Laserfiche WebLink
APPLICATIG_. FOR CONSTRUCT►JN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 88201 •259-BB10 <br /> p DEMOLITION ❑ COMBIHATION ❑ BUILDING �(�MECHANICAL ❑ PLUMBING O SIGN <br /> PROJECTADDRESS: �i�7 �//��r/F �,�� <br /> arr�n Mui�ooness arv nr r� <br /> �.FIl.✓C /�.�t/lIIN �/7 V/C7�/E� 'f-�r�" �?f gd'ZO� Z�-�(ZZZ <br /> lENN1T YNL1100RE55 GIY I�P plppF <br /> NCMTECtpiDF5�6NER MNI/�ORE55 LitY !il' P�q1+E <br /> OENE1GlCp1ilNCfOq /WL�pOpE55 Ci1V li� MqNE Sf�iEIICEMSE� <br /> VrElCM�MICYCfIN7PACT011 NNL�DORE55 fAtt 7rt' PIIpNE S1�1ElICEMSE� <br /> G�� <br /> PlU4lR1(iCONIR4CT0i1 41111/�DDRE55 �IIY jIP PIpNE S1AlELICENS(I <br /> C MCT^�pf Wp�� - <br /> �-�,�y�� HEATING SYSTEM: GAS ❑ ELECTRIC ❑ <br /> � �ww��wE vE �� � ca�ucr rcnsa�µu v�a r — <br /> N zs2-��i <br /> cE <; — <br /> I HEREBV CEHTIFY THAT I HAVE FEAD AND EY,AMINED THIS <br /> Ppppp� ��a�p� APPLICATIUN AND KNOW THE SAME TO BE TRUE AND CqRRECT ALL <br /> PROVISIONS OF lAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORN WILI PE COMPLIED WITH WHFTHER SPECIFIED NEREIN OR <br /> lEGK0E5LNPT�OMOrPROPERT'IybM�BEIOWOR11T7ACNiNOCpPIES� NOT. THE GRANTIN6 OF A PERMIT DOES N0T PFESUAIE TO GIVE <br /> �Oi eioc� � AUTHORITY TO VIOLATE Oq CANCEL TME PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATINO CANSTRUCTION OR 7ME <br /> PERFORMAhCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM TME WORK FOR WHICN <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> �t��.o.M�q CONTRACTORS LAW} , qCW AND 286.20(�WAC. <br /> COM6T11UCTIONLOANIE/AER.110011E55.lE1EN10NEM1MlEp -- �— � /� � <br /> U tE D1IE <br /> CIfY BIISINESS IILENSC NO <br /> ���1N4 MECNANICAL <br /> NO. TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILEn � A/C—qMypLp UNfTS <br /> �T�UB ' FOpCEDAIRSVSTEMS <br /> UVATORV(WASH BASIN) NEAT PUMP <br /> SHOWER ' UNIT HEATERS <br /> KITpiEN SINK 8 DISP ; CLOTHES DRVERS <br /> DISHWASHER � FiANGE H000 �— <br /> LAUNDHY TRAY ; WATER HEATER <br /> CLOTNES WASHER � WOOD STOVE <br /> URINAL ; MEfAL FIREPLACE(WOOD�URNING) � <br /> DRINKIN6 FOUNTAIN � FIH[PLACE INSERT�1100D BURNING) � <br /> FLOOR DRAIN GAS FIREPLACE � <br /> BACKROW PREVENTERS ; GAS NANGE ' <br /> SINK(SERVICE—BAR,ETC.) � GAS PIPING <br /> ' EXHAUST FAN <br /> � <br /> T <br /> 1 <br /> SUB TOTAL f � SUB TOTAL S <br /> PERMIT S � PERMIT S �— <br /> TOTALFEE f � TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> FRp1TSETBACK RENISETBA�k $IpE$ETB�CK PlAHC11Cf.NM�WIff1 FEF RECEIf'Ilq <br /> ��a�7 <br /> use¢or� IOI�PE� wc�nra�e : EES VALUATION 4EE <br /> ❑res o rw oimniNa <br /> nc�r u�.nuriou rw a orrtwra aze o�eioari .. <br /> UMfS rwuowc <br /> OCCUP�NCY IqOS�M[� OCCUPANil040 EASEIIENI . i <br /> ppp�p MFC�uNiUl. <br /> OYES ❑NO — - -- <br /> FIRESPRINKIEflREO'D �f�50N AIXM� ulq P rtCK <br /> __ _ ' ___�__. <br /> Ol� d � <br /> FIRENAqM11E0'D pE�tOM ._ _ <br /> Sl�if OUe u1C1UfIGE <br /> �vvear.or�sr rursa�moveoer CITYOFEVEflETT runnr.vn <br /> LOCAL SALES � —�— <br /> o��i TAX CODE IS 3105 TOTAL <br />