Laserfiche WebLink
14PPLrCAT14t�1 @rOR Ci�NST�iUC7 rON PERMI�i <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREE"i' � EVERETT, WA 98201 • 259-8810 <br />f-I DEMOUTION f 1 COMBI�Y.ATION fl BUILDING f-1 MECHANICRL i l PLUMBING f SIGN <br />PROJECT ADDRESS , _ „ . , , <br />�rv�r�� Maiaoon�ss cirv - zir r��oNe <br />��.h ; ��-� .26 �i � - .��o� ,� .� n � �� � ��,�.,,� r�zg <br />lE1!pHT MNLF[10RE55 CITY LP PHONE <br />ARCNITF.Gi OP OESIGN[R MNl A�DRE55 Cltt ]IP PHONF J� /�� <br />GENER�LCONTRACTOli MAILA�UPESS CIiY ZIP PIIOH[ SiATE11CGNSE• <br />MELHANIC�LCONiROCTOR MAILAD�RE55 CIfV ZIP PIIONE STAT[LICFNSE� <br />PWMOINGCONiRAC70R MAILApURE$S GIIV ZIP PHONE $TATEUCENSEt <br />WO(iK <br />OESCRIBE WOPN AND SOU�FE FOOT�GE INVOLVED <br />LEGAL <br />LOi _ <br />/ �(1 U SC:. — ��: <br />oF eui�on+c <br />ION OF PROPERtt (SHOKN BELOW OR <br />� o�ceK or_�/ <br />PARCELTA%ID.NU!dBEF <br />CONSTRIICTION LOAN LENDER, AO�RESS. TEIEPHONE NUMBER <br />NO. TYPE OF <br />� WATER CLOSET� <br />Z BAThITUB <br />LAVATORY(WASF <br />SHO'NER <br />I KITCHEN SINK & <br />LAUN[7RY TRAY <br />CLOTHES VJASF <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTE <br />SINK (SERVICE — BAR, <br />FOR OFFICE USE ONLY: <br />fRONTSFTPFCK , REAfiSET�AGK <br />APEA <br />NO OF <br />UNIiS <br />AiARM <br />-L� I �ATE <br />HEATING SYSTEM: �GAS f l ELECTRIC f-1 <br />CONT�CT PF.RSON AND PHONE NO <br />I HEREBY CERTIFY TR4'f I HAVE MEAD AND EXAMINED THIS <br />APPL�CATION AND KNOW THc SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS ANU ORDINANCES GOVERNING THIS TYPE OF <br />WORiC WILL BE COMPIIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEHMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OF CANCEL THE PROVISION OF ANY <br />OTH[R STATE (1R LOCAL LAW HEGULATING CONSTRUCTION OR THE <br />PEPFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS L.y� 18.?�7 RCW AND 296.200 WAC. <br />7-7� 9� <br />OFTE <br />CIIY BUSIhG55 LICENSL NO <br />MECHAMICAL <br />OR ITEM FEE N0. TYi�E OF EQUIPMENT <br />— _�_ — <br />' PJC—A/HNDLGUNITG—H.P. <br />; FORCED AIR SYSTEMS — B.TU. M E.A. <br />� HEAT PUMP <br />_ ' UNIT HEATcRS — B.T.U. M <br />i ! CLOTHESDRYERS <br />SUB TOTAL S � <br />PERMIT $ � <br />TOTALFEE 5 � <br />9UE SETBACN <br />/ VACA11� SRE <br />IIYES fl NO <br />�G SIZE OF pLOCrtI <br />Il3�SF Gqau.aG�s <br />D pASEMENi <br />/ <br />q fIYES !✓F:O <br />I'l <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3705 <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE (1 <br />FIREPLACE INSERT � <br />GAS FIREPIACE <br />GAS RANGE <br />GAS PIPING <br />EKHAUSTFAN <br />Pl <br />ouunimc <br />ri.ummNc _ _ <br />MEC114NILnL <br />4f101110NAL PI A4 GIfCK <br />Oi11Ef1 _'-- <br />$LN E DUII pIN(i SUqCMMGE <br />rUp� IC, wonKS <br />TOTAL <br />FEE <br />SUB TOTAL S <br />PERMIT S <br />TOTALFEE 5 <br />fFF RECEIPiNO. <br />VALUATION FEE <br />Cil.(oOZ � L <br />