Laserfiche WebLink
,-.. ,- <br /> A�PPLICAT14�1 FOR CONSTRUCT�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 <br /> I-1 DEMOLITION fl COMBINATION I-I BUILDING I-1 MECHANICAL �pLUM81NG f l SIGN <br /> PROJECTADDRESS <br /> gU� In�2�t-rn�rc /-�✓� 38$ -`JL33 �c, <4 <br /> OMMER M�IL�DDPE55 Cin• ]i� `��4 <br /> f'HON[ <br /> �/<r�"�{�,�.. C�/4u S2c�� tJ,��.,.,,rti A�� ��,-`T" �Z.Di 388-9�z <br /> TENANT MpILRpDRE55 CITV 71P CIIONE <br /> �aa.+� /.�23 2� x �(( ��. <br /> ARCMITEGTOROESIGNER Ma11ADLiE55 Clrv ]m PIIONE <br /> GENERPICONiMGT011 MAIL��URES$ CItY )IP P�IONf STRTELICFNSE• <br /> MELH�NIG CONTRRCTOR MMLAD�RE55 (.ITV ZIC PIIONE STniF.LICENEE� <br /> PLI/MBINGCONLRRr,tpq MnILA0DRE55 CIIY 21P PHONE STATELIGENSE• <br /> C�RACTI'RICEOFWOIiX � ��O_ `/�T/ � �•G/` �� �I"�� YJ A�a� ��a� <br /> HEATING SYSTEM: f l GAS I l ELECTRIC fl <br /> �ESCqIBE WORK�NO SOU�RE FOOT�GE INVOLVED COYTRCT�ERSON ANO PHOVE NO. <br /> I HEREBY CERTIFY THAT I HAVE R�AD AND EXAMINED THIS <br /> PROPoSEUUSE 0�BUILDING APPIICATION AND KNOW THE SAME TO Be TRUE AND GORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> LEG�LDESCRIPTIONOFPqOPER7Y�5NONT18ELOWqiATT�CNTN'OCOPIES) WORK WILL BE COMPL�ED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or eioac oF .1UTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHEA STATE O� LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITIi THE STATE <br /> PARCELTA%ID.NUMBER CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> CONSTRUGTION LO�N IENDE0.ADDRFSS.TEIEPHONE NUMBEp X T��..>'HtN AG++LL ��/O'9G <br /> . SIGNATURE DITE <br /> Citt BUSINESS LICENSG NO <br /> � � PLUMBINO MECHANICAL —' <br /> NO. TYPE OF FlICTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILEn A/C—!VF{NOLG UNfTS—H.P. <br /> BATHTUB ; FORCEDAIRSYSTEMS—B.T.U. M E.A. � <br /> LAVATORV(WASH BASIN) � HEAT PUMP , <br /> SHOWER UNIT HEATERS—B.T.U. M <br /> KITCHEN SINK 8 DISP � CLOTHES DRYERS � <br /> DISHWASHER � VENTILATION FAN <br /> LAUNDRYTRAY � RANGEHOOD � <br /> CLOTHES WASHER � WATER HEATER , <br /> URINAL WOOD STOVE <br /> DRINKING FOUNTAIN ME7AL FIREPLACE(WOOD BURNING) <br /> FL(�R DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFIOW PpEVENTERS ; GASFIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) GAS RANGE � <br /> ' GAS PIPING <br /> � EXHAUSTFAN <br /> —�— <br /> — ' � <br /> SUB TOTAL $ � SUB TOTAL $ y <br /> PERMIT g � PERMIT $ � <br /> TOTALFEE S TOTALFEE $ <br /> FOR OFFICE USE ONLY: <br /> '90NTSFiflACK RUtiSFT04CN SIOESETPnCK i�LANCIIEGNNUMfffR ��—TfEF RECGIPiNO. <br /> UaE20NE iorenen v�c�Nrsire FEES VALUA710N FEE <br /> f1YE5 fiNO GUiI�MG <br /> MEIGIITtIMIT�T10N UOtOFpWEILING 512EOFBlOGrt1 — i <br /> PlUM11iNG <br /> OCCUP�NCV NO O�S�OaiLS q:CUPpNfLOAp BASEMENT � <br /> GROUP M[CIIANICAL � <br /> IIYES IINO �---- - - — <br /> fIRE�UqM(iEOD RPA504 >Dpi110NALPLANC��ECN � <br /> ��-- <br /> nIRHn i <br /> FItiFS�'RINNIERREOD RF�Spy <br /> SI�1G 11UIIO14G SURGIqqGE <br /> TVPEOFf,ONST PIANSAPPppVF00Y CITYOFEVERETT rue.ur.wonKs f <br /> LOCALSALES — — — <br /> unTe TAX CODE IS 3105 701'AL <br /> — —�— <br />