ / <br /> �� . � '� zZ y( G'tLS�J �1 � <br /> : � _ .L V (/../�i�GU/� 7 ' <br /> �s' MECHANICRI CONTRAC R M L DRE ZIP /f PIIONE STATE UCENSE• <br /> �.�` ` � ' � � � t� 2 - �� -�/ <br /> >,. : <br /> F-=�1 PL BING NT AC OR MAILA�DRE55 CI ZIP PHONE STATELICENSE• <br /> +._7.' ' \ <br /> , lG�� a oti <br />� ' ON � i PPoCE OF WONK '�� G� <br /> HEATING SYSTEM: �f GAS I�'ELECTRIC fl <br /> DESCRIBE WORK PND SOUPRE FOOT�GE INVOLVEO �� CONTRCT PERSON PND PMONE h0 <br /> . ` I � � <br /> I HEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> ��J1' � �'�' "� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROPOSED USE OF BUILDING � �y PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �' ''"`�Q� � WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEG��OESGRIPiIONOFPROPERTYISNOWNBELOWORATTqCHTWOGO es1 NOT. THE GRANTING OF A PERMI7 DOES NOT PRESUME TO GIVE <br /> iot BLOCN oF AUTHORITY TO V�OLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFO E OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> O R OF T PROPERT TO PERFORM THE WORK FOR WHICH <br /> PLICATION MADE AND I COMPLY WITH THE STATE <br /> � PARCELTA%IO.NU n ONTRACT W 10.2 CW AND 250.200 W C. <br /> �� O� Gl`70 /% � <br /> GONSTRUCTIONlO� .LENDER.AODRESS.TEtEPHONENUMBER - <br /> SI l E On�[ <br /> .Q 5 Cltt BUSINESS LICENSE NO. <br /> t <br /> PLUMBIN6 MECHANICAL <br /> NO. TVPE OF flXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> --,— <br /> � WATERCLOSET(TOILET) � A/C—A/HNOLGUNITS—H.P. <br /> / BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) � HEAT PUMP ' <br /> SHOWER � UNITHEATERS—B.T.U. M <br /> KITCHEN SINK 8 DISP ; CLOTHES�RYERS � <br /> DISHWASHER � VENTILATION FAN ' <br /> LAUNDRY TRAY ; RANGE HOOD � <br /> CLOTHES WASHER � WATER HEATER ' <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN � METAL FIREPLACE(WOOD BURNING) � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKF�OW PREVENTERS ; GASFIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) GAS FANGE ' <br /> GAS PIPING <br /> ; EXHAUSTFAN ' _ <br /> � <br /> � ' <br /> SUB TOTAL S ; SUB TOTAI 5 ; <br /> PERMIT S PERMIT 5 � <br /> TOTAL FEE S ' TOTAL FEE $ ' <br /> FOR OFFICE USE ONLY: <br /> fRONTSFTAAGK REARSFTP4CK SIDESEiBRCK �LANGIGGRNUM�[� �Ff REC[IPiNO. <br /> �j�`J� - <br /> use zor+e i.or nnen V�CANT SIiE FEES VALUATION FEE <br /> i�vEs �� �o omioir+c I , <br /> HEIGBTLIMI7ATION NOOFDWEILING SREOF9LDGRI ^ � <br /> UN115 plUMf31NG � <br /> ` <br /> OCCUPANCY NO 04 510Pi[5 OCCUPANT LOAD BASEMENT MFCII�NICAL —/s i � <br /> cnour — <br /> IlYES Il NO <br /> FlRE�L��MREOD RFASOY �DD�110NM.PtANCMCCK � <br /> T— <br /> i <br /> ou�m --y/�-- . <br /> FIRFSPiiiNN1.ERREO'0 �FASO4 / { T <br /> �TN[OUItOMGSUnCHnnf.E �1 �(J <br /> tvveorcovsr �I�NSAPPROVE[l�Y CITYOFEVERETT runur.wor�Ks ' <br /> �_ <br /> LOCAL SALES — <br /> OAIE TAX CODE IS 3105 To7n� 7 ' � <br />