Laserfiche WebLink
A � <br /> ApPLICATION rOR CONSTRUCTIO■i PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259•8810 <br /> l DEMOLITION fl COMBINATfON fl BUILDING I-1 MECHANICAL rl PLUMBING fl SIGN <br /> PROJECT ADDRESS <br /> 1 �a � G' oLI3y ��eiz�-sy -�'i$a � � <br /> NMER MR�I�DD�E55 � CIiV 2iP PHOHE <br /> SKOTDAL ENTERPRISE P.O. BOX 5267 EVERETT, WA 98206 <br /> ENANT MpIL�DURE55 QTY DP �MONE <br /> SUITE 800 FRONTIER AANK BLDG. HEIJITT & COLBY EVERETT <br /> �RCNI�f.CT OB DE9GNE� MPII I1DO�E55 G11Y Z�P PNO�+E <br /> iENER�ICONiMCf01i MMLAODRE55 CItV 21P P110NE SUTELICFNSE� <br /> BURNS SERVICES & SUPPLY INC. P.O. BOX 7843 �VERETT, IdA 98201 BURNSS5050CB <br /> dECHRNI�M,CONTBAGTOR MAIIRDDRE55 CITY ZIP PIIONE STATELICENSE� <br /> •IUMBINGCONiR�CTOR MMl�U0PE55 CI1V 21P PNONE STATEUCENSE� <br /> :ONTRACT i`RIGE OF WO��N <br /> $2 400.00 HEATINGSYSTEM: fIGAS r1ELECTRIC (l <br /> �sct�����+p.Squ�pEFciql�iS'�R1�p1yEoER HEADS IN OFFICE C�NT�Cif'ERSON�N��IIONENp. <br /> 1C 1V JY LLVKL <br /> REMODEL. 7y -S��c <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION ANO KNOW TH[ SAME TO BE TRUE AND CORRECT ALL <br /> PROI'OSEL USE�BUILdN(3 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> ieeeioescmrTior�orraorrtnnisNowr+oeiowonArucNTvrocooiEs NOT. THE ORANTIN4 OF A PERMIT DOES NOT PRESUME TO OIVE <br /> iot e�ocK or AUTHORITV TO VIOLATE OR CAMCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAI lAW REGULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.i HAT I AM AUTHORI2ED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCELT�%ID.MIMBER CONTRAC///T'''O���R... SLAW1827 AND296200WAC. <br /> CONSTRVCfION LOAN LENOER.�DDpE55.iEIEPNONE NUMBER '�'" � � �/�3/�v <br /> SIGISF URE OA1E <br /> � <br /> CITY BUS�NESS LICENSE NO. <br /> PLUMSINO MECFiANICAL <br /> NO. TVPE OF FlI(TURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATERCLOSET(TOILET) � A/C—AMNDL6UNfTS—H.P. ' <br /> BATHTUB ; FORCEDAIRSVSTEMS—B.T.��. M E.A. ; <br /> LAVATORY(WASH BASIN) i HEATPUMP ' <br /> SHOWER � UNITHEA?ERS—B.T.U. M <br /> KITCHEN SINK d DISP � CI.OTHES DRYERS � <br /> DISHWASHER � VENTILATION FAN ' <br /> LAVNDRY?RAY � RANGEHOOD i <br /> CLOTHES WASHER � ivATER HEATER ' <br /> URINAL ' WOOD STOVE _ � <br /> DRINKING FOUNTAIN i METAL FIREPLAGE(WOOD BURNINC�� � <br /> FIGOR DRAIN � FIREPLACE INSERT(WO00 BURNING) ; <br /> BACKFLOW PREVEN7ER5 ; GAS FIREPLAC[ _� <br /> SINK(SERVICE—BAR,ETC.) � GAS RANGE ' <br /> � 6AS PIPINQ � <br /> � E%HAUSTFAN '— <br /> � <br /> � <br /> i � <br /> � <br /> � ' <br /> SUBTOTAL E � SUBTOTAL E � <br /> PERMIT S � FERMIT S � <br /> TOTALFEE E ' TOTALFEE E ' <br /> FOR OFFICE USE ONLY: <br /> fRONT SETPRCN AEAR SETARGN SIDE SETB�CN �LAN GI�ECN NUMHER FEF. � nQ pELEIPT N0. <br /> U�E20NE ior�aeA V�C�Nf51(E FEES VALUATION FEE <br /> f1YE5 fiNO BNLDING � <br /> HEIGIIf LIGIT�iION NO Of OWElUNO S�IEOi BLDGrtI � <br /> UNIIS � <br /> PLUMDING <br /> �_—' <br /> OI:CUI'ANCY NO Of Si0ai6 OCGUnnNt LOAO BnSEMENI � <br /> IACCIIRNICAL <br /> ORDUP ' <br /> IIVES 11 NO i <br /> Ap01110N�L PUN G�F.CN, <br /> FlRE�U�MREO� R[ASON �— <br /> i — <br /> on�cn <br /> nnrsrnn+Kiennean nFncoN I <br /> srniE aunortu.sunc�unca ; <br /> rvrEovr.or+si rinNc�;vnoveonr CITYOFEVERETT runncwonKs I _ <br /> Vrl LOCAL SALES 1 <br /> �A�E (� � �� TAX CODE IS 3105 TOTAL <br />