Laserfiche WebLink
APPLICATI�.N FOR CONSTRUC'� .ON PERMIT <br /> C1TY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT,WA 98201 •259•8810 <br /> f 1 DEMOLITION I 1 COMBINATION rjII-Bl11LOING I� MECHANICAL f� PLUMBING �l SIGN <br /> PROJECT ADDRESS <br /> �3l� 5 k�. !{/'ST /� <br /> ONTlER MAILAD�R[55 Lltt ZIP �MONEZ�J _ �/3S� �-r�•���' <br /> �72td 7G�vsc'�' ���fi"3o S,.ayq.Fsr �l�i,lsi7 gq�o3 zs`• - �-�9L ��,rir <br /> TEN�Ni MAILADORE55 cGTV IiP PMONE <br /> �RCHITECTORDESIGNER MAILRODPE55 Citt ZIP �NONE <br /> .�h�v C r`5/y 23y��s (-�u„'F.t' L/N�G cOfrr�iis 9J'n�� Sy�- .Q�77 <br /> CENENALCONinACt MAILADDRESS CIIY ]IP PHON[ 57ATELIGENSE� <br /> .4��q�1 .�Ux /7 3�7 ��i/1���=� 1C�G�`,2 �2 3n9> r9r�� #rUl ��_ <br /> MECH�NICAL CONTRACTOR Mnit RODRFSS GITV 2li` PHONE STQE LIGENSE� <br /> PLUMB�NGCONTRRCTOR MAIU�DRE55 f,ltt ZIP �NONE STRTELIGENSE� <br /> coNmr,cr rnicE oF wonrc � HEATING SYSTEM: f7 GAS rl ELECTRIC �l t���l� _ <br /> $CRIBE WORK PND 5011�PE FOOTAGE INVOLVED GONTPCT PERSON FNO FMONE NO <br /> ,�,r,_ _ -3 .�,— .ro��f%�4 ��1�'10 , <br /> I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PPOPOSEDUSEOFBUIL�INO PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> B c�T c,�tJIQ/�(-� -- WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEG�lDESCRIPTIONOFPROPEFTYfSNOWNPELOWORA/�/n cN coni NOT. THL GHANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �aT � O e�ocK � _or /� '� -�^r /�� - AUTHORiTY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> � .- OTHER STATE OF LOCAL LAW REGULATIN6 CONSTRUCT;ON OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPER7Y TO PERFORIA THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> P�PCEL T X O NUMBER / n�' . / CONTflACTORS LAW 1827 RCW AND 296.200 WAC. <br /> ! :_'� ��', D� r 5� ��/Y! ,/.! ���r�% <br /> CONSiRUCT10N LOAN LENDER.RDDRE55.TELEPMONE NUM9ER �r—L _�� <br /> X D�TE <br /> SIGNATURE <br /> QTY BUSME55 LICENS[N0. <br /> PLUMOIN6 MECHANICAL <br /> NO. TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H.P. ' <br /> BATHTUB � FORCED AIR SYSTEMS—B.T.U. M E.A. i <br /> LAVATURV(WASH BASIN) HEAT PUMP � <br /> SHOWER UIlITHEATERS—B.T.U. M �_ <br /> KITCHEN SINK 8 D�SP i CLOTHES DRYERS � <br /> DISHWASHER VENTILATION FAN ' <br /> LAUNDRV TRAY RANGE HOOD � <br /> WATER HEATER <br /> CLOTHES WASHER WOOD STOVE � <br /> URINAL � <br /> ORINKING FOUNTAIN METAI.FIREPLACE(WOOD BURNING) � <br /> � FIREPLACE INSERT(WOOD BURNING) ' <br /> FLUOR DRAIN i <br /> BACKFLOW PREVFNTERS � GAS FIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) GAS FANGE — <br /> — � GAS PIPING <br /> �� _ ', EXHAUST FAN ' <br /> � <br /> � <br /> � <br /> � <br /> SUBTOTAL S � SUBTOTAL $ i <br /> PERMIT 5 �— PERA9IT $ � _ <br /> TOTAL FEE 5 ' TOTAL FEF S ' <br /> FOR OFFICE USE ONLY: <br /> RELE PT N <br /> PRONT SETB� , RERR SE7AACi � / SIDE SETO/CH� / PIAN C11ECN 4UMOEO ��/� �/l I� 7 � <br /> yU,� � � �n- i � <br /> L�6/ FEES VALUATION FEE <br /> USE20N LOTAR[A VACFNt51iF <br /> � � 1 fl VES i� NO BUILDING � � � � <br /> / <br /> HEIGMTLIMITATIO% NOOFOW[LLWG 9ZEOPFIU��� � <br /> UNITS ` PLUMBING � <br /> Z � � <br /> OCGUPANGY NO Of Si0RIE5 OCCUPAM�OAD Bf.SEMENT MECN4NICRL � <br /> GPOUP � <br /> f1VE5 I�O i <br /> ADOIiIONALPLAN GHECK i <br /> Fl EALARMfiEO'D REASON � <br /> � <br /> OTHEN � <br /> FIPE SPPINNLER REO'� REASON i� �� <br /> f SIAtE�UILDING SMCNApG[ � ��V <br /> V <br /> nveorcorvsr. vur+snrr'jov�oer CITYOFEVERETT rueucwonKs ' <br /> `lY� LOCALSAIES 70TAL � <br /> �-I�) onre �7�7 q S TAX CODE IS 3105 <br />