Laserfiche WebLink
� _ <br /> AP�LICATII.�M FOR COt�5TRdDCI .q�1 PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> 3200 CEDAR STRt_ET • EVERETT, WA 98201 •259-8810 <br /> ❑ DEMOLITION I�I COMBINATION �I BUILDING I 1 MECHANICAL I I PLUMBING I I SIGP' <br /> PRUJECTADDRESS � � , � <br /> � ,` � � <br /> OWNEfl � . IdNLF�DRESS � (;ItY . Z, PHONE <br /> I % <br /> � �O �I . r . ' � I <br /> _+. 'I' '�, ' ; ,�� " ) . . _ . . �. �, <br /> TEh4NT MAILADDf1ES5 Cllf ZIP PMONE <br /> Ff1CHRECTOR�E5IGNER MAILAD�RESS CIiY ZIP PHONE <br /> GE4ERALCOHiPACTOR MNL���PESS CRY „ PP PHO4E � STATELICENSEe <br /> ! �� ' ' . .; �'� � �� y'� '�' � �,. '�1 ;��/'�� <br /> MECHANICALCONTRACTOR MAILAD�6E55 CITV Ylt' F•IIONE STATEIICEhSEM <br /> PWlABINGCONTRACTOi: MAILA�URE55 CI1V ZIP pHONF STATLLIC[NSEe <br /> CONTRACT PRICE OF WOPK� � <br /> ��� j '�,�� HEATING SYSTEM: `�'7 GAS f-I CL�CTRIC I-1 <br /> DESCRIBE WORK ANO S�UAFE f00TAGE INVOLVEO . CONTACT PERFON AND P,NONE N0. � <br /> ').�. . . � . r , - � � � �J � <br /> •1 f -/� <br /> � ' �_ . i — <br /> �� � � � �,.�r • ��U 2. �J ��,.;`" � <br /> � � ' � � �� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TNIS <br /> ����'��` �� �- �� ' Ii� l� 1��� � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSED USE OF BUILDING� �I PROVISIONS OF LAWS AMD ORDINANCES GOVERNING THIS TYP[OF <br /> WORK WILL BE COMPLIED INITH WHETHEfi SPECIFIED HEREIN OR <br /> � LEGr1L0ESCqIPTIONOFPflOPERTV�SNJWNflELUWORATTACHTWOCOPIES) <br /> � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �or V " e�ocK oF AUTHOR!TY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> r . � � • .� • .. � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> /�� '�' �� ' � •-�%; PERFORMANCE GF CONSTRUCTION.THAT�AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICN <br /> APPLICATION IS• MADE AND I COMPLY WITH THE STATE <br /> PARCEL TAX I.D.NUMOER CONTRAqCTORS W 18 27 RCW AND 2962y00 WAC. <br /> � �1_i '. -:- �: �- ��_,ii .'i�" ? / � � '.� _ ;�/ <br /> ��t �1" 1 � t _ <br /> CONSTRVCTION LOAN LENOER,AODRE55.TELEPHONE NlIMOER X / '�, l � �. � '�� � . <br /> SIGNATJAE O�TE <br /> CRV UUSINE55 UCENSE NO. <br /> � PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR iTEM FEE <br /> ,`�' WATERCLOSET(TOILET) � A/C—NHNDLGUNITS—H.P. � <br /> ' BATHTUB ; � FORCED AIR SYSTEMS!-� B.T.U. M E.A. ; <br /> .'�J LAVATORY(WASH BASIN) � HEAT PUMP i <br /> SHOVr'Eii � UNIT HEATERS—B.T.U. M <br /> KITCHEN SINK 8 D�SP ; CLOTHES DRYEAS ; <br /> ,I DISHWASHER � VEfJTILATION FAN � <br /> LAUNDRY TRAY ; RANGE HOOD ; <br /> / CLOiHES WASHER � WA'tER HEATER � <br /> — � <br /> URINAL WOOD C,TOVE � <br /> ORINKING FOUNTAIN ; METAL FIREPLACE(WOOD BURNING) i <br /> FLOOR DRAW � FIREPLACE INSERT(WOOD BURNWG) � I <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ' � <br /> SINK(SERVICE—BAR, ETC.) � GAS RANGE <br /> � IiAS PIPING <br /> � EXHAUSTFAN � <br /> � � <br /> � � <br /> � T <br /> SUB TOTAL S ; SUB TOTAL 5 ; <br /> PER�11T S —� PERMIT 5 ?— <br /> �— <br /> TOTAL FEE S � TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONT�ETgq�(� qEAR5ET9ACK � SIDESETpAC� � PLANCI�ECNNU!.�FR � FE[ � RECEIPTNO. <br /> j (� ��Ui 35 > /O� <br /> usez�! � �ornnEn � vncar�r=ire FEES VALUATION /FEE <br /> � ' f1YE5 fl NO BUILOING /�D-�y i <br /> (o J «�� �� <br /> HEIGHILIMITATI NOOFDYIELLING SI2EOFElD RI � <br /> uNiis �6`�(J �� l,�v�.JCa� r�ursothr• � <br /> ,,F c:ntnca` <br /> OCCUPANCY 1lO.OFSI0PIE5 OCCUPANTLOAD BASEMENT i <br /> � o P �,«F,aN��A� p ; <br /> �' 3 � � ❑YES �O <br /> i <br /> FIRE ALARM REO'0 FEASON <br /> AO�I710NAL PLAN CH[CK _� <br /> OTIiFR /�O� /Q i <br /> FIRESPHINKLERPE�'D REASON �� <br /> SiFTE�UILOING SURGNARGE � /� <br /> i..��L' <br /> TypFOFC045T PLANSAPPROVEDBY I)ITYOFEVERETT �UBLICWOiiKS ��)i <br /> LOCAL SALES `� � <br /> ��'� onTE TAX CODE IS 3105 TOTAL ' <br /> _ � <br />