Laserfiche WebLink
� <br /> APPLICATIG.� FOR CONSTRUCT.JN PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> - 3200 CEDAR STREET• EVERETT, WA 98?G1 •259-8810 <br /> f 1 DEMOUTION f I COMBINATION f 1 BUILDING i 1 MECHANICAL i l PLUMBING 'I SIGN <br /> PROJECT ADDRESS <br /> �o</ vQ. , <br /> ONRJER � n M/RILAD1p_RE-S�./ <br /> �n�"7/ /.� YI ! / t ry zm r�ioue <br /> TENRNT n+nanooaEcs 1 /f// /S�St' EvB cf'f b✓.c 9810� .S 8 /s�73 <br /> r��or�E <br /> nRCMITCCTORDE5IGNER MaILADORB55 <br /> CIIV IIP PHOkE <br /> GENERALCO4TPACTOp 61qILRDDRE55 ���� <br /> n ]�� PIIOYF cTAT[UL[NSE� <br /> / /�/l�n�� <br /> MECNANICqICONiPACTOR MRILpDDRE55 CIiV <br /> Z�P PIIO4E STaiE LICENSE� <br /> PIUMBINGWNIRACiOR MAILADORE55 ��jY <br /> ZIP PNONE SiRTE LICENcE� <br /> C�iNTM�T PqICE OF WORN <br /> HEATING SYSTEM: I �GAS � ELECTRIC C] <br /> DESCRIBE WOPN AND SOURRE FOOTAGF INVOLVEO <br /> CONiRCi PERSON AND f'M04E NO. / <br /> � //� 7/7-�'J �1 <br /> ' �`2G2 � ' <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH�S <br /> PROPOSE SE OF aoinc APPLICATION AND KNOW THE!iAME TO BE TRUE AND CORRECL ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEG�L+DJE'SC IPT�pNOFPROPEFtt�5N01YNBELOWOR pCHTIqpWPIES WORK WILL BE COMPUED WITH WHETHER SPECIFIED HEREIN OR <br /> �or LJ.I) BLOCK C^ NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> / � 'f � / OTHER STATE OR LOCAL LAW REGULATING CONSTRUC710N OR THE <br /> Q��C-L[Of�-/ PFRFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWM1IER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> PAPCEI T ��.c.Nuueea ///--- CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> CONSTqtICT10N IO�N LEN�DDP�[�NON�ER <br /> �.� � s,��/!.r <br /> ��.aNAiURE � <br /> OnTE <br /> CITY BUSMG55 LILENS[N0. <br /> PLUMBIN(i MECHANICAL <br /> NO. TYPE OF FlICTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM <br /> WATER CLOSET(TOILET) FEE <br /> ' A/C—A/HNDLGUNITS—H.P. � <br /> BATHTUB ; FORCEDAIRSYSTEMS—B.T.U. M E.A. <br /> LAVATORY(WASH BAS�N) i HEAT PUMP � <br /> SHOWER � UNITHEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP ; CLOTHES DRYERS <br /> DISHWASHER � VENTILATION FAN � <br /> • LAUNDRY TRqY ; RANr,E HOOD � <br /> CIOTHES WASHER � � <br /> WATER hIEATER � <br /> � URINAL � WOOD STOYE <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) <br /> FLOpR DRAIN � FIREPLACE INSERT(WDOO BUR�IING) <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE � <br /> ' GAS PIPING <br /> � EXHAUSTFAN � <br /> — i <br /> i � <br /> � �- /� <br /> � � i <br /> SUBTOTAL $ � SUBTOTAL $ i ' <br /> PERMIT 5 i PERMIT $ � ~ <br /> TOTALFEE 5 _ � TOTALFEE S � <br /> FOR OFFICE USE ONLY: <br /> fRONTSETBRCN REARSFTB ,N SIDESCTB/.CN PLANCHGCNNUMI3ER FEE qECEIPTNO. <br /> Y � <br /> use ioN� � ane� vncnNt sire FEES VALUATION F'eE <br /> nrEs n No <br /> HEIGNTUMI ON p p�y� OUILDMC �7 /_ _ �_ <br /> UNI75 SIZE OF"�LIX'i? �•• �� � <br /> •Lo3Z �F L�viN4Y rwn+oiNc �7 ' <br /> OCCUP�NCY NO OFSTORIES OCCUPANTLOAO v S G � I <br /> GR UP BASEMENT �� MECH�NICAL � <br /> 3 ^ f]Y[5 TNO /O � <br /> FIRE r1URM REO'D � qEA50N /� A�DITIONAL PLpN CNECK � �i <br /> i <br /> o,,,�R f i.�ilJ � ; <br /> FIRESPqINKLERRE00 REa50N � <br /> STATE�UILOING SURCH�qGE i/'�/ <br /> TVPE OF CONST PlANS Ai'�V�BY - ���'' <br /> CITY OF EVERETT rueuc wonKs y_ <br /> -�J' _�J IOCAL SALES _ <br /> •-�-- onre � �js' TAX CODE IS 3105 TOTAL ; <br />