Laserfiche WebLink
APPLICATit..� FOR CONSTRUC'I.JN PEFtMIT �j <br />CITY 0� FVERETT • BUII.DING DIVISION �CMr✓�] <br />3200 CEDAR STREET • EVERETi, WA 98201 • 259-8810 ��T <br />❑ DEMOLITION i i COMBINATION BUILDING MECHANICAL i I PLUMBING ! SIGN <br />PROJECT ADDRESS „ � , , � _ \ <br />1 <br />um+�� ry �, � y M��i nconess arr z�r r��or+F <br />jj7,pfyeyuN �y�'/S•14�-"AV SG /}1if� �ra�K 94uIL .�iG-$�aGi <br />rENaNt u.aanoncss r.�rv z�v rrw�+E <br />�RCNITELTOP[.ESiGNER M�IL�OORESS <br />GENER�I CONIR�CTpR 4Ail �pL�E55 � n�� ; u• PpONC tilelE LI(:PSE • <br />MQI /.ry%�— L+'"Au Sr /I�ii/ �I'�QK i8uii 3iw•ddl,i /1�ci ee'r�W <br />IAECNRNICALCO47RRCTOB MRIIJU�RE55 CiTY 7iP PIIONE SiATE UCFNSE � <br />VLUMBINOCONTR�':TOR M�IIADORE55 Clrv IIF �IIONE SiREUCENSE� <br />U[SCRIBE WOFK �ND SOU�RE FOOTAGE INVOLVED <br />VFO' YED WE OF BU�L�INO <br />LEO�L DES�RIPiION OF PPOPERtt �SIIOWN BEIOW 01j1 RjTT�C�I IWO CO�IES <br />l07 ^� Z BLOCK O:�JJ�G�&_.�S <br />CONSTRUCTION LO�N lF N�En, I1D�P.E55. IEIEPNONE NUMOF.n <br />�2oalfirr Po?ox ztd /n,4vysvii%e <br />j ,��-S Su 7 <br />N0. � TYPE OF FIXTURE OR ITEM <br />WATER CLOSET ITOILETI <br />KITCHEN <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINHING FOUNTAIN <br />�LOOR DRAIN <br />BACKFLOW PREVENTEPS <br />SINK (SERVICE — BAR, E7 <br />SUB TOTAL S <br />$ <br />HEATING SYSTEM: EdGAS ❑ ELECTRIC I-1 <br />CONiACI PfR50N AIiO PIIONE NO <br />I HEREOV CERtIFV THAT I HAVE FlEAD AND EXAMWED TNIS <br />APPLICATION AND KNOW THE SAME i0 BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS ANfI ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHE7HER SPECIFIEO HEHEIN OR <br />NOT. THE Gf7ANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROViSION OF ANV <br />OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br />PERFORAIANCE OF CONSTFUCTION. THAT I AM AUTHORIZED PY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK fOR WHICH <br />APPUCAiION IS �dADE AND I CONPLY WITH THE STATE <br />CONTRACTORS LAW 1A.7 RCW AND 29fi.200 WAC. <br />X�����fL�a.t- ��U73-9�r <br />sicvniune oere <br />CiiY �USME55 UCENSE NO n �� C�6 �/ <br />MECHANICAL <br />FEE N0. TYPE OF FI%TURE OR ITEM <br />� A'C —AMN�LG UNITS — H,P. <br />; FORCEDAIRSYSTEMS—B.T.U. M E.A. <br />—T <br />� HEAT PUMP <br />UIJIT HEATERS — B,T.U. M <br />CLOTHES ORVEFS <br />VENTILATION FAN <br />� RANG[HOOD <br />� ( WATER HEATER <br />WOODSTOVE <br />� METAL FIREPLACE IWOOD BURNING) <br />[HS9 <br />FOR OFFICE USE ONLY: , �/ <br />FRONTSETB�CK PE�tISETBACN S�OESEfB�CN PIANCrI[CNNU'AOF11 <br />Zb ' �O � � � L��� ��.i)� <br />USE ZONE p <br />l`- � <br />HE10117 LIMIi�TION <br />) <br />OCCUPANCY NO O�S <br />OROUP <br />•� 2 <br />fIRE LARMREOD <br />-Y� <br />FIRE 5 n I�/NIER REOI <br />� <br />iotence <br />� <br />NO OF OWE�I ING <br />ur�irs ' <br />OCCUPAHTLOA[� <br />RE�SON N • <br />wceru si� FEES <br />fyvEs i; No nunrvva <br />sire or niocm <br />�bIZ Sf LN�Uc. } riuuniau <br />4 -1 SF 44 AC � <br />O�SEME41 MECIUWCAI <br />f�vCS V� <br />FUOIiION�I PUN CMCCN <br />_ or�i�n <br />sieir ounoinc sunauncE <br />CITY OF EVERETT runnr. wonHs <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />SUDTOTAL S <br />PERMIT S <br />TOTAL FEE S <br />FEE RFCEIPTHO <br />FEE <br />: /i <br />: <br />