Laserfiche WebLink
.� � <br /> APPLICATIVr�I FOR CONSTRUCI �ON PERIIAIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-BR10 <br /> f-I DEMOLITION fl COMBINATION I-I BUILDING f-I MECHANICAL fl PLUMBING fl SIGN <br /> PROJECT ADDRESS i'�j'Z �¢., S'�' E�/�rP�d� <br /> OWNEP MAILApDRES$ ��Ty <br /> Z�P PIIONE <br /> CaQvanu Lu.thenan Chu2ch 1711 26.th S.t Eve2e.t.t, GJa 98201 355-2145 <br /> iENANT MAILADORE55 ��Ty <br /> Z�P FNONE <br /> ARCHITECTORDESIGNER MAII.A��RE55 ��ry <br /> 21P PHONF <br /> GENERALCONTRACTOH MAIL.p�URESS <br /> CIiY T.IP PHON[ SiATE LICENSE� <br /> E��ene.t.t FDIIhA Inc 24728 47.th Ave NE A7�.inq.tan 98223 435 7GG7 EVEREB*301PH <br /> MECHANICALCONTRACiOR M ILAD�RE55 ��ry Z�� <br /> In/ PIIONG SiATE LICENSE� <br /> 1 /^ <br /> PLUMBINGCONTRACTOP MAILA�GRE55 CI1V Z�p � <br /> PHONE STATE LICENSE• <br /> COHTPACT PRICE OF WORK � <br /> —S 5 9 d s n o HEATING SYSTEM: f I GAS �l ELECTRIC fl <br /> DESCRIBE WORK AND SOU�RE FOOTAGE INVOLVED CONTAC7 PERSON AND PHONE NO. <br /> Inten.iun ae.modeQ oK ba.th aom. Hen2 M�. Q�,aK,� 435-7GG7 <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> ' PROL'75ED USE O.-BIIILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> M//Gt3 S PROVISIONS OF LAWS AND ORDINANCES GOVEqNING THIS TYPE OF . <br /> LEGALDESCRIPTIIXJOFPqOPERTY�SHOWNBELOWORARAGMTWOCOPIES) WORK WILL BE COMPLtED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT' _BLOCK oF AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK POR WHICH '� ' <br /> � APPLICATION IS M4DE AND I COMPLY WITH THE STATE '`"i�''iF�� � <br /> PRRCELTAX 1.0.NUMBE CONTRACTORS LAW 18.27 RCW AND 296200 WAC. � �� ` ��'' ��' <br /> S�v� 5��v� D/7 OD-' ''`;;�''4_ <br /> / FA <br /> CONSiRUCT10N LOAN LENUEF,AODRE55.TEIEPHONE NUMBER x_�� A�� � �. _ � /Q 9 6 1.�F <br /> — SIGNRTURE —Y� <br /> DATE �'-�":t <br /> CITY BUSINE55 LICENSE NO. <br /> � PLUMBING MECHANICAL <br /> NO. TYPE OF flXTURE Oq ITEM FEE NO. TYPE OF�E�UIPMENT FEE <br /> 1 WATERCLOSET(TOILET) � A/C—AMNDLGUNITS—H.P. � <br /> BATHTUB ; FORCEDAIRSYSTEMS—B.T.U. M E.A. � <br /> 1 LAVATORY(WqSH BASIN) � HEAI'PUMP <br /> 1 SHOWER � UNITHEATERS—B.T.U. M � <br /> KITCHEN S�NK 8 DISP � CLOTHES DRYERS ' ' <br /> DISHWASHER ' �� <br /> ' VENT�LATION FAN , <br /> � LAUNDRY TRAY ; RANGE HOOD � <br /> CLOTHES WASHER ' <br /> � WATER HEATER � � <br /> URINAL � WOOD STOVF i <br /> DRINKING FOUNTAIN ; METAL FIREPLACE(WOOD BURNING) ' <br /> � <br /> FLOOR DRAIN � FIREPLACE INSERT(WOOD BURNING) �— <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE � <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE , <br /> ' GAS PIPING � <br /> . � 1 EXHAUSTFAN ' <br /> i � <br /> i � <br /> SUB TOTAL $ ; SUB TOTAL $ � <br /> PEAMIT S , PERMIT $ , <br /> TOTAL FEE $ � TOTP.L FEE $ � <br /> FOR OFFICE USE ONLY: <br /> FRONT SETPACK RF.AR SETBACK SIOE SETBACK P14N CIIECN NO/M_BF.Rrn/ FEE RFCEIPi N0. <br /> �U/ U <br /> USE ZONE LO7AREA VACRNi$ITE FEES VALUATION FEE <br /> f1VC5 fl NO � �OD <br /> -- BUIL�IR3 <br /> HEIGNTLIMITATION NN.OF�WELLING SIZEOFBLO�RI � � <br /> ,��, Z PLplApING �/ i �� <br /> OCGUPANCV NO Oi 90a1[S OCCUPANT LOAD BASEMENT <br /> GR�P_� `� � � MECIInIlICnL i � <br /> J <br /> �' IIVES I I NO � <br /> _ ' <br /> FIRE AIARM FEO'Ll RFASON �DpI11pNnL PIAN CII[CN <br /> N� <br /> on�En <br /> FIRF.SPRINNLERRFO'D Rf�50N <br /> w� SiNF IIUILDviG SURf,11AfiGE � <br /> TYPE OF COqST PLANS A fjpVEO OV �!� <br /> CITYOFEVERETT rumicwonKs <br /> V– �V ��N LOCAL SALES — � <br /> oaiE S - �°" 5� TAX CODE IS 3105 707AL <br /> ; _ <br /> l i7 <br />