Laserfiche WebLink
�. <br />APPLICATi4.�1 FOR CONSTRUG7.ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: �-1 Z�Ji�f /i�I,. ��Ci O�F. <br />q6"zoi - z2fc�(25�—(0l00 <br />TENAN� MIUII�Wt1E55 G(Y 71F PIqNE <br />W.C.�ri.�ucwaY 321�o w�TMofL� 0.vE �vE2�rr wA qg2D� 2o�(ZS2—c�848 <br />�ncMT[croanesicNen M�u.00n¢ss c�n �m r�wr+e <br />T� FSE S��D <br />GENERNGqITRAGTOR MNIADDRE55 CIIY 71P PIIONE 51�1E11C[NSE� <br />MECNIJIICqppN1A�CTOR M�IIADDRE55 CITY ZIC PIIONE STATELICENSE� <br />PlUM6MlGCONTRACTOR M�ILADONE55 CIfY ZIP PNONE SUIELICENSE� <br />_�... __. ....� _. .._...' r <br />2 00� oo tU <br />pE5t111lp WpqK �Np SpU�RE FOOTKsE INVOlVEO <br />= W�5T b2 eiocK 2 I or -1. 5_ 5 <br />VOL4 PI� M15 CDlTr1i' <br />u+�- yZ oF vr+car� a�`�f <br />PANLELTA%LD.M1MlER <br />S�ICvO-62�-000-0302 <br />CONSTiN1CTpN lOM1 lEN0ER.11D01iE55. 7EtEf`IIONE MIb1EER <br />�.4 ¢Z� <br />PLUAIeItl6 <br />NO. TYPE OF FlICTURE OR ITEM <br />WATEH CLOSET (TOILEn <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAVNDRYTRAY <br />q.OTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKROW PREYENTERS <br />FOR OFFICE USE ONLY: <br />iRONT SET9�CK REAR $FT&�CK <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />CONT�CTVERSONN10P110NEN0 , <br />_� 1 HEPEBY CERTIFY THAT 1 HAVE READ AND EI(AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF UWS AND OR�INANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED W11H WHETHEH SPECIFIEO HEREIN OR <br />nwcoaiesl NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br />� AG¢E AUTHORITY TO VIOLATE OH CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW RE�UUTIN6 CONSTRUCTION OR THE <br />� PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS DE AND I COMPLY WITH THE STATE <br />CANTRACTOR iB27 R ND 296.200 WAC. <br />�7 i (o �o <br />IGN� URE QU1�.l�:LS •Rl_ . DATE <br />SUB TOT/LL S <br />PERMIT S <br />TOTALFEE S <br />SIDE SFTB�Ck <br />USE IONE� �/f lOT �REA V�C�NT Sli <br />L ❑VES <br />HEIGNTLIMIT�TION NO OF OWEILMG 512E OF BLUGrtI <br />UNIfC <br />�� <br />OCCUPINCY Iqf%Sf(N1IF5 OCLUP�NTIO�D B�Si!AENf <br />ORIXIP <br />qn ❑ rE5 <br />��1 <br />FIRESiAI LEPREO'0 AFASOr1 <br />�I(�i G�GlN9� <br />❑ NO <br />NO <br />Gn eus�r+Ess ��ceNsc no <br />MECHANICAL <br />NO. TYPE 1 <br />NC — NHNDL6 <br />FORCED AIR SV <br />HEAT PUMP <br />UNIT HEATERS <br />CIOTHES DRYE <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLA( <br />FIREPLACE INSE <br />GAS FIREPIACF. <br />GASRANGE <br />GAS PIPING <br />EXHAUST FAN <br />PIAN GIIECK NUMBFR <br />BI11lDINC <br />PIUMBING <br />MECN�NiC�L <br />�ODI IION�I �UN CMCCN <br />OtHER <br />STAI[ BUIIDWf. SIII1CN�fiCE <br />vr,pr.�st rinr�serrnpvtnur CITVOFEVERETT rupi wonKs <br />�N JM/ LOCAL SALES <br />o�rF 7/-%J��'Ih TA% CODE IS 3105 TOTAL <br />SUB TOTAL S <br />PERMIT f <br />TOTAL FEE f <br />�� �� <br />RECH% NO <br />FEE <br />��J <br />J <br />