Laserfiche WebLink
APPLICATIr V FOR CONS'4'RUCT`flN PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: _✓� t;AS J ELECTRIC ] <br />259-8810 <br />'' DEMOLITION COMBINATION �UILDING MECHANICAL PLUMBING f 1 SIGN <br />OIVNER IAAILADOPE55 <br />�t�od o'a�,�n ss-o 9 s o. �� <br />ZIP PHONE <br />9�'zv3 2s- <br />P PHONE <br />iENANt (` h1AILAD�P[SS ��n ZI <br />„JqM( <br />ABCHiTECTOF�E5IGNER MARADOBE55 CITV ZIP PHONE <br />z <br />GENEPALGONTRPCTOR Id41LpD�8E5S CITY ZIP PHONE STATEUCENSE+ <br />��m��n i <br />1.'ECHANICALCONTRlCiOR �dA�LA00fiE55 QiY 21P PHONE STATELICENSE• <br />FLl1MBING CONTiiAGTOR <br />LONTPACi P fICE OF WORH <br />D r <br />�ESCNIBC� <br />R��, �w c s n <br />nt�� �� s <br />/ <br />� Xi��io� � ra <br />cnoao=_eo usr oc evaoiNc <br />MFIL RO�RE55 <br />I�Q .CO <br />FOOTnGE INVOLVED <br />% �,' J �< <f 6 a.r � , <br />�a,.�.1,r�,o,. w.//.r <br />..�_ �.�� Nf�V �f <br />lEGr1L �ESCRIPT W N OF PROPEfiTV ISHOWN BEIOW OR ATT�CH TWO GOP'E51 <br />ior � e�ock 3� oF ,L o w e/,� <br />�o� �. fo l� <br />PARCELTALID.NUM�ER <br />5003 - oJ/ -�' o �- pDo; <br />CONSTRUCTION IOAN l'T1DER. A�DRE55. TELF.PNONE NUAIBEB <br />PROJESTS O ESS � � / A <br />� o nf� /y�/ <br />PL.UMBING <br />NO. TYPE OP FIXTURE OR ITEM <br />\NATER CLOSET (TOILET) <br />BATHTU� <br />�AVATORI' (WASH BASW) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FOR OFFICE USE ONLY: <br />FPONTSE10nLH REARSETB4CK <br />USEZONE LOTPREA <br />z- <br />1VPE Of C0�151. NO OF STOFIES <br />SiZEOPBIDG FlRESPRINNLERSREOD <br />l(oPi SP 0 AI� <br />OCGUPFNCY LOAD FIPE �LARM REO'D <br />PlANSPPPRIOVE00Y <br />onic 4/'�0✓9 <br />SIDF. <br />CITY ZIP PHONE <br />G� CONTACT PERSON �ND PMONE N0 /� <br />O <br />��<,�tt- <br />VACANT SITE <br />VES .. NO <br />OCLcnOJV d00�pWflIV�LVAiS <br />NC� <br />1 <br />CITY OF EVERETT <br />LOCAL SALES <br />TAY. CODE IS 3105 <br />STATE LICENS[ r <br />O/3^� Ph <br />2 S,2 93 I Z <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TFUE AND CORFECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS NPE OF <br />WORK WILL BE COMPLETED WITH WHEiHER SPECIFIED HEFiEIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUT��ORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />CT4ER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR'.HE <br />PEfIFOfiA1ANCE OF CONSTflUCTION. THAT I AM AUTHORIZED BY THE <br />OVlNER OF THIS PROPERTV TO PERFORM THE WORI( FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS L�W 1827 RCW AND 296200 WAC. <br />I <br />X %��` ✓ C/»i°--� `f - %` - I Y` <br />smunm�[ wrc <br />Gllv BOuiNf55 UCENSE 60 <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />AiC—AiHNDLG UNITS—H.P. <br />FORCED AIR SYSTEMS—B.T.U. Iv1 E.A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNWG) <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN . <br />NO <br />BUILDING ��" <br />PLUMBMG `/• IS --; <br />y <br />M[Gnr.NICAL <br />nDDI11UNAL PLAN CHECK � � <br />OTHER <br />T <br />STATE BWLOING SURCHAfiGE �yl <br />PUBLIC WORNS —;- <br />TOTAL i i i` . l ��.--'–r— <br />