Laserfiche WebLink
APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />DEMOLITION (-I COMBINATION i BUILDING MECHANICAL PLUMBING SIGN <br />PROJECT ADDRESS loI <br />l�� 111�-,1,�`,�A �� u <br />�.c,��Pl <br />CITY <br />TENANT <br />ARCHITECT <br />CONTRACT PRICE OF WO7�L <br />HEATINGSYSTEM: GAS nELECTRIC Fl <br />_ <br />DESCRIBE WORK AND SOUARE FOOTA'?E INVOLVED <br />CONTACT; PERSON AND PH ONE 0.L I <br />r Wee- <br />' l <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />PROPOSED USE OF BUILDING <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LEG AL DESCRIPTION OF PROPERTY ISHOWN BELOW OR ATTACH TWO COPIES) <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />LOT BLOCK OF <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF TRU ION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS ROPERTY O P ORM THE WORK FOR WHICH <br />APPLICATION S MADE 1 MPLY WITH THE STATE <br />CONTRALTO SLAW 1 W D 29 .200 WAC. )) rr <br />V 1 <br />PARCEL TAXI D. NUMBER <br />�7 <br />CONSTRUCTION LOAN LENDER ADDRESS. IEIEPIIONE NUMBER <br />X <br />SIGNATURE DATE <br />CITY BUSINESS LICENSE NO. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NC <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />I <br />A/C —AMNDLG UNITS — H.P. <br />FORCED AIR SYSTEMS — B.T.U: M E.A. <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />' <br />UNIT HEATERS — B.T.U. M <br />i— <br />KITCHEN SINK & DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />VENTILATION FAN <br />LAUNDRY TRAY <br />RANGE HOOD <br />CLOTHES WASHER <br />WATER HEATER <br />' <br />URINAL <br />WOOD STOVE <br />_ <br />DRINKING FOUNTAIN <br />METAL FIREPLACE (WOOD BURNING) <br />FLOOR DRAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />B..CKFLOW PREVENTERS <br />GAS FIREPLACE <br />SINK (SERVICE — BAR ETC.) <br />GAS RANGE <br />i <br />GAS PIPING <br />— <br />EXHAUSTFAN <br />' <br />I <br />' <br />SUBTOTAL $ <br />SUBTOTAL S <br />PERMIT $ <br />I <br />PERMIT S <br />TOTALFEE $ <br />TOTAL FEE $ <br />run vrrn.Q uac vLI.I. <br />FRONT SETBACK <br />REM SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER FEE <br />RECEIPT NO. <br />FEES <br />VALUATION <br />FEE <br />USE ZONE <br />LOTAREA <br />VACANT SITE <br />LT YES F1 NO <br />BUILDING <br />HEIGMi LIMITATION <br />NO OF DWELLING <br />512E OF BLDG/LI. <br />i <br />UNITS <br />PLUMBING <br />{ <br />MECHANICAL <br />i <br />OCCUPANCY <br />NO OF STORIES <br />OCCUPANT LOAD <br />BASEMEN <br />GROUP <br />❑YES n NO <br />' <br />ADDITIONAL PLAN CHECK <br />—� <br />FIRE ALARM REGO <br />REASON <br />I <br />OTHER <br />FIRE SPRINKLER FEUD <br />REASON <br />STATE BUILDING SURCHARGE <br />PUBLIC WORKS <br />TYPE OF CONST <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />I <br />TAX CODE IS 3105 <br />TOTAL <br />DATE <br />