Laserfiche WebLink
c <br />APPLICATIOrI FOR CONSTRUCT�ON PERMIT/ <br />CITY OF EVERETT • BUILDING DIVISION �!C���� <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 � <br />fl DEMOLITION �l COMBINAiION i 1 BUILDING I1 MECHANICAL �' PLUMBING � SIGN <br />PROJECT ADDRESS <br />, � �334� � �� AU�. Nl. <br />DWNER MsqpDDRE55 ��ry <br />(Fn 4 SIA����� 11na����.��[n Im'� ;rn d7N n,i� ,.� r <br />.-....... mn�i�vvnc.� 1.11Y <br />Sou�ctit �o�rstc Ass�s<�r I��ia�r �sr�r Ar <br />�RCHITECTORDESIGNER MMIRDDRE55 �IIY <br />z�r <br />IIP <br />- 51��F5 <br />GENEPRlGO' '^CIIM MAILAOORE55 Cirv 7iP �HONE $iAi[IICEN�E� <br />P�a� rownl Co. P.o,�x 7w�i �yNNwcoo wn. q8m� Zmc� 17�b 6�37 B�z�cxo���CN, <br />MECHANICALCONTRALiOR MAIIADDRESS CITY ]IP P��OhF StAtEGCFNSE� <br />PLUMBINGCONTRAf.IOR M>ILdDpRE55 CIIY 11P PMONE STAiELILENSE• <br />Y! V ..�. <br />�ND SOI1�ItE FOOT�GE <br />IISE OF <br />LEG�L OESCRIPTION pF PRpPERTY <br />LOT BLOCN _. <br />SuuTN �7�`oF E1 <br />' _' ,. � _ _ <br />� OF t�,L. <br />�t7�5- 9S4Z-�Sb`f - ��m5 <br />CONSiRUGiION IO�N LENOER. ADDRESS. T[lF.P110�E NUMPEP <br />TYPE OF Fl%TURE OR <br />WATER CIOSET�TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN� <br />SHOWER <br />VG FOUNTAIN <br />DRAIN <br />.OW PREVENTERS <br />EFVICE — BAR, Ei <br />HEATING SYSTEM: I1GAS �IELECTRIC f� <br />CONiACi PLRSON AND PIIONF NC <br />�l �'�a�.V t�k�.l Co <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAMF TO �E TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS ANU ORDINANC[S GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH `.VHETHER SPECIFIED HEREIN OR <br />)PIES� NO'f. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOFITY TO VIOLATE OR CA��CEL THE PROVISION OF ANY <br />,/ OTHER SiATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE <br />N.W • 7� PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHGRIZED BV THE <br />OWNER OF THIS PROPEFTY TO PERFORM THE WORK FOR WHICH <br />' APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 1027 RCW AND 29G20D WAC. <br />XT d� C, E� W �uD�ab <br />51]NRLUR[ DA1[ <br />�S 24'I 8�- <br />CITV BUSMESS LIC[NSC NO <br />FEE NO. TVPE OF EqUIPMENT <br />' A/C•—P/HNDLGUNITS—H.P. <br />; FORCED AIR SVSTEMS — B.T.U. M <br />�— IiEAT PUMP <br />' UNIT HEATERS — B.T.U. M <br />CLOTHES �fiVERS <br />VENTILATION FAN <br />' RANGEHOOD <br />WATER HEATER <br />' WOOD STOVE <br />i METAL FIREPLACE (WOOD BURNING' <br />FIREPLACE INSERT (WOOD BURNINC <br />i GAS FIREPLACE <br />—r <br />GAS RANC.E <br />GAS PIPING <br />� EXHAUSTFAN <br />PERMIT <br />TOTALFEE S <br />FOH OFFICE USE ONLY: <br />lRJNTSFTpACK R[AR SF70ACK <br />USEZONE � — LOTAREA <br />MEIGHTUMIiAT10N NOOFDWEtLING <br />UNI1G <br />OCCUPeNCY NO 0t S10Ri[5 OCCUPn <br />Gf10UP <br />FIRE �LARM REOP RfASON <br />9BF SPPINKIFR REO'D RF�SOY <br />fYPEOFCpNST PInN54 <br />� <br />uaic <br />SIDE SETORCN <br />V4CRYISrtF <br />I�YES I'� NO <br />S12E UF 9lOGrtI <br />f11'ES I1 IJO <br />SUB TOTAL S <br />PERMIT 5 <br />TOTAL FEE 5 <br />PlANC11FCKN11M11fR (FP // -q' REC.FIPTNO <br />.'i �%�%/�/. �/ �- <br />�WIDING <br />t'IUUpING <br />M[CHnNiCAL <br />ADDIIIONAI. PIAN GNIf.K <br />O1HEli <br />STnIE AUILDINf. SURCNARGE <br />�Y CITY OF EVERETT ruonr, wonKs <br />LOCALSALES <br />9/�i TAX CODE IS 3105 707AL <br />