Laserfiche WebLink
�H <br />APPLICATI(r��l FOR CONSTRlJ�7 �.3N P�RM17 " <br />CITY OF EVEFFT� • [3UILDING DIVISION `C��EYF�ETT <br />3200 CEDAR STREET • EVERETT, WA 982G I• 259-6810 �� <br />f-1 DEMOUTION f 1 COMBINATION � BUILDING I I MEChIANICAL PLUMi3WG �� SIGN <br />PROJEC7 ADDRESS ����, <br />�'-?-3 O � � - ���. �� ��.�� � �. �, �I c��c5'� � <br />oWNER MNL9ooRFFS �� � � Clrv zir rh0'IG <br />�� i"1G1 (1 �� t )_ �� C'.�� ��— . { - ' `�.L..�,>1,.L1_�.�4.� �i��itGC. '��Vk,-�. <br />TENAtlT M411.,MORf55 CItY ZIP i'M�NF <br />q�2 ._ A ri �2 <br />P9CIIRF.CT OR �ESIGNER <br />M41L nUllflESS <br />arv ru• rnorvr <br />cnv zir r��o�n_ <br />M'cCHANICnLCONTPACTOR MAII����F55 cITY /��' <br />PWA1814GCONiRACTOF MAILAODRESS CIiV ZIP <br />rnurve <br />PNONE <br />ST�tE LICF.NSE r <br />SiATE IICENSE � <br />STAT[ UCENSE / <br />CON:RhfT PR'CE GF WORH <br />HEATING SYSTEM: i I GAS �ELECTRIC rl _ <br />�ESCRIDF WORH AN� SOOARE FOOTAGE IN�'OLVED <br />n , i ,-1 '. ., � r�, %. � � r <br />USE OF <br />LEGAL� IpiIONOFPROPERTVISNOWN�ELOW9RATTACH1Y/OC IEF)�� l <br />l0T BLOCN OF_ - '�w <br />vaaceitnxio.Nurne=_a/y� r� �y <br />C�C�iJLOANLOEt:O�EfiA�DRbE55,TE�LEPHON� 9�� <br />PLUMBING <br />NO. TYPE OF FI%TURE OR ITEM <br />WATEF CLOSET (TOILET) <br />BATHTUB <br />LAVAIORY (WASH BASIN) <br />S40WER _ _ <br />ITi;HEN SINK & DISP <br />D 'HWASHEF <br />�q a��RY TN:�Y <br />CLCfHISS WASHER <br />URINAL <br />DRINKING i-OU <br />FLOOR DRAIN <br />B�CKFLOW PREV <br />SINK (SERVICE — <br />SUB TOTAL 5 <br />PERMIT S <br />TO'(AL FEE 5 <br />FOR OFFICE USE ONLY: <br />rnor+rserpr�cK�/ ar:nn=eTo <br />�ei � <br />USE ZONE / I.OTAREA <br />HEI�IMRAiION � NOOFDWELIING <br />�� �� UNITS <br />OGCW'ANCY N�0�S70RiE5 OCC-.•ANTLOAD <br />FIfiE ALARM liEO' <br />-� <br />FIRE SPRINKLER <br />_�O <br />TYPE OF CONST <br />J[_ - /J <br />/ I sioe <br />FEE <br />� <br />cn��tn cr renscu nrvo ruoNc �+o <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEG THIS <br />A�F'LICATION ANn KNOW THE SAME TO BE TFUE P.ND CORRECT. ALL <br />PROVISIONS OF �AWS AND ORDINANCES GOVERNING THIS TYFc OF <br />WnFK WILL BE COMPLIED WITH WHETHEH SPEGFIED HEAEIN OR <br />NOT. TIIE GRANT;NG OF A FERMiT DOES NOT PRESUME TC GIVE <br />AUTHGAITY TO VIOLATE OR CANCEL 'HE PROVIbION OF ANY <br />OTHER STATE OR LOCAL LhW REGULATING CONSTFUCTION OR THE <br />PERFORMANCE OF CONSTHUCTIOP'. THAT I AM AUTHOFIZED BY THE <br />OWNER OF THIS PROPERTV TG PF.RFORM THE WORi: FOR Wii�CH <br />APPLICFlTION IS MAOE HND I COMP�Y WITH THE STATE <br />�iTRAC70R5 LAW 18.27 HC'N AND 296.200 WPC. <br />l <br />/ r �l�. � <br />X —� _=� sl�.� � n i �� � � � <br />scNnrune LATE <br />cirv eusiNess ucense r�o. <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM <br />A!C —PJNNDLG UNITS — HP. <br />fOF7CEDAIRSYSTEMS—P.T.U. M <br />H[AT PUM�' _ <br />UNIT HEA'E95 — �.T.U. M _ <br />_ CL07HESi;RYERS <br />VENTIL TIO�I FAN <br />RANGE D <br />WATER HEA <br />WOOD STOVE <br />METAL FIRFPLACE ( D BURNING <br />FIREPLACE INSERT (WOO EURNW( <br />GAS FIREPLACE <br />GAS RANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL S <br />PERtv^T S <br />TOfALFEE S <br />r�nHci,�c�-/�DJ 3� � I rE�� �S <br />:'Ar���T SiTE I �'ttJ <br />f1Yr5 I1 kU C'— <br />� OUIL�MCi <br />S12E Oi" U�DG�i. — <br />2 /lO / '! (� � ll� �LUMpING <br />—1 7 �� 1-� V <br />�nSENENi � � MECIIANI�FL <br />'� f I YES 14�FJ0/ ---' <br />AD�ITIO�J4L PL�N CHEGK <br />__ _ OTHER <br />S:ATE ONLOING SURCHMGE <br />F3Y CITY OF EVERETT ruouc wonKs <br />LOCAL SHLES <br />/q� TAX CODE IS �105 7o7A� <br />FEE <br />i <br />—=� <br />y/ <br />0 <br />