Laserfiche WebLink
APPLICQ�YIVA FOR CONSTRUCI .ON PERMIT �' <br /> CI7Y OF EVERE7T• k3UILDINr, DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 • 259-BB1� <br /> i ' DEMOLITION '� COMBINATION i i BUILDING I MECHANICAL � ' PLUMBING i SIGN <br /> PROJECT ADDRESS <br /> /J2C1 - �'���/� / � l.� � <br /> owvcn rn�n nonnrs= arv n�� m�o�ir <br /> Ccl�Pmw-k E„�. I/SS�, f��,_1?d C�S�a,,,,s t✓�. yfsz5�' 33�-9�s6 <br /> tEN�Nt Mnu qppnt95 on ym rnnpf <br /> MCIIITfCTOROF5IC.NF� MPII �D:1RE55 fIR /I� PIICVF <br /> }�Q �f�'lq���PcQi 7ZS 6,.�tlrl H�ll do� Ii.�l. 757� O6f1S <br /> �cNenr.�ccu�r��ci)i{ unn.ux�nrsc i�.nr �m r��nmr sraeuccr+sE. <br /> Gola mw�k �n�. �J/S ��1,'kti �Pc+� !,C Sf4n-•rs (�,, yfs?$' 33�1-9G% GQI�lrin�4094�'D <br /> 1AEf.M�NIG.lf.O�rt�\C70R MM1ILADORFSS CiTV 71t' PIIONf SGTF.IICF.NSF� <br /> PWMBINOCONIRtC70R M41lAppRE55 CIIY jIP PI'�^F SUTEIICEN!_• <br /> cor+rn�cr nnicE o�wonK — <br /> �j,004.p 0 HEATING SYSTEM: I GAS � I ELECTRIC f l <br /> DESCRIB WORN�ND SOUARE FOp7�GE INVOI VEO C�1NI�Cf Pf�SON�ND PI�ONF NO <br /> /� <br /> I fIEREBV CERTIFV 74AT I HAVE READ AND E%AMINED THIS <br /> PROPOSFD USE OF Bl11lOMa APPLICAI ION AND KNOW THE SAME TO BE TRUE AND CORREC?AlL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> Qu qIlK WORK WILI BE COMPLiED WITH WHETHER SPECIFIED HEFEIN OR <br /> IEO�LD SCRIPTIONOiPROPER1Y15HOWNBEIOWORATT�CNTWOLOPIE51 NOT TH2 GRANTINO �iF A PERMIT DOES NOT PRESUME TO aNE <br /> LOT�BLOCN___r� AUTHORITY TO VIOLITE OR CANCEL THE PROVISION OF ANY <br /> OTHER S�I 1TE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> _ PERFORM�NCE OF CCNSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROr'ERTY TO PERfORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> P�RCEI T�X 1 D NUMPER CONTRACTORS LAW 182 RCW AND 296200 WAC. <br /> CONStf1UC�A tS N IO�N 1.E40ER.�OMiE55.TELEPHONE NUMBFR �77�95 <br /> '�f/'✓f 'f R� h1�4 C53^��OSL sc ime o�TE <br /> CItY BIISMF55 LICf.NSC NU <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FlXTURE OH ITEM FEE NO. TVPE OF FIXTURE OR ITEM FEE <br /> (p WATER CLOSET(TOILET) i A/G—AMNDLG UNITS—H.P. � <br /> BATNTIIB ' FOPCED AIR SVSTFMS—B.T.U. M E.A. ' <br /> LAVATORV(WASH BASIN) HEPT PUMP i <br /> Q SHOWER � UNIT HEATERS—B.T.U. M � <br /> KITCHEN SINK 8 DISP i CLOTHES DfiYERS i <br /> DISHWASHER � VENTILATION FAN � <br /> IAUNDFY TRAV � RANGE HOOD � <br /> CLOTHES WASHE� i WAiER HEATER —T— <br /> URINAL � WO00 S70VE ' <br /> ['iRINKING FOUNTAIN � METAL FIREPLACE(WOOD BURNIN6) i <br /> fLOOH�PAIN � FIREPLACE INSEFT(WOOD BURNINp) � <br /> BACNFLOW PREVENTERS � GAS FIREPLACE ' <br /> i <br /> SINK(F'.PVICE—BAR,EiC.) i Q GAS RANGE � <br /> ' GAS PIPINO <br /> i EXHAUSTFAN � <br /> _— i � - <br /> SUB TOTAL E ' SUB TOTAL S ; <br /> PERMIT § i PERMIT E � <br /> TOTAL FEE S ' TOTi.L FEE E ' <br /> FOR OFFICE USE ONLY: <br /> ff10NI5FTp�CN / RFMtiFipRf.K $IpE5EIA�CK Pl�NC11.CNhUMflGR ffF PFCFIPTNO <br /> - �� � � �S_l � o/ <br /> u;e z r+r ioi nnen �meer�r snF FEES VALUATION FEE <br /> _�-3 �bz �,��s �: ��, _ <br /> pUll DINA �1 <br /> HEIf11T11 I * 110lNUWC1.lING SIZEOf�11KR1 <br /> IINi15 l�!'j Jf l rv�✓4 pl UMPM6 �� � <br /> 8a�) Sf G'aq�d4� '—�!�/ <br /> OCCUPANCV IH)Oi 904F5 f%:CUi'PNI IOAU fl15FMENI MFCII�NIC4l /�C� <br /> cnour Z <br /> rtves o <br /> enanor+ar�euc��ecK fr� ' CG� t["� � ���� i <br /> FlREAlAP4nF01� tiFASON � <br /> `� // <br /> O1NEf1 � l /`J <br /> i1RE SI'PINNIFR RFO RFASON <br /> L� ST�tE OIIILDiNG tiUl1CIIAliCE � (J <br /> J <br /> rme ov cousr ri.eNs errnr�yeo.er CITY OF EVERETT runur,wonKs <br /> `✓f'�' LOCAL SALES -- �G I <br /> �/✓ o�rE 2 SS TAX CODE IS 3105 TOTAL ' � '�(' <br /> -- <br />�� <br />