Laserfiche WebLink
APPLICATI.oN FOR CONSTRUC . iON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET- EVERETT, WA 98201 •259.8810 <br /> f 1 DEMOLITION I I COMBINATION BUDI G '' i II I MECHANICAL 11 PLUMBING 11 SIGN <br /> PROJECT ADDRESS ;2!5 8 SBk Sfl S, W, <br /> O ER M lAl1UR[SS LILY TIP PHONE <br /> aur, eAJaod s Tnc. !y�/to 13x,1-lied 2Q moo rj,rLU rw W,4 law to,/,/ <br /> MAK TENANT MAIL ADDRFSS CITY 71P PHONE <br /> ARC TEGTOROE SIGNER MAILADDRESS CITY IIP PHONE <br /> _a s Owrw, <br /> GE ALCONTRACTO MAILADDRES CITY ZIP PHONE STATE LICENSE <br /> anile as )1,,M t C0UA4TzK III on._T <br /> MECHANICAL CONTRACTOR MAII.ADDRESS CITY ZIP PHONE STATE LICENSE <br /> PiUMBING CONTRACTOR MAILADDRESS CITY ZIP PHONE STATE LICENSE <br /> LANTRACT PRIC WORK <br /> '��'5 U DO HEATING SYSTEM: f7 GAS Fl ELECTRIC Fl <br /> RISE KA SOUMEF,F�OOA ITN L — SI Lp CTP6R50 NDP ONE NO z,It/ <br /> 8/SS <br /> 9. <br /> VAAL•..vl. ��f1 LH( z /�1A'-ppobnj Zzpa17DA-30- (oy9- 81ss _ <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROPOSED USE OF BUILDING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> 5 r— WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL DESC TION of PROPERTY(SHOWN BELOW AQrL TTACH Twp COPT t NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT��BLOCK oF_IIJJAIfT d�TLvnl 041- AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> at�� PERFORMANCE 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 COMPLY WITH THE STATE <br /> PARCEL EPH TAX o1 NUMBER CONTRACTORS LAW 18.277��RCW��AND 296.200 WAC, <br /> 6� 35- ov o • o Dvov X <br /> CONSTRUCTION LOAN LENDER,ADDRESS.TMEPHOVE NUMBER <br /> SIGNATURE U.;I Ll -;�L/y DATE <br /> CITY BUSINESS LICENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) I AIC—AIHNDLG UNITS—H.P. ' <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) I HEAT PUMP _ 1 <br /> SHOWER ' UNIT HEATERS—B.T.U. M ' <br /> KITCHEN SINK b DISP CLOTHES DRYERS l <br /> '11SHWASHER VENTILATION FAN ' <br /> LAUNDRY TIAY { RANGE HOOD <br /> CLOTHES WASHER I WATER HEATER ' <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN METAL FIREPLACE(WOOD BURNING) ) _ <br /> FLOOR DRAIN ' FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS ; GAS FIREPLACE <br /> SINK(SERVICE—BAR,ETC.) , GAS RANGE ' <br /> GAS PIPING ' <br /> 1 EXHAUST FAN I <br /> — � I <br /> 1 ' <br /> 1 ' <br /> I ' <br /> SUBTOTAL S ) SUBTOTAL $ ' <br /> PERMIT S —�— PERMIT E 1 <br /> TOTAL FEE $ ' TOTAL FEE $ ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSET C REAR S,(Tf�.AC OE SETOACK C PLAN CHEC/K_NUMB�R LEE RECEIPT NO <br /> USE Z LOTARFA VACANTS17E FEES VALUATION FEE _ <br /> Il YES IT NO <br /> BUILDING 0 <br /> 36 1231 <br /> HEIGHT AI TKI NO Of DWELLING SIZE OF BLDGRI <br /> UNITS s=IG PLUMBING <br /> OCCUPANCY NO OF STORIES OCCUPANT LOAD BASEMENT MECIUNICAL <br /> GR P <br /> .I �ln AYES M"j O ' <br /> FIREALAHMREGD REASON ADDITIONAL PLAN CHECK <br /> O OTHER <br /> FIRE.SPRINKLER REO'0 REASON <br /> STATE BUILDING SURCHARGE <br /> TYPE OF CONST PLANS APPROVE CITY OF EVERETT PUBLIC WORKS <br /> N J LOCAL SALES r <br /> DATE 3 TAX CODE IS 3105 TOTAL L� <br />