Laserfiche WebLink
APPLICATIOrI FOR CONSTRUCTrON PERMIY <br /> CITY OF EVERETf• BUILDING DIVISIUN <br /> 3200 CEDAR STREET• EVFRETT, WA 98201 • 259•8810 � <br /> �I DEMOLITION I-1 COMBINATION fl BUILDING MECHANICAL PLUMBING f-I SIGN <br /> PROJECT ADDRESS <br /> � ,' �� LF�'�` ��'; �� l�J , � _, _\ � �lc, . <br /> OWNER MaILA0�RE5S Clry ZIP PIIONE <br /> XYYleko �-E-�mes �, 1£�'-+1��i\�ell-Evere�-1- .�„ ,�1 oNne11;9uo � a 1{ SZ 1- �t�l,�S <br /> TENANT MAIL�D�PE55 CIN 21P PIIONE <br /> ARCH�TECTORDESIGNEO MAl1.R�ORE55 CIN ZIP Pf10NE � <br /> GENEflRLCONTMCTOfl NhIL��Of1ESS CITV ZIP PIIONE yg�_D�bTSTELICENSE� ' <br /> ,(/Me� �4omesL�C �i�'33o�e\� -�.verP�-� �y,. 13o�he�l �iko�a Mt�-C�oe-a43K '� <br /> MECHANICAL CONTRAC70R MAIL A�DRESS Cltt ZIP PIIONE STATE IICENSE� <br /> i�t��.��- N�c�,k�'n�, <br /> PWMBIN CONTRACTOR ILADDRE55 Cltt 21P PHONE STATE4ILENSEI . <br /> V�Ic�I;-'S �I��mb;n<< ?��a� c �a = - r -F- ' �a� - 1 - - - <br /> CONTR�LT PRICE OF WOFiN � ' <br /> HEATING SYSTEM: �GAS I�l ELECTRIC fl ' <br /> DESCRIBEWORK N�SOUMEFO T�GEINVOLVEO — CONTACTPERSONRNDPIIONENO. <br /> � .� g • � � �-�1,�' � , �7��� ��i-o u:� <br /> t�/��1, �` ��'-� -� � <br /> , <br /> �I� � • I O,S�O , i HEREBY CERTIFY TryAT I HAVE READ AND E%AMINED THIS <br /> PROPOSED USE OF BUILOING APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> , . PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> rnu`-1-'- � ` ' �l�l�" S WORK WILL BE COMPLIED WITH WHETHER SPECIfIED HEREIN OR ' <br /> � IEGAL0E5CRIPTIONOFPPOPERTY SHOWNBELOWORATfACMTYfOCOPIES� NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TA GIVE <br /> io�/i OLOCK oF / AUTHORITY TO VIOLATE OR CANCEL THE PROVISION� OF ANY <br /> IJ I�C � '� h0 t (l�/.� - �A � , PERFORMANCE OFOONSTRU TEON.THAT I AM A THORI ED BY THE <br /> � OWNER OF 1'HIS PROPERTY TO PERFORM THF WORK FOR WHICH <br /> �1err, ,� C�� Pl�.a� Z% �i �� � AppLICATION IS MADE AND I COMPLY WITH THE STAfE <br /> PMCEI TAX I.�.NIIMBER CONTFiACTORS LAW 18.27 RCW AND 2y6.200 WAC. <br /> CONSTRUCTIDN LOAN LE11DEfl.FODRESS.TELEPHONE NUMBEfl � t��—�� �/ / U JS <br /> � SIGNATURE ��q TE <br /> CIT�'BUSINE55 LICENSE N0. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIKTURE Ofl I7EM FEE NO. TYPE OF EQUIPMENT FEE <br /> �p WATERCIOSET�TOILET) � q/C-A/HNDLGUNITS-H.P. ' <br /> � BATHTUB ;�V�,::',-, �_'i , <��� � FORCEDAIRSYSTEMS-B.T.U. M E.A. ; <br /> IAVATORY(WASH BASiN) � � HEAT PUMP i <br /> SHOWER � UNITHEATERS-B.T.U. M � <br /> KITCHEN SIMK 8 DISP i CLOTHES DRYEflS i <br /> DISHWASHER � VENTILATION FAN � <br /> LAUNORY TRAY ; � RANGE HOOD - � <br /> CLOTHES WASHER � WATER HEATER - —T— <br /> URINAL ' WOOD STOVE ' <br /> �RINKING FOUNTAIN i METAL FiREPLACE(WOOD BUflNING) i <br /> FLOOR DRA�N � FIREPLACE INSERT(WOOD BURNING) � <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE ; <br /> SINK(SERVICE-BAR, ETC.) � GAS RANGE � <br /> ' �' GAS PIPING � � <br /> i ;,7� EXHAUSTFAN � � —i— <br /> —� <br /> i i <br /> i � r-� C� /�,� i <br /> � 1 <br /> � c i. c;:. . i <br /> SUB TOTAL $ � SUB TOTAL $ � <br /> PEflMIT S � PERMIT $ � <br /> --'-- <br /> TOTAL FEE $ C��' ' TOTAL FEE S � � <br /> FOR UFFICE USE ONLY: <br /> FOONTSETOACK RERq5ET0ACK SIDESETOACN PLANCIIECKNlIMOEfl FFE RECEIPTNO <br /> _ ' �l;l(O <br /> IISEIONE iotanrn VNf.ANf511G FEES VALUATION FEE <br /> iires itNo uuunrtm -�- <br /> IIEICIITLIMIi�T10N NOOFOWEIUNG 512EOPIIIOGRI i <br /> � IINIfS D111M01NG ��L i— <br /> GBOl1PANCY 110 Of Si0NE5 OCCUPANT 104I7 ��SEAIEN7 MECIIANICAI �• c7 � <br /> IIVES Il N9 — � `�--- <br /> FIPE ALRRM REO'� REASON ADDIIIONAL PIAN CUGCK i <br /> —_�— <br /> OIIIER � <br /> � <br /> FI(iESPfiINN1ERRE0'� nEnSou �— <br /> STN1E DIILLOIHG SIIfiCllnp(iE <br /> TYPEOFf,ONST PL�NSAPPROVEP�3Y CITYOFEVFRETT �UOIIf.WOf7K5 � <br /> LOCAL SALES ---- ---- -`— <br /> u�tE TAX CODE IS �105 7oTnL _ (u�! . I _ <br /> � _ . , <br />