Laserfiche WebLink
APPLICATIG.J FOR CONSTRUCT.�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 <br /> ❑ DEMOLITION p COMBINATION Q'BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br /> PROJECTADDRESS: �Q��3 Ypp.p�� gT <br /> 'T�rri s s�tt�.P ' v�m ���I �Q�z3 m��u; 5-r. ��. w�9gzoi C�vc�>�3-�c�7 <br /> OYMER , ` MNLAOQiE55 Cltt 21P PNONE <br /> f�• � � <br /> TEWW7 - 1 4IYL�ODi1E55 ��7y =ip p�E <br /> IV'� � <br /> •PLMT.CTOi10E5KaNEP MAILIWORE55 Gltt )IP PHpNE <br /> 1��� l�CD�J��L� 1� ClJ.�SI.-W i-'S <br /> GENENI�IGONTMC10q MIUTADDRESfi CITY 21P MIONE Si�TEIICENSE� <br /> ��� � <br /> MELNIVAGILnCO1NT,RnACTOR MAIL�ODRE55 CIIY ZIP PIIONE ST�TELICENSE� <br /> 1\• F^ ' <br /> MUMBkM CONTR�CTOR MAllI1DDRE55 Cltt 11P PHONE STAiE IICENSE� <br /> � OU ` — <br /> GONTIIACT VPICE�Wp{iN <br /> HEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ N ,�- <br /> OESCRIlE WpiK ANp$OUMF,FOOT�GE NiVOlVEO CONTIICT VERSON M10 PHONE NO <br /> � 1L � IC- f< IL} Z <br /> � I HEREBY CER'fIFY THAT I HAVE HEAD ANO EXAMINED THIS <br /> �„����p� APPLICATION AND KNOW THE SAME TO BE TRUE AND CARRECT ALL <br /> �� 1 v `,r �nl TO .. PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE CAMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �ouo¢ ocrnorean�seawNee�owon�rt�eNtwocav�s� NOT. THE ORANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> iot � eiaac � pF V1 �TO��� 1110 � AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> ..THER STATE OR LOCAL LAW HEGUUTIN6 CONSTRUCTION OR THE <br /> PEnrORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPEHTY TO PERFORM THE WORK FOR WHICH <br /> — OOO—I �OOI 'O � APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> P,w��T,�i.o. R CON�W 1B27 RCW AND 296200 WAC. <br /> a <br /> f�lG <br /> CONSiRUCT10N IO�W IENDER.l100i1E55.TELEP110NE M14tlEfl Z .?�-a([.' <br /> SI6N�TURE O�TE <br /> CITY BUSNESS LICENSE NO <br /> PLUIIBINfi MECXANICAI n,��'(�. � <br /> NO. TVPE OF FlXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER ClOSET(TOILE� � NC—AhiNDL�UNIiS � <br /> BATHTUB ; FOPCEDAIRSYSTEMS ' <br /> � <br /> UVATORY(WASH BASIN) i HEAT PUMP � <br /> SHOWER ' UNIT HEATERS � <br /> KRCHEN SINK 8 DISP ; CLOTHES DRVERS ; <br /> DISHWASHER � RANGE HOOD � <br /> LAUNORY TRAY � WATER HEATER ; <br /> CIOTHES WASHER � WOODSTOVE � <br /> URINAL � MEfAL FIREPLACE(WOOD BURNING) ' <br /> DRINKIN(4 FOUNTAIN i FIREPLACE INSERT(WOOD BURNING) i <br /> FLOOR DRAIN � GAS FIREPIACE � <br /> BACKFLOW PREVENTERS ; GASRANGE ; <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING � <br /> ' IXHAUST FAN ' <br /> � � <br /> ' <br /> � � <br /> � � <br /> � <br /> � � <br /> SUB TOTAL S ; SU6 TOTAL f ; <br /> PERMIT f � PERMIT S �_ <br /> TOTALfEE S ' TOTALFEE E ' <br /> FOR OFFICE USE ONLY: <br /> pRd1T SEIB�CN � REAR SETBAGK SIDE SETB�CIc PLAN C11ECN NUMBGR fEF RECEIPT NO <br /> 20 0 ' S' D3 v� �= <br /> use ia+� lOT sRE� V�CAN�$ITE FEE VALUATON FEE <br /> !\� Z S�65� G ❑YES O Bl11lDING l � <br /> 5 ' <br /> NEIGNT LIMIU�ION� NO OF DWELLING SIZE OF BIOGRI � <br /> 2 / UNITS � �OS � p��)M61NG i <br /> pC�CO�Y Iq(%SIMES OGCUPANTLOAD 6�SEMENT � � MECN�NICAL � <br /> . I � ovEs B'�+o � <br /> FIRESPRINNLEPREO'D 11EASON �ODI710NALPL�NC��[CN � <br /> i <br /> O7HfR <br /> FIREMARMHEO'D REASON i �C � <br /> �TAIE B'JIIOMG SIIRLHMGE — / // <br /> V �.� <br /> trreovr,or+sr rinNserrn�ov�jo r CITYOFEVERE7T ruenr.wonKs 2c/� <br /> v I� LOCAL SALES ��yG <br /> �—h� oaE 3 �2/�'(e TAX CODE IS 3105 TOTAL �„ ' <br />