Laserfiche WebLink
—.�— <br /> APPLICATIG.� FOR CONSTRUCT ■..�N PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERET?, WA 98201 •259-8810 <br /> i DEMOUTION I I COMBINATION I i BUILDING I-I MECHANICAL ' LUMBING� f I SIGN <br /> PROJEGTADDRESS �� �O„f.` n' � <br /> o�t¢n Mainooness cm �/ 2ir rii0ne <br /> nt��t,-Th� svz���<<�/�kF �� c �`�� <��f/� q�i,�� 32�--3��tX <br /> itranNV MnILMD�F.SS GIiY Zli' PIIONf <br /> ARCHRECTOR�E51G:lER MNLAODqE55 GIN 21P PHONE - <br /> GENERALCONTRqCTOFl MAILAD�RE55 CIIY ZIP PNONE STATELICENdEM <br /> / <br /> i <br /> MECHANIC4LCONTRACTOP MAII.AD�RESS CIT1' ZIP PHONE STATELICENSE+ <br /> PI.UM6INGCONiRACTOR MAILADDRE55 Cltt ZIP PHONE SiAiELICENSE� <br /> ac7 ,p� - u.c., ,x c. o :t ot e 9d'�.`�8 - r ,vO�6yc/y� <br /> CUNiRACT PFICE OF YfOfiK <br /> HEATING SYSTEM: I� GP.S r7 ELECTRIC fl <br /> OESCPIOE WORK AN�SOl1ARE FOOTAG[INVOLVED CONT�CT PERSON AND PHONE N0. <br /> I HEREBY CERTIFY ?HAT I HAVE READ AND EXAMINED THIS <br /> PROPOSE�USE OF 0111LD�NG APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHEiHER SPECIFIED HEREIN OR <br /> LEGAL�ESCPIPTIONOFPROPENTV�SHOWNBELOWOqPTfACHTWOCOPIES) NOT. TNE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> iot e�ocK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATWP. CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTFUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK 'vn '.vHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE S'i.4TE <br /> P4RCELTAX I.D.NUMBER CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> CONSTRt1CTI0NLOANLENDEq.AD�RE55,TELEPHONENUMBER x ��C/iLC�"'1./i" ����N <br /> 1 IURE pp T- <br /> ���_ �-}�/�C'F_ � eT� � ADE � CItY 0 JNESS LICENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) i A/C—A/HNDLG UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN) � HEAT PUMP , <br /> SHOWER � UNITHEATERS—B.T.U. M <br /> KITCHEN SINK& DISP � CLOTHES DRYERS ; <br /> / DISHWASHER � VENTILATION FAN � <br /> LAUNDRY TRAY ; RANGE HOOD ; <br /> CLOTHES WASHER � WATER HEATER � <br /> URINAL � WOOD STOVE � <br /> DRINKING FOUNTAW � METAL FIREPLACE(WOOD BURNING) � <br /> FLOOR DRAIN � FIFEPLACE INSERT(WOOD BUR�ING) � <br /> BACKFLOW PREVENTERS ; GAS FIFEPLACE � <br /> SINK(SERVICE—BAR, ETC.) � GAS RANGE <br /> ; GAS PIPING ; <br /> � EXHAUST FAN � <br /> � ; <br /> SUB TOTAL S ; SUB TOTAL S ' <br /> � <br /> PERMIT S � PERMIT S � <br /> TOTAL FEE S � TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> �RONTSETBALK pEARSET�ACN SI�ESGTOFCN P�AIJCHEC NU61I1ER F[E RECEIPTPIO. <br /> 4 �3 <br /> u�e?ONE LOTAREA vncnNrsirE FEES VALUATION FEE <br /> —�— <br /> fl YES fl NO pUIL01NG � <br /> IILIGHT�IMITATION NOOFDWELLING SIZEOF9LOGRI. i <br /> UNIiS PLUMpING i <br /> OGCUPANCV NO OFSi0PIE5 OCCUPANTLOAD BASEMENT � <br /> GROUP MECMANICAL � <br /> ❑VES f7 NO i <br /> FIRE ALARM REO'D REASON ADDITIONAL PLAN CIIECK � <br /> i <br /> OLIER <br /> i <br /> i <br /> FIRE SPRINKLER REO'D REASON � <br /> 5?ATE OWLOING Sl1RCHARGE i <br /> TYPEOFCONST PLANSAPPROVEDOY CITYOFEVERETT PUBLICWORK$ -�_ <br /> LOCAL SALES � <br /> ��niE TAX CODE IS 3105 TOTAL I <br /> _�_ — . �� 'i. H .4.�' . . <br />.. _ .. �` J^� � ...� ,.:9 .:.... .�.. - �r� <br /> M � � <br /> _._ "r.ti� ��. " ; . — -� .' <br /> � Y � <br /> ' � •I� � � -I� �� <br /> F � <br />___ . . • . J�C`.d� . __ _. � .. . -i� -:..u:�i <br />