Laserfiche WebLink
APPLICATIO.+1 FOR CONSTRUCT �ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-BB10 <br />fl DEMOUTION �l COMBINATION f 1 BUILDING � MECHANICAL t l PLUMBING f l SIGN <br />PROJECT ADDRESS <br />onmen una�ooness cirv nr r�wr+e <br />����,� �A.�� s��, sou.,a �r✓� ��,- sazo� �v�-iszs� <br />TENANT MRII.RDDPE55 fllY 71i� PIIONE <br />ARCMRCCTORbES�GNER MRIIADOtiE55 ,;�fY )iP P�IONF <br />GENER�lCO4fMCT0(1 MAIIADORE55 GIY DP PI�ONB SUiEIICENSE• <br />9.s� <br />SOU�REPOOT�GEINVOLVED <br />l0T BIOCK OF, <br />PARCEL T/Jf ID. NUMBER <br />CONSTRUGTON LO�N LENOER. ADDFE55, TEIEPMONE NUMBER <br />LAVATORV(WASH BA: <br />SHOWER <br />KITCHEN SINK d �ISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />SUBTOTAL S <br />PERMIT 5 <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />FRONTSF.TPRCK REM SFTORCK <br />USEZONE IOiRRER <br />HEIGIIT UMITRTION NO Of pWEIIING <br />UNIIS <br />orr,owsr �rinNsarrnoven <br />Cltt <br />CZ <br />ZIt` PIIONF <br />STFLF. LICEYSE � <br />HEATING SYSTEM: fJQ GAS �1 ELECTRIC rl <br />CONTACT P[RSUN 4N0 PIION[ NO <br />I HEREBY CERTIFY THAT 1 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 TVPE OF <br />WORK WILL BF COMPL�ED WITH WHETHER SPECIFIED HEFiEIN OR <br />NOT. THE GRHNTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />FERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BV THE <br />UWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.[00 WAC. <br />,��"��� 6 /i 9.f`" <br />SIA�A10i�E1 O z 6 7 O� DRiE <br />CITY BVSINESS LIG[NS[ N0. <br />FEE NO. TYPE OF EGUIPMENT FEE <br />! A/C—AMNDLGUNITS—H.P. <br />; fORCEDAIRSYSTEMS—B.T.0 OM E.A. <br />i HEAT PUMP <br />� UNIT HEATERS — B.T.U. M <br />i CLOTHES DRVERS <br />� VENTILATION FAN <br />� RANGEHOOD <br />� WATER HEATER <br />WOOD STOVE <br />i METAL FIREPLACE (WOOD BUFI�ING) <br />� FIREPLACE INSERT (WOOD BURNING) <br />; i GAS FIREPLACE <br />� GAS RANGE <br />GAS PIPING <br />� FXHAUSTFAN <br />SIOE $ETBRf.H <br />WCANI SIIF. <br />IIVE$ fl NO <br />TOTAL 3 D � ' <br />NIT $ � � <br />�LFEE $ /i.�:� <br />PlANC11EC yG�/�/ Irer Inccrirrr+o <br />Lf <br />ovnnn+c <br />512E Of OLUORI <br />PI IIMfiING <br />OASEMENT pi��qqNiCM <br />ItYES I1 NO <br />ADOi I IONAL PI AN CNf.CN <br />on�en <br />sTme nunoirvc suna�nnce <br />CITY OF EVERETT runur, wonKs <br />LOCAL SALES ' <br />TAX COUE IS 3105 TOTAL <br />