Laserfiche WebLink
APPLICATI�..� FOR CONSTRUC7.JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION �iCM��� <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />(1 DEMOLITION Cl COMBINATION fl BUILDING MECHANICAL ❑ PLUMBING Cl SIGN <br />PROJECT ADDRESS � 6 G I— V L(� (r I l� I 64 i�U L � U� 1 �Z a� v � <br />�NT1ER.^,� rt�% W U= l CrI�DDtiE55 ��``f' CITY J ZIP `^MIONE �� � <br />T i�5 C� P�c V C. ��rj"� —�, / <br />IENANT MAILAbDAE55 Cltt ZiP PnOrve <br />PRCHITEGTORDESIGNEii MA�I/�DORF55 GitY 21P PNONE <br />GENERnLCONRiRCiOR MRILADDRE55 CITV ZIP P110NE SUTEUCENSE� <br />CONTRf�CT PRICE Of WORK � <br />DESCPIBE WORK AN� SOVANE <br />� /'r�.NPdSIc:' <br />LEG�L OESCRIPTION OF PPOPF <br />LOT BLOCK <br />1 <br />INVOLVED <br />PARCELiA%I.D.NUMBEH <br />CONSTRICLJN LOaN LENOER. ADDRE55. TELEPHONE NVMBER <br />PLUMBINO <br />NO. TYPE OF flXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER _ <br />KITCHEN SINK 6 DISP _ <br />DISHWASHER <br />LAUNDRYTHAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FIOOR DRAIN _ <br />$ <br />5 <br />TO7AL <br />HEATING SYSTEM: �GAS fl ELECTRIC O <br />CONTACT PERSON ANO PMONE N0. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO DE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME T[' GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION Oi ANY <br />OTHE�i STATE OR LOCAL LAW REGULATING CONS?RUCTION OR THE <br />PERFORMANCE OF CONSTfiVCTION. THAT I AM AUTHORRED BY THE <br />OWNER OF THIS PROPERIY TO PERFOPM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 7827 RCW AND 296200 WAC. <br />x��_ IJ.J v�y�.� (�--�--�'`��— <br />SIGN�T RE DRTE <br />� <br />CITY BUSINE55 LICENSE N0. _ <br />FEE � NO. <br />� A!C —AIHNDLG UNITS — H.P. <br />� FORCED AIR SYSTEMS — B.T.U. <br />, HEAT PUMP <br />� UNIT HEATERS — B.T.U. M <br />\TION FAN <br />HOOD <br />HEAIER <br />INSERT <br />SUB�OTAL 3 <br />PERMIT $ <br />TOTAL FEE 3 <br />FOR OFFICF USE ONLY: <br />FPONTSETAACN RFARSETBRCK SIDESEiBACK <br />PUN CNECK NUMBER FEE RECEIPT NO. <br />USEZONF <br />11EIGHT LIMIi�TION <br />IOTAfiE� V�C�NTSITE ' <br />f7 VE5 ❑ N� BUILDING <br />NO.OFOWEWNG 52ECFBLOG�TI. <br />UNITS PLUI.IDiNG <br />OCCUPAN BASEMENT MEGNANICR� <br />❑VES ❑ NO <br />PDDIiION�L PIAN CNECK <br />REASON <br />OTMER <br />PEASON <br />STATE OWLDINO SVRCHRRGE <br />PUNS POPROVED BY CITY OF EVERETT PU9UC WORKS <br />LOCAISALES <br />I ontE TAX CODE IS 3105 TOTAL <br />