Laserfiche WebLink
APPLICATIO�i�I FOR CONSTRUC7�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 <br /> fl DEMOLITION n COMBINATION n BUILDING ,f�MECHANICAL �l PLUMBING fl SIGN <br /> PROJECT ADDRESS <br /> I C � <br /> ��� '" /���E55 ///�� J ���, / .{�/�1 //C�i 1'NON�� <br /> � ��_� � 3 ..���9�s- <br /> 1F. �NT � MML�IIDRF55 CITY ZIP PnONE <br /> ARCNITF.CTOROESIGNEP MNI�DORE55 Gltt ]IP PHONE <br /> GENEtUICONLPaCTOR MRILA�ORE55 CIIY IIP P�ION[ StAI[LICGNSE• <br /> MECN�NICALC/ONTFACTOR MFILAODRE55 CI7Y � pZIP PuONE STRELILENSE� <br /> � �AIK✓ /�W7CAS �i�y/y Sw�efi�d'�L'�tlfd/D f�dl���7c.! /��,�.�3 �SS•/ST/ V/J1�N60SS(�L. <br /> PLUMBINGCONTR�CTOR MAIL�DDRESS CIIY 21P P110NE STATELICENSE• <br /> CONTRACTPMCEOFWO{IK ' �� E/J <br /> HEATING SVSTEM: f l GAS rl ELECTRIC fl <br /> DESCR�IB>E K�NDSOU�REF UG�7INVOLVE CONTACTVERSON�NDFNONENO. <br /> V v � i l:J �i � � � i n <br /> i <br /> �u 5 � [ Ilk6vS <br /> I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROPOSEDUSE OF BUILDIN6 N ��e PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> K WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> IEG�LDESGRIPTIONOFPROPERTY�SHOWNBELOWORATTACHTWOLOPIES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or BLOGN oF AUTHORITY TO VIOLATF OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHJRIZED BV THE <br /> OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE 3TATE <br /> PARCEL T�%I.D.NUMBER CONTRACTOR LAW 18. 7 RC D 296200 WAC. <br /> CONS7RUC710N 10+1N IENUER,�DDRE55.TELEPNONE NIIMBER X � /��S�—` �> _ <br /> SIGN URFy^ � D �� D�TE <br /> U <br /> CITY BUSINESS UCENSE N0. <br /> PLUMBINO MECHANICAL <br /> NO. TVPE OF FlXTURE OR ITEM FEE NO. 7YPE OF EWIPMENT FEE <br /> WATERCL08ET(TOILEn � A/C—MiNDLOUNITS—H.P. � <br /> BATHTUB ; FORCEDAIRSYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER UNITHEATERS—B.T.U. M � <br /> KITCHEN SINK 6 DISP i CLOTHES DRYERS i <br /> DISHWASHER VENTILATION FAN � <br /> LAUNDRYTRAY ; RANGEHOO� i <br /> CLOTHES WASHER � WATER HEATER <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN i METAL FIREPLACE(WOOD BURNING) i <br /> —�— <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GASFIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE <br /> GAS PIPING <br /> i EXHAUSTFAN � <br /> � � <br /> SUBTOTAL S � SUBTOTAL S , � <br /> PERMIT $ PERMIT 3 }� <br /> TOTAL FEE E ' TOTAL FEE S �i' <br /> FOR OFFICE USE ONLY: <br /> PRONT SETPRCk RERP SFiBALN SIDE SETBRCN PI AN CIIECN N , FR PEF AF.f.EIPT NO <br /> �/ o D <br /> useloHe IDT�REl1 VPC�Nt51iE FEES VALUATION FEE <br /> rives r'� No nunortuc <br /> NEIGHTLIMItATION NOOFOWELLING SIZEOFBIIX:/f� <br /> ❑NIL$ pIUMpING <br /> �— <br /> OCC�U�RNCY NO 0�S10A�[5 OCCUPRNi LO4U PRSEkENI MEC�InNICAL � <br /> ❑lE5 IINO <br /> FIqEAL�RMPE00 RF�SOY ��Di11p4MPlANCnf.CN <br /> OiNE11 <br /> FIRF.SP{iINNIFRRFOP PFA50Y <br /> StAI E BUitDM;SURCMMGE <br /> rmeorr.oNsr rtnusarrnovFnnv qTYOFEVERETT ruoi.�r,vron�s <br /> LOCALSALES — <br /> �prE TAX CODE IS 3105 TOTAL I <br />