Laserfiche WebLink
APPLICATIG_J FOR CONSTRUCT..�N �ERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-8810 <br /> ❑ DEMOLITION ❑ COMBINATIOfN ❑ BUILDING �I MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDgRESS: ,,2.2�5 Rxr�'ztellQf Ad� '/ <br /> ���arMan �a�[1 >221.5 �oi�e'Ia��cT �ii E��r rc7trJ�_��Ol — <br /> E�— M�IL OOHE55 f.ITY zm rnoN[ -- <br /> Sa�� <br /> TENANT MARADOpE55 CIIY JIP PHONE <br /> ARCMTEGTOROES�GNER �PM����eL�� '�� �JLfGFI G�I.A��a� .�5�-���7 EUC-QGssl�lK7 <br /> _�vuur�.e.n Sfq <br /> GENEML Ip�CTOR M�II�DURE55 - CIiY � lil` PnONE Sf�tEIiCFNSE• <br /> MECNANICAL CONTR�CTOR M�IL�DDRE55 Cltt IIP P110NE $TRE UCENSE� <br /> PlU1ABMlG CONTRICTOR M�IL�ODRE55 CIIY I�P PIIONE STATE LICENSE� <br /> CONTMGT FRICE OF WOR� —' <br /> 8y� °" NEATING SYSTEM: �GAS ❑ ELECTRIC ❑ <br /> DESGIXlE YlJRK�ND Sq1ARE FOOT�GE INVOLVED f.ONT�f,T PEPSON AN�PHONE�O 7 <br /> � L w �'„7 � <br /> PA 'C.- V I ICG� �o R <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> rnoroseouseov e�n�dra l� PROVISIONS OF UWS AND ORDINANCES GOVEHNING THIS TVPE OP <br /> �SIL1�N �/ WORK Wlll BE COMPUED WITH WHETHER SPECIFIED HEREIN OR <br /> LE6IILDESCWPTIONOFPiqPERtY�SlqWNBEIOWORATfACNTWOCOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br /> wT atocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHFR STATE OR LOCAL LAW REGULATIN6 CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPEFTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MAOE ANO I COMPLY WITH THE STATE <br /> PMCEL TiV[I.D.MlA1BER CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> CONSIRUCTIONLWHIENDER.�DDRESS,TElEP110NENUMBEN X //��� `` G-a_Q7 <br /> /! � <br /> S�f.N�IUiiE DATE <br /> CITY BUSiNE55ltCENS[NO <br /> PLUMISIN6 MECIIANICAL <br /> NO. TYPE OF flXTURE OR ITEM FEE NO. TVPE OF EGUIPMENT FEE <br /> WATER CLOSET(TOILEn � NC—AMNDLG UNfTS —T <br /> BATHTUB ; FORCED AIR SVSTEMS ' <br /> � <br /> UVATORY(WASH B..SI41 HEAT PUMP , <br /> SHOWER � UNIT HEATERS <br /> KITCHEN SINK 8 DISP ; CLOTHES ORYERS ; <br /> DISHWASHER _� RANGE HOOD � <br /> LAUNDRY TRAY ; WATER HEATER � <br /> CLOTHES WASHER � WOOL STOVE � <br /> URINAL � MEfAL FIREPIACE(WOOD BURNING) ' <br /> DRINKING FOUNTAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> FIOOR DHAIN GAS FIREPLP,CE �— <br /> BACKROWPREVENfERS ; GASRANGE ; <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPING <br /> ; IXHAUST FAN <br /> � � <br /> � <br /> _ ; � <br /> SUB TOTAL S ; SUB TOTAL S ; <br /> PERMIT S � PERMIT S � <br /> TOTAIFEE f TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> iRONTSETB�CK REARSFTpACK $IDESETB�Ck PUNCIILCRNUMOff1 fEf NEf.EIPTNO <br /> � � <br /> USE ZONE lOT�RE� V�CANT$ITE FEES VALUATION FEE <br /> _ ❑YE$ ❑ NO OUIIDINf. i <br /> NEIGHT IIMiTAT10N NO OF DWELLIN4 512E O�BLDGrtI <br /> UNII$ Pl11MpING <br /> � <br /> OCCUP�NGY Iq(%$IMdES OGCUPANf 10�0 B�SEMENI MFC114NIC�1 <br /> GRIX1P <br /> OYF.S ❑ NO i -" <br /> FIRESPRINKLERPE�'0 f1FASQY AODIIIpN�I PI�NG��lCK � <br /> _ �_�_ <br /> mr�en <br /> FIREAIARMREO'D RE�cIN� <br /> S1�iF 011ilf)M(i SU9CHMif.E <br /> i <br /> tvvFovr,or+sT vinNserrnovenav CITYOFEVEREIT r�mi�cwonKs <br /> LOCAL SALES -- — - <br /> �„E TAX CODE IS 3105 TOTn� {— <br /> -- --- - --- — ---J-— <br />