Laserfiche WebLink
APPLICAYIG_J FOR CONSTRU�CT.JN PERMIT� <br /> CITY l�F EVERETT• BUILDING DIVISION <br /> 3200 CEDAfi STFL�T• EVERETT, WA 98201 •259•B810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ EiUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: aCC7� ���L�(f�-���'�'_ C- �1�1 e ;,�,�,c <br /> ,e�����r-� J ��� i�i�5 :�rri f72��t �vw rr��tia'�1,�.�t �cZ7� 3n�S�c,f�— <br /> ER M�ILAWRE55 Cltt Ztl` PHONC �yH{ <br /> �✓5Z- 7�j4S <br /> TENANT M/JLAppRE55 � CIIY IiP � 1'��ONE <br /> G.&�IN�-✓��LOC�L� �'/�Nf��s/'JG.r��"`.' � _.. '_ <br /> ARCHITEG qi DE9GNEP MMl�DOnE55 CIIv lil` PMONE <br /> c�R-�tw.�t�! 3u�40�s' SSvi �szeh+ S�s'G��'�uan;6�9�UZCv .239 -��id' �'.¢�cwu�0�o�7 <br /> fiENEfUICONIti�G70fi M�IL�DDRF55 LitY :i!' �'��ONE GGTCIICGNSE• <br /> MECH NICAICONTRRCTOR M�ILADDRE55 f.liY IIP �'��ON[ ST�TEUCENSE� <br /> PIUTABMGCONIRIGIOR MnILAWRf.55 CILY 21P 1•IIONE SiATELIGENSE� <br /> 9a�o �; i�_ <br /> ta+rw�ct vaicE o�vronK <br /> ���,� HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br /> OESCRIBE WORN AND:�OII�RE FOOTAGE INVOIVED CONLACT PERSON AND PHONE NO <br /> /�>�fi5:7L.�G v �= 2'�� DL3�1C�A�1'/l� ��! '/�/� <br /> IY�9- �r/�fU"/"f�uicDC7�S <br /> > - O ' r LG''�� �'Z' C� - O% _ <br /> .-�IJY ,� 1 HEREBY CL•RTIFY THAT I HAVE READ AND EXAMINED THIS <br /> ��b qPPLIC�ITION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> VMIPOSED USE OF BUILpNb PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> /'� C�- � � F WORK WILI BE COMPLIED WITH WHETHER SPEGFIED HEREIN OR <br /> LEGAl0E5CN�PTIONOFPROPER7'jSHOWNBELOWORATT coci NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �oT e�ocK— oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> � � OTHER STATE OF LOCAL lAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> — OWNER OF THI� PROPERTY TO PERFORM THE WORK FOR Wli1CH <br /> �/3)� ��7Z��O/G`d � APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> v�nce�rNci.o.nuueea • <br /> GONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> �A .�(/_ a/� <br /> CONSTRIICT�ON l0/�N LlNOER,MJRESS.TEI EPMOHE ER x ����. / �� /U� <br /> $IGN�TURF. ���� <br /> Cltt BIISINE55lICFNSC NO <br /> LUMBIN6 MECHRNICAL <br /> TYPE OF flI�7URE OR ITEM FEE NO. TVPE OF EOUIPMEN7 FEE r_ <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNfTS ' <br /> B B ; FOACED AIR SYSTEMS � <br /> UVATORY( � HEAT PUMP ' <br /> SHOWER ' UNIT HEATERS ' <br /> KITCHEN SINK 8 DISP � CLOTHES DRVERS � <br /> DISHWASHER � RANGE HOOD ' <br /> LAUNDRY TRAY ' WATBR HFATER �_ <br /> CLOTHES WASHEFi � '.JOOD STOVE �_ <br /> URINAL ' METAL FIREPLACE(WOOD BURNING) <br /> DR!NKING FOUNTAIN i FIREPLACE INSERT(NOOU BUHNING) � <br /> FLOOR ORAIN � 6AS FIN[PIACE _ ' <br /> BACKFLOW PREVENTERS ; GASRANGE _ __ <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPING _ <br /> EXHAUST FAN <br /> _ _ � — <br /> � — <br /> —_ � <br /> � — <br /> - i i <br /> i <br /> SUB TOTAL E SUB TOTAL E ; <br /> PERMIT 5 i PERMIT S � <br /> TOTALFEE S � TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> �ppNT 5F{pµK f RE�II SFTB�CN SIDE SETBACN / �UN CII[[N NUMpfR <br /> rer nrr.cmr r�o <br /> 7.� � _ 13(r�� G'D /� <br /> usE icx+e ior�ne� vecnr+r srte FEES VALUATION FEE <br /> ,��_2 � <br /> oYEs o No 17UI101NC � 2 L6� � — <br /> XEIGIITLIMITATIO�{ � `O aDWELLING 512E0(OLOGRI � <br /> Z/ �� C � V'L�IMIIING <br /> � —;—_ <br /> OCGUPANGY NO(%StOni6 OCCUPANIIOeD BASFMENT MEf.114NICRt �_ <br /> Gf10U i I _ ___ � <br /> ❑vE5 O i <br /> ADD1710N�1.Ft N CNFC.N <br /> FlRESPNINKLEFRW'D fifA50N —�— <br /> i <br /> ou�en ----�) <br /> FlRGALARMREO'D RFAGON — I/i�� <br /> STAIE OUIlO�NG SIIRCH�tiGE _— �f <br /> tvveorr,orusr rinvs�rvrovFnev GTYOFEVERETT rnni�cwonKs ------.— ------------ <br /> .�.J�— LOCAL SALES <br /> �--��f oqT� (v (� TAX CODE IS 31R6 TOTAL _._ _ <br />