Laserfiche WebLink
APPLICATION FOR CONSTRUCT�ON PERMIT �}�. <br />CITY OF EVERETT • BUILDING DIVISION �r <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 �` �"' <br />� I 1 SIGN <br />� 1 DEMOLITION � 1 COMBINATION (� BUILDING ! 1 MECHANICAL i� PLl MBING <br />PROJECT ADDRESS <br />.�i$%'ii'4 L�9QirNf2 �Df}D <br />OWNER Mn1UCDP[55 CItV 2i� <br />LfjNc:�s Iic�ncS�iNc zz�4 ST�'St ��tciii qb'�c'! <br />lEN4NT AI�ILRO��fSS CITY 11P <br />r��ovc <br />�Sa�-3Svj <br />1'RONE <br />FRCIUTCCTOROESIGNER MAII P�DR[$5 Ott iIP PMOkF n <br />�1LL G qUG �i QLU -/.3J'�aJ•�3 _ <br />G[NEqplCpNiP�C10R �A�II/•Of)RE55 CIIY lIP P1101f FfAi[UCCNS[• <br />tn.vc.�5 Nomis,T�c }�.09 5'N 5� bviR6�� 98.�+D1 As9'35N5� LANGu�+I04ik7— _ <br />M[CIIANICALCONTRACiOR MAII�DDPF.55 f.ltt ]IP PIIOkF. SiAiEUCf.NSF� <br />��icrR�c F.au�ci cto7tR P•O�BoX /G�'� SNCHo�n•sN,qy,1q�-iGo,), SG6'-�Q� <br />PIUMBINGCONtRPf,TOR kAILADDRE55 CILY I.P PIIONE S1AlEUCFNSE� <br />mna.,so��cr o��,�r�tio r33�Y sR 53otit /�Qc,ticz� YY'a�3 `-�3S-SS,-.f _-- <br />co rnncr riucE or wonK ��/� '` I <br />��-r��cd -�qo 3 y��.00 y HEATING SYS"i EM: I � GAS � 1 ELECTRIC � — <br />OBSCRI9E WORK AHfl50U�PE FOOT�GE INVOLVE� CONLACi PfR50N�ND PI�pNF NO <br />♦.�.., n� ..��..rru.�� �LGJ ,a,<< LRNGuS as-9�3s5�.s— <br />LOT <br />/2T0 Z� C�n.�SNGD <br />„yy UNF���sH�� <br />SEUUSE OF DUILDiNG <br />r- �s <br />rnorenn isiw�vr+ ae�ow o�v nnne�i rwo coriesi <br />ntocK or S"�"-'r"��' ' <br />PRRGELTA%I�.NUMOER I <br />�)��C'C) -�-03"�1"000� <br />CGNSIROCTIONIOANLF.NDEN.�UDRESS.iFIEPHONE NUMBER <br />1=�£2LT /Nuru9L �GY'�SSe3 <br />p.0 Go,c �8'3 S�"�'�m�sN q,)',3.�0 <br />NO. TYPE OF <br />/ WATER GLOSET <br />— BATHTUB <br />LAVATORY(WASI <br />SHOWER <br />/ KITCHEN SINK S <br />DISHWASHER <br />LAUN[1RY THAY <br />�/ CLOTHES WASH <br />!G FOUNTAIN <br />DRAIN <br />.OW PREVENTERS <br />ERVICE — BAR, El <br />P7: <br />FEE <br />SU�TOTAL 5 i <br />� P[RMIT 5 � <br />I � tOTALFEE $ ' <br />FOfl OFFICE USE ONLY: <br />rnor+*sFt�ncK � nrnnsFTnnc�/ smEseTencK _.. <br />� `' � � <br />IIGE ZON[ I OT AP[A VPCANI Sllf: <br />P,�- ���Es �,�,<, <br />J <br />11[IGIIT L�M17�ilON ��O Jf UWfLLING SIZ[ OF pLIMRI_ <br />�� � umns 24dL Sr _C�•�i. <br />s�rnits <br />ia <br />��l— "/� I unic Z <br />r � rvn <br />I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED TI115 <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7 ALL <br />PROVISIONS OF LAWS �ND OPDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOL.�TE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR IOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS lAW 1827 RCW AND 296200 WAC. <br />�,.Q /a �U 9J <br />91GFRTOPE � OAE <br />; �G 83 <br />r,irrausiN . ucer+s�wo <br />MECHANICAL <br />NO. TYPEOFEQUIPMENT FEEr <br />A/C — A/HNOLG UNITS — H.P. <br />� FORCED AIR SYSTEMS — Fi.T.U. M E.A. � <br />HEAT PU�� 1P <br />UNIT HEATERS — B.T.U. M _ <br />CLOTHES DRVERS - _ <br />'L VENTIL�TION FAN � <br />i <br />� RANGE HOOD - __ <br />� WATER HEATER - ' <br />WOOD STOVE � <br />METAL FIREPLACE (WOOD BURNING) <br />FiaFai ACE INSERT IWOOD BURNING) ' <br />EXHAUST FAN � _�— <br />SUBTOTAL 5 �i <br />PERMIT 5 � <br />TOTAL FEE 5 ' <br />� �r� Na�ECKruunm�fr rrr //Z�i nrr.Fm�r�o <br />V`v 2 �1 �� " <br />FEE VALUATION FEE <br />T <br />—7 � � �1( , <br />nwio�r+r. GIl� 4l L l(J / t� ! <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />rwvnwc <br />MEGInNIC�I <br />aooi nor+ni. ri nN c��ecK <br />on�er� <br />s*ai e nun oir+n sunc�mnce <br />rtit➢ir, WonrcS <br />TOTAL <br />