Laserfiche WebLink
• <br />0 <br />APPLICATIOrr FOR CONSTRUCT�.�lN PERMIZ' <br />CITY OF EVERETT • BUlLDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOLITION �l COMBINATION � BUILDING f-1 MECHANICAL i 1 PLUMBING �l SIGN <br />PROJECT ADDRESS /�� J� � � c � <br />J <br />�WNER MAILAD�ilE55 ��r �,,, <br />2 <br />ARCHRECT GR UESIGNER MAIL F�DRE55 CITV ZIP <br />PNONE <br />PHONE <br />PLUMBINGCONTRACTOR MAILADORE55 ��n, Z�P <br />PViONE STATE LICENSE � <br />��� <br />INVOLVED <br />i <br />�/i..,/ :�,6-[ cs �/ l ? <br />� �-- <br />LOT BLOCK <br />PARCEL <br />`J —1 ` U�7i—O(/�ry — <br />�OAN tENOER. AOORESfi TELEPHONE kUMBER <br />NO. TYPE OF <br />WATER CLOSET <br />SHOWER <br />KITCHEN SINK & DISP <br />DISHWASHER <br />URINAL <br />VG FOUNTAIN <br />DRAIN <br />FOR OFFICE USE ONLY: <br />FRONTSETBACK REAR SF.TBqCK <br />USE 20NE <br />MEIGHT LIMITATION <br />OR ITEM <br />HEATING SYSTEM: ❑ GAS ❑ ELECTFiIC ❑ <br />CONTACTPFRSONAN��unuvun . <br />I HEREBY CERTIFY THAT I 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 TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GiiANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIO'V OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZcD BY TI1E <br />OWNER OF THIS PROPERTV TO PERFOAM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONT CTORS LAW 1827 W A D z9�.200 WAC. <br />� � <br />%: � / `��i � J <br />SIGN RE DATE <br />CITY BUSINESS LICENSE NO. <br />FEE NO. TYPE OF FIXTURE OR ITEM FEE <br />' A/C—A/HNOLGUNITS—H.P. <br />; FORCEJ AIR SYSTEMS — B.LU. M E.A. <br />� HEAT PUMP <br />' UNITHEATERS—B.T.U. M <br />� ' CLOTHES DRYERS <br />' VtNTILATION FAN <br />� RHNGE HOOD <br />WOOD STOVE <br />METAL FIREPLACE ( <br />FIREPLACE INSERT <br />GAS FIREPIACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUST FAN <br />� <br />i <br />i <br />SU8 TOTAL S � <br />PERMIT $ , <br />70TALFEE S � <br />SIDESETBACN I PLANCNECK <br />LOTAPEA VACANi51TE FEES <br />fl YES I 7 NO pU1LDING <br />NOOFOWELLING 512EOFBLOGRI. — <br />UNITS <br />PWId81NG <br />OCCUPANTLppD BdSEMENT MECHANICAL <br />❑YES Il NO — <br />REASON -- AODITION�LPLANCNECK <br />OTHEN <br />REASON <br />STATE 9UILDING SURCHFRGE <br />PLANSAPPqOVEOBY CITYOFEVERETT PUBLICYlOpNS <br />LOCALSALES <br />onre TAX CODE IS 3105 701'AL <br />FEE <br />SUB TOTAL $ <br />PERMIT S <br />TOTALFEE $ <br />RECEIPT NO. <br />� -. <br />m <br />