Laserfiche WebLink
APPLICA�N FOR CONSTRU�ION PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8870 <br /> ❑ DEMOLITION ❑ COMBINATION ■ BUILDINO ■ MECHANICAL ■ PLUMBING ❑ SI6 <br /> PROJECT ADDRESS �IgC� z5�- R��.. 6E <br /> OwvEA MeM1�COPE53 Cttv Iro �ONE <br /> Quadrant Coxporation PO Box 130 IIellevue lPA 98(�09 (425) 455-2900 <br /> 'EN�NT MAheppPE55 Citt Sro , R�ONE <br /> �c�a'dFCTOODESNINFF M�iI�DDPE55 LiTY I�G FMOxE <br /> OfNEA4tONiR�C10F M�R�ODaE55 QTY ZN FHONE lT�iELICFN9E• <br /> Quadrant Corporation FO Box 130 Bellewe, WA 98009 (425) 455-2900 QUADRC*2210F <br /> uECw�x�GLCONia�CTOa ��R��DRESS Crtv Iro v�MNE S1etELiCENSE• <br /> , Pac+fic Heating fi Air 1363:, NE 126th P1. N350 Kirk'_and, I9A 98034 (425)889-9345 PACIFHA093 <br /> oWMBwOCCN1n�Ci0A M�AepOnE55 PiV 'i0 PHONE SiAiE4CEN5E� <br /> Peltram 3307 Meridian E. �dgeh•ocd, lVA 9E372 (253) 770-8788 PEL7RP"152RT <br /> Cov*r++c*or.KEovwoAK HEATINGSYSTEM: OGAS OELECTRIC ❑ <br /> OESCAiEE WOPK�Np SOWaE i00T�0E INV0.VED COMKT PEBSON AN9 FHONE Iq. <br /> Sin e- �^'n^ Tnote, R� idential Pemit Coordinatc <br /> LF C3a•,�c ik z/3c_ (425) 646-8573 (direct)/(425) 646-8363 (fax) <br /> I HEREBV CERTIFY THAT I HAVE READ AND E%AMINED THI <br /> APPLICATION ANDRNOW THE SAME TO BE TRUE AND CORRECL AL <br /> aA0o05EJ u5E C�Ei., ro PROVISIONS OF LAWS AND ORDINAFCES OCVERNINO THIS T'PE 0 <br /> Single-Fam.:y Residence wORN WILL BE COMPLIED WITH WHETHER SPECIFIED NEREIN O <br /> LEG4�ESCoio9040�VPOPERTY15hOWHEELOWOa�tULNiYl000VIE5� NOL THE QRANTING OF A PERMR DOES NOT PRESUME TO OIV <br /> ipr J�O etaK _o� �N�-'QFL �AN AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF AN <br /> �! OT:1ER STATE Ofi LOCAL LAW FlEOULATINO CONSTRUCTION OR TH <br /> PERFORMANCE OF LONSTflUCT10N.TN1?I AM AUTHORIZED BY TH <br /> OWNEfl OF THIS PROPERTY TO PERFORM THE WORK FOR WHIC <br /> APPLICATION IS MADE AND I COMPLV WITM THE STAT <br /> - CONTRACTOflS LAW i827 RCW AND 296200 WFC. <br /> o�PCELiAxID NUMBEF <br /> ��9/iD _:'. �/1�j 3. (J6�„1�/�LZ-�j on behalf of <br /> LO�SLPUGTipNtO�NIENDta,�DOPE55.iELEP 4ENUMBER �j�/�,0_ Quadrant Coro.�_ <br /> s�av. n 30l'009 -- �,:e <br /> cm eusixe55�K¢Nse rro. � <br /> PLIIMBINO MECHANICAL <br /> NO. TYPE OF FI%TUflE OR I1Fh� FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET(TOILET� " _� I P/C—NNNOLOUNITS <br /> 'Z BATHTUB _ ( FORCED AIR SVSTEMS � <br /> LAVATORV(WASM BAS��+) HEAT PUMP � <br /> � SHOWER j UNITHEATERS <br /> 1 � KITCHEN SINK 6 DISP _ I CLOTHES DRVERS <br /> � � DISHWASNER I RANOEHOOD <br /> LAUNDRVTRAV WATER HEATER <br /> � CLOTHES WASMEFi K'OOD STOVE � <br /> URINAL METFLFIREPLACE(WOOD BURNIR3) ' <br /> DRINKINO FOUNTAIN FIREPLACE INSERT(140CD BUFNING) � <br /> FLOOR DRAIN I OAS FIREPIACE ' <br /> BACY.FLOW PREVENTERS 1 OASRANOE i ' <br /> SINK�,SERVICE—BAR,ETC.) i GAS PIPMO I � <br /> � E%HAUSTFAN ' <br /> _ I <br /> SUBTOTAL 5 SUBTOTAL S <br /> PERMIT 5 PERMIT S <br /> TOTALFEE S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> faONIE`^i,B�GK PEARSEiB4[ 90ESE*9iL[ DUNCwEC[nuuBER FEE�D� RECEiai�q. <br /> I 7 <br /> eie?o�+E ioreaE• veeu+*SrtE EES VALUATION FEE <br /> —� a�ts o No emm�nc '� <br /> �E�c�ruv�.,,au ra owEui�a sr.eore�oarti. 3 I <br /> .�, uwrs Z3$� 4'� F ow�newo i <br /> OCCU>u+GY rq0�SiO4R5 OCCUPu+i!OAD BASENENi � uECM�4iCAl � �I <br /> GOyP n <br /> .J�f. 4 OVES <br /> F!eES�RiNNLERRE00 PEe50N �ODITq�uIPVrvCMEGK <br /> I <br /> OiHER <br /> FiAEe�iaM�EOD PE�SON i <br /> Si�TE BURDrciO SUULM�FGE �� <br /> ivPE0iC0�i5t VL�vS�GPROVEDBY CITYOFEVEREI'f N84CWOPF4 .-, � � <br /> 7",� LOCAL SALES �+�--i <br /> dt— o�rE � TAX CODE IS 3105 70TAL � <br /> t <br />