Laserfiche WebLink
the Evffvrm <br />CITY OF CnNSTRUCTION 1 p q <br />everett PERMIT PERMIT NQ:: f 4 <br />259-8745 <br />❑ COMBINATION <br />❑ BUILDING <br />❑ MECHANICAL <br />❑ PLUMBING <br />❑ SIGN <br />® DEMOLITION <br />MAIL <br />MAIL ADDRESS <br />CITY <br />Z <br />PHONE <br />OWNER <br />city of Everett <br />ZIP <br />PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />OTY <br />Same <br />ZIP <br />PHONE <br />LICENSE+ <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />Same <br />ZIP <br />PHONE <br />LICENSE+ <br />MECHANICAL CONTRACTOR <br />MAR ADDRESS <br />CITY <br />CITY <br />21P <br />PHONE <br />LICENSE• <br />PLUMBING CONTRACTOR <br />nail ADDRESS <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR <br />VALUATION OF WORK <br />f <br />DESCRIBE WORK <br />8m Interior demolition <br />HEAT SOURCE r-I Fl wnnnSTOVE <br />[jkDEMOLITION <br />O OTHER <br />❑ BUILDING RELOCATION <br />LJ ELCG I NRAIT u.+�+---------- <br />PROPOSEDUSE OFBUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />ffice <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />DESCRIPTION OF PROPERTY )SNOW BELOW OR ATTACH FOUR COPIES) <br />LEGAL <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />OF <br />SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />LOT _ BLOCK _ <br />WHETHER <br />PE-IMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE F CONTRACTO AU HpRIlEo AGENT. OR OWNER DATE <br />I� ��I�� <br />JOB ADDRESS <br />3024 Wetmore Ave. <br />L•((�� <br />MECHANICAL <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />A C -- A'HNDLG UNITS — H P. <br />WATER CLOSET (TOILET) <br />REFRIGERATION UNITS — H I' EA <br />BATHTUB <br />BOILERS — B T U /H P. <br />LAVATORY (WASH BASIN) <br />SHOWER <br />GAS FIRED AC UNITS — BTU <br />FORCED AIR SYSTEMS — B T U M EA <br />KITCHEN SINK A DISP <br />WALL HEATERS—BTU M <br />DISHWASHER <br />UNIT HEATERS — B.T.0 M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />URINAL <br />'VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />METAL f'NEPLACE R CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />FIREPLACE INSERT <br />HEATPUMP <br />GAS PIPING <br />EXHAUST. FAN <br />SUBTOTAL <br />SUBTOTAL <br />f <br />PERMIT <br />S <br />PERMIT <br />TOTAL FEE <br />f <br />TOTAL FEE <br />FROHi SETBACK <br />REAR SETBACK <br />SETK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />DYES ONO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />$ <br />PLUMBING <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />MECHANICAL <br />INVESTIGATION FEE <br />Sec. 304(c) <br />STATE BUILDING SURCHARGE <br />FIRE SPRINKLERS REQUIRED ❑'GCS ❑NO <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE By <br />DRIVEWAY PERMIT <br />TOTAL <br />00 <br />S.H. <br />PERMIT VALIDATION <br />RMIT <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PE <br />r� <br />N <br />ADDPESS FILE <br />