Laserfiche WebLink
.� <br /> APPLIGATIt�N FOR CONSTRUCI .ON PERMIT <br /> CITY OF EVERET 1'•BUILDING DIVISION � <br /> 3200 c:EDAR STREET• EVERETT, WA 98201 •259-8810 <br /> fl DEMOUTION fl COMBINATION I-1 BUILDING �I MECHANICAL r l PLUMBING fl SIGN <br /> PROJECT AqDR1� S ,p <br /> ,t�J f UI�GTIVI D ft-C:= �-VC� �= V�� /a b� k S P� u i�1� �i�q F�,�s r-€�+d� <br /> OWNER /� MMUWRt55 <br /> L— �/ C��' �y0� TM zir rHONe <br /> WETii+o���4-„� Evc�r�i {�9a2oi <br /> IEN�NT MRIIRODRE55 CItY 21p i41pNE <br /> ARCNIiF.CiOR0E51GN[R M�II�DO'lE5 ZIP P ONF <br /> �-�,P�.R,. 1833� 1os�'�o�S S�qc�; 98�33 �7oc.) 527-oso ! <br /> GENEf1ALCON CTOq � MnIL�pURE55 CItY ]iP PIIONG SfATHLICENSE• <br /> 7�1�� �YJI <br /> MECN ICRICONTRRCTOR MMLAODRE55 CITV ZIP PIIONE STATELICEN�F� <br /> � <br /> PIUMBINGCONiRRCTOR MRILAOURE55 Cltt ZIP P110NE SiRiELICENSE� <br /> CONT �Ci{'RICE05WOR / vS <br /> �sr a/��`9 �i50 yj� � � . HEATING SYBTEM: f 1 GAS n ELECTRIC �d r��. <br /> DESCPIBEWORKPN�SOURREFgpTA EINWWEU CONiACTPER50NpNOP110NEN0 <br /> �cGG/�CE /1fECH[. EQUI K/l� - /f�Q <br /> 1 0 0 o y� �t vt,x �i ��c.s �a � -as-v <br /> I HERFBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> rao,roseo use oF emtPw9� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORHECT.ALL <br /> ,��c( T�N lil Y/VG�V FI E S / N 6 PROVISIONS OF LAWS AND ORDINANCES GOVEHNING THIS TYPE OF <br /> �EG�toescaipitp FPROPERtt�SN � NBELOWOR�TT�CH7WOCOPIGS� �'�'ORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING GF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or BLOCN oF AUTHORITY TO VIOLATE OR CANCEL TI1E PROVISIO'i OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TFiE <br /> °ERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY iHE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATJ9N IS MADE AND I COMPLY WITH THE STATE <br /> PANCELT�%I.D.NUMBER CONTRR�TORS LAW 1827 R/C�W AND 296200 WAC. <br /> CONSTPUCiION LOAN LEND7q,�DDRE55.TELEPNIXJE NUMBER x V/(�� /L� (��(�!�!�✓Y� �/�� �J <br /> SIGN�T RE D4TE <br /> � , CI7V BUSINESS LICEhSL NO <br /> - PLUMBINO MECMANICAL <br /> � NO. TVPE OF FlI(TURE OR ITEM FEE t'.O, iYPE OF EpUIPMENT FEE <br /> WATERCLOSET(TOILET) A/C—luHNDLOUNITS—H.PG �— <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORV(WASH BASIN� i HEAT PUMP � <br /> SHOWER � UNITHEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP � CLOTHES DRYERS <br /> DISHWASHER � VENTILATION FAN i <br /> LAUNDRY TRAV RANGE HOOD � <br /> CLOTHES WASHER WATEF HEATER , <br /> URINAL WOOD STOVE � <br /> DRINKING FOUNTAIN i METAL FIREPLP.CE(WOOD BURNING) � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ' GASFIFEPLACE � <br /> SINK(SERVICE—BAR,ETC.) GAS qANGE <br /> GAS PIPING <br /> � EXHAUSTFAN <br /> � <br /> � � <br /> � <br /> � T <br /> SUB TOTAL S � SUB TOTAL $ Q <br /> PERMIT $ PERMIT $ � <br /> TOTAIFEE S � TOTALFEE $ <br /> FOR OFFICE USE ONLY: <br /> fRONTSFTPRCN pEARSFTBAf.H SIDESETBRf.N Pl4NCRECKNUMOfR FGF qEC[IPtNO. <br /> __ r0/i7 <br /> usezoNe i.oTanen vnceNrsrte FEES VAWATION FEE <br /> _ rrves i�, No ounoiNc <br /> HEIGHi UMIiAT10'I NO OF DWEILING SIZE OF BIDC.T ' 1�� <br /> ❑Nli$ <br /> PLUMOING <br /> OCCUPANCV NO Of StORiFS OI;CUPRN7 LOAD BASEMFN7 --��— <br /> GPOUP MECN�NICAL <br /> IlYES 11 NO � - <br /> FIqE�UPM qEOP RFASON A�DIIIANM.PUN C��FCN <br /> --i— <br /> orr�cn <br /> FIRF.SPqINK1ER RE0'0 RF�EON <br /> SiN[pUll[1MG SURC114P6E <br /> rvveorr,a�si v�nN�nrrnoveonr CITYOFEVERETT rumir.wa�Ks -- — j <br /> I7� LOCAL SALES _;_ <br /> i�q1 TAX CODE IS 3105 707AL � <br /> , 3 5 �� � <br />