Laserfiche WebLink
APPLICATIvN FUR CONSTRUC'� ION PERMIT <br />CITY OF EVEFETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />rl DEMOLITION f 1 COMBINATION 1 1 BUILDING i�" MECHANICAL i 1 PLUMBING f l SIGN <br />PROJECT ADDRESS <br />/3Z.? /.'�C.OociC>.��[- A�/� c�i�£: T 98�,c/ <br />ov.wen MRILA�DR655 cm nr ri+er�E <br />�4i:�£.r 1 �/G.4GGS /32,3 /��� UcuG-s�c� ,4U� �r/�'�' i.i i 98Zc/ �p3-3/�/ <br />IENANT �AAl1.RppR[SS CI1V IIP PNONE <br />nnamccr on <br />CONIRRC70R MnILADIM[55 <br />ci�r rm <br />ruoNe sra.eucrrvse. <br />MECN�RICALCONiR4CTOR MRIIADDPF55 f.ITV 7�P P��ONE STATEUC[niSE� <br />PLUMOING WN7RAf,lOR M411. �D�(iE55 CILY IIP PHONE STAIE IiCENSE • <br />CG-Z _ <br />2z s� o�' <br />DFSCRIpE WORN �ND SOUPRE FOOTRf.[ INVOLVE� <br />E <br />LEGAI DESCRIPTION Of PROPI <br />LOT 810CK <br />PARCELTA%ID.NUMBER <br />or <br />nnna+ Two coriEsi <br />CONSiRl1CTI0N IORN I.ENDER. R�OfiF55. TELEPNONE NUMOER <br />PLUMBING <br />NO. TVPE OF FlI(TURE <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY 1WASH BASIN) <br />FEE <br />KITCHEN SINK 8 DISP � <br />DISMiWASHE(; <br />LAUNDRY TRAV � <br />CLOTHES WASHER �- <br />URINAL ' <br />DRINKING FOUNTAIN _r <br />FLOOR DRAIN ' <br />BACKFLOW PREVENTERS � <br />r <br />SINK (SERVICE — BAR, ETC.) � <br />i <br />� <br />—,i <br />� <br />—r <br />SUB TOTAL $ ; <br />PERMIT 5 � <br />TOTAL FEE S ! <br />FOR OFFICE USE ONLY: <br />ff10NT SFTP4CK �f.AR Sf-TPACN SIOE SEiOACe <br />USFZONE <br />HGIGIIT LIMITAt10N <br />OGGUPANCY N?1 <br />cnour <br />FIRE AURM REO'0 <br />flRf SPPINKIER RI <br />t��ve or r,or+sr <br />HEATING SYSTEM: I�i'2;AS �7 ELECTRIC f I <br />coHincr rensor+nNn r�a�+r: uo <br />I HEREBY CERTIFV THAT I HAVE READ AIJD EXAMINED iHIS <br />APPLICATION AND KNOW THE SAME TO BE TRl'E AND CORRECT �LL <br />PROVISIONS OF LAWS AND ORDINANCES GOV=RNING THIS TYPE Of <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HERERJ C: i <br />NOT. THE GRANTING OF A PEFMIT 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. TI1AT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />%ONTRACTORS LAW �.2j RCW AND 296200 WAC. <br />^ �� � <br />%�il �/1 � � �J /h" <br />l� �// �/]—� <br />sicAa me _ onii <br />dTY OUSMC:55 UCGNS@ NO <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT __ FEE <br />A/C — A/HNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS -- B.T.U. M E.A. <br />HEAT PUMP <br />UNIT HEATFRS — B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WA'fER HEATER <br />WOODSTOVE <br />METAL FIREPIACE IWOOD BURNING) <br />FIREPLACE INSERT (WOOD BURNING) <br />GAS FIREPL <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FI <br />SUB TOTAL 5 <br />PE(iM1T $ <br />TOTAL FEE $ <br />rinr�euecKNuuom � rec � � nrr.cirrNo <br />IOUfI[A V�CANI Slif <br />IIYES I1 NO ppIIDMG <br />NOOFUW[LLING SIlEO(�OLfKRI <br />❑NIiG PI UMIIR:G <br />OCCUPANiL04U B45EMfNi MFUI4NICAl. <br />fIVES fl NO <br />PDpi110N�1 PIANC��l.GN <br />PfASON _ <br />OIIIFJi <br />qppgpN <br />STAI[ Ol1It01NG SURLIIMf,E <br />rinNsnrrnovFonr CITV OF cVERETT rom�r,wonres <br />LOCAL SALE� -- <br />...._ TAX CODE IS 3105 roTAl <br />