Laserfiche WebLink
APPLICATIG.�1 FOR CONSTRUC7 .ON PERMiT <br /> CITY OF EVERETT• BUILDING DIVISION �iC���� <br /> 3200 CEDAR STR[ET• EVERETT, V��A 98201 • 259-8810 <br /> f 1 DEMOLITION I i COMBINATION f✓BUILDING I MECHANICAL i i PLUMBING f� SIGN <br /> PROJECT ADDRESS /��S 3 �' /J�G C,�..�. <br /> r� y <br /> owr+En Mnanooncss c rv rir rHor�e <br /> /,.,s,e���sr- C'm�vs.: Y�y/ 5�%e�f�,� l,�/ ��e�P� I��3 �S"y��`!'J.� <br /> IEN�NT N41lADDNf55 f.IIY liP PHONF <br /> ARCIIIiCC70RDE51GNER MNLROp0E55 LITY ZIP PIIONE <br /> .S/q/�2e- ts a/i;,1e !}KG �C_Ll l7C'�7 <br /> GENER�LWNTRACiO� Mn�:.PODfc55 Cliv ZIP PIIOYE STAtFLIGENSE• <br /> MELHANICALCONTP4CTOR M4ILADI�RfnS Cltt ZiP PIION[ STATEUCENSEr <br /> ��'o,v�e �/�mh ' — <br /> PLUMBINGCONTPACIOR MAILA�DRES C'I7Y 21P PHONG STATELIf.5N5[� <br /> WNTRACT PRtC[OF WORN <br /> HEATING SYSTEM: GAS I-1 ELECTRIC f-1 <br /> OESGRIBE 1YORK�Np SOU�RE PO01:.E INVOLVED CONTAGT PERSON �PHCNC�JO <br /> u�� � �=�—�Li�� <br /> I HEFEBV CEPTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND COfiRECT.ALL <br /> vaoroseovsE oF eunon+a ��� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> �ecn�oEScaiviioNOFraoreattisi+owrvee�owo �Ac��rwo�coPi � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �ot Z oiocK or �i ' AUTHORITV TO VIOLATE OR CANGEL THE PROVISION OF ANY <br /> {� �;� ,.�/__ OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> /(JU�� ;)�,/7�/e Jc� �L'fYL' //. � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORRED BY THE <br /> —7' OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APP�ICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTR�CTORS LAW 18.27 RGW AND 296.200 WAC. <br /> PFR ELTfJ(IA.NUMBER //JJ / <br /> ONSTRUCTION LORN LENDEII,P�ORE55.TELEPNONE NUMOER X����An'/ ��,0�/�/" ���� <br /> SIGNFfUR[ DNE � <br /> Y <br /> � <br /> ;ITY OUSMESS IIGFNSE NO. <br /> PLUMBING MECHANICAI <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WA1 ER CLOSET(TOILET) / i � NC—A/HNDLG UNITS—H.P. ' <br /> BATHTUB / � FORCE�AIR SY�TEMS .T.U. E.A. � <br /> LAVATORY(WASH BASIN) I I � HEAT PUMP ' <br /> SHOWEF � UNIT HEATERS—�.T.U. M <br /> KITCHEN SINK 8 DISP i � CLOTHES DRYERS �_ <br /> DISHWASHER � VENTILATIO:J FAN : <br /> i <br /> LAUNDRY TRAY / RANGE HOOD � <br /> CLOTHES WASHER i WATER HEA7ER _ ; <br /> URINAL ' WO00 STOVE � <br /> ORINKING FOUNTAIN METAL FIREPLAGE(WOOD BURNING) i <br /> fLOOR DRAIN ` FIREPLACE INSERT(WOOD DURNING) ' <br /> i <br /> BACKFI.OW PREVEN i�RS i GAS FIREPLACE � <br /> � GAS RANGE ' <br /> SWK(SERVICE—BAR,ETC.) — <br /> � _' GAS PIPING � <br /> � " EXHAUSTFAN —' . <br /> i <br /> � <br /> i <br /> T <br /> 1 <br /> • ' <br /> SUBTOTAL 5 � SUBTOTAL S _�_ <br /> I PERMIT 5 � __ __ PERMIT S �_ <br /> ---� TOTAL FEE 5 � 1 TOTAL FEE S <br /> � _ ,_7— .-- <br /> FOH OFFICE USE ONLY: G� <br /> � nECEmrHo. <br /> fROVTSF.1ftACK f Rf.ARSfi% / �S��ESETOAJ / �'LANCHECKNUMOE «< � <br /> 7�O _ 2`J •3� � C� <br /> i���Zov ior nnen `//C�Ni 51iF __ <br /> FEES VALUATION FE <br /> � _ � <br /> fl VES �''� NU 13UILOING O !11�7 /r<. i i� , <br /> 1 i <br /> HEIGNTUMITaT10N� NUOf�WlLLI4G `IZ[OfI.l1�Grt� � <br /> urvits 1472 :,f 1.�.�i�u + vwuniNa '00 <br /> � Sf < /�RAG� � <br /> OCCUPANCY NOOiStORIES OLCUPPNtLOAD BASF.MFNI MGCIIRNICAL �('�� IG_J <br /> G�Q"3 2 !� nvrs �� ' ; <br /> nnomovni aur+c�+ecK <br /> Fin�ninn!u n�o�o neasor� r— <br /> � <br /> V onien % � � ` � <br /> _ <br /> vmesvnwK��nnro�o r+r.nsov � <br /> sinie ouiwiNc sunci�nnce < ;��� <br /> J � <br /> TYPEOFCONST ruasarnno mnr CITYOFEVERETT nunucwoaKs � �� � � <br /> ��<I" LOCAL SALES .� ��,� j <br /> ���� �p�E Z � TAX CODE IS 3705 TO7AL <br />