Laserfiche WebLink
APPLICATILA FOR CONSTRUCT ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •259-8810 <br />427r <br />1-1 DEMOLITION FI COMBINATION A BUILDING F1 MECHANICAL I] PLUMBING F1 SIGN <br />PROJECT ADDRESS r�,�^ 3�.�.R T <br />OWNER .......-_____ 51 <br />N�IA'R�IC�`H/,I----OR DEIS�IGNER MAILADDRE/S�S <br />r1�1 �R L • ��f r�J N iI9 I aix TO i 6'CI / u n i a .. i .LIP _ PHONE ---�— <br />�i� %4m CIE al. nr T 7uv <br />PHONE STATE LICENSE r <br />UNIRACTOR MNLADDRESS �l[i�Y]IIIII.ii LL�"1D �� <br />��— CITY <br />ZIPT—,hT�( i.LLl ILii v' <br />I � �g yG { y y'm STATE LICENSE . <br />PLUMBING CONTRACTOR MAILADDRESS <br />rJE�STT�N� $�O% (�d,kr -A.L o Y ZIP PHONE <br />_ M, I (,, r ON BTATE LICENSE M <br />CONTRA4 PRIG —1-0- 4(.K, U QSZ7✓ <br />1• 0 2 WHEATING SYSTEM: KGAS FI ELECTRIC n <br />DESCRIBE ORK NO SQUARE FOOTAGE INVOLVED <br />elAinmy CONTACT PERSON AND Pf10NE NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />PROPOSED US,�E OCF BUILDING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />1� LEGPROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />A DESF,RIPTIO OF PPOPE (SHOWN BELOW AC. WOCOMES) WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />LOT _ BLOCK GF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />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 FOR WHICH <br />'ARCEL TAK I.D. NUMBER V APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />:ONSTRUCTIDN LOAN LENDER, ADDRESS. TELEPHONE NUMBER <br />d W ��/Y�7�L��) i 9 d s- <br />G SIGNAiUgE <br />OATS <br />'LUMBING CITY BUSINESS LICENSE N0. <br />NO. TYPE OF FIXTURE OR ITEM MECHANICAL — <br />FEE NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) FEE <br />' C—A/HNDLG UNITS—H.P. BATHTUB A/ , <br />LAVATORY (WASH BASIN) ' FORCED AIR SYSTEMS <br />SHOWER ' HEAT PUMP ' <br />KITCHEN SINK 8 DISP UNIT HEATERS —B.T.U. M I, <br />_ALAUNDRY TRAY <br />VENTILATION FAN <br />S WASHER <br />RANGE HOOD <br />' WATER HEATER <br />G FOUNTAIN <br />WOOD STOVE <br />on. <br />METAL FIREPLAt,F <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY. <br />FRONT SETBACK REAR SETBACK <br />20 ' <br />USE ZONE Z LOT AREA <br />HEIGHT LIMITATION NO. OF DWELLING <br />-7a' LIMITS . <br />U <br />IvD <br />L <br />V ( DATE <br />i J-u5 S <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE S <br />SIDE SETBACK PLAN CHECK NUMBER <br />VACANT SITN <br />FEESn <br />YESUILDINGSIZE <br />OF BLOGRI.Ggh.S%G <br />SjLUMBINGBASEMENTECHANICAL❑YESDDITIONAL <br />PLAN CHECKTHERATE <br />BUILDING SURCHARGECITY <br />OFBLIC <br />WORKSLOCATAX <br />COTAL <br />FEE <br />aG13a <br />RECEIPT NO. <br />