Laserfiche WebLink
a•, 7 <br /> APPLICATICA FOR CONSTRUCT iON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION <br /> � L�� , �`� � ' 3200 CEDAR STREET•EVERETT,WA 90201 •259.8810 <br /> / l�I <br /> n DEMOLITION COMBINATION Fl BUILDING n MECHANICAL I1 PLUMBING I1 SIGN <br /> PROJECT ADDRESS , W IdI0 <br /> OWNER MAIL ADDRESS CITY ZIP Ip"ONE <br /> Ills-krc, %.I- rs L. - o— Ik91"b 1-3n+ITP1I- EfPre�� 16�J \��Ill lll(� gS;011 (a�)'S16 -Oabl <br /> TENANT MAIL ADDRESS CITY IIP PHONE <br /> ARCIIDECT OR DESIGNER MAR ADDRESS CITY lip PI(NIF <br /> � �ylkrch;keck% A Iden CL�IL:klp Anti �uACIMM(D6-X�Q<,157-WW <br /> 6ENEF AL CpNInAMON MAII ADDRESS f1i lhp Y-1 PHONE STATE I ICF NSE A <br /> ltlet -0 E�mes LLL\_ Y►'IET e-oa 243 K '4 <br /> 711,A ICAL CONTRACTOR MAIL ADDRESS CITY IIP PHONE STATE UCENSF A <br /> Walk er pt:Moin gg� ln9+a St- 9SE E�erpk!• Alh 98 ang C28i k 3gJyis-E WALISP1456 p, <br /> (r�l UMBINO CONTRACTOR MAIL ADDRESS CITY ZIP PHONE STATE LICENSE F <br /> Tucxnk- �c-t- n� Pi '(�n5c 3_ (aoe <br /> CONTR C RICE OF WORK <br /> 6 HEATING SYSTEM: ><GAS fl ELECTRIC n <br /> DESCRIBE WOD DSO <br /> IIAa FOtOiTAniIkTumh�LLsp 54ruc� PERSONANDPI ENO <br /> art, f\kC1rn <br /> rl oMIX-e- Nk f\-,nof <br /> yLnr� FaB�k 151 F1 Aa - !G a i 1L, c,� FY \ 4 3\ nr 3a <br /> monk I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> r' APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PROPOSED USE OF BIIILnINO ^L�l_ ((''11 1^ PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> ESLC�QX1�i h ` S\CL\�I W WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL DESCFUPRONOF PROPERTY(SHOWN BELOW GRAF1ACNTWOCOPKS) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT�9—BLOCK OF EC AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> A fflef-C PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> YOI,.rne [OC APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> PARCEL TAX I D NUMnER CONTRACTORS LAW 18.27 ACCW AND 288.200 WAC. <br /> CONSTRUCTION I DAN I ENDER.ADDRESS,TELEPHONE NUMBER <br /> S -NfAi11R D4, V� 4_ DATE <br /> Cllr BUSINESS LICENSE NO <br /> PLUMBING MECHANICAL _ <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. _TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—AMNDLG UNITS—H.P.BATHTUB —FORCED AIR SYSTEMSB.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) I HEAT PUMP I <br /> SHOWER ' UNIT HEATERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP CLOTHES DRYERS <br /> DISHWASHER I VENTILATION FAN <br /> _ LAUNDRY TRAY I RANGE HOOD ; <br /> CLOTHES WASHER I WATER HEATER �— <br /> URINAL _ ' WOOD STOVE ' <br /> DRINKING FOUNTAIN ; METAL FIREPLACE(WOOD BURNING) <br /> --�-- <br /> FLOOR DRAIN ' FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS GAS FIREPLACE <br /> SINK(SERVICE—BAR, ETC) , OAS RANGE �— <br /> ' GAS PIPING ' <br /> 1 EXHAUST FAN I <br /> 1 I <br /> I I <br /> SUB TOTAL f ' SUB TOTAL S ' <br /> PERMIT f I PERMIT f 1 <br /> TOTALFEE f ' TOTALFEE f ' <br /> FOR OFFICE USE ONLY: <br /> I RONTSFTOACK REAR SETBACK SInE SETBACK MAN CHECK numiriIR FEE RECEIPT NO <br /> "�1a 9 9 1 3v i/77a.v <br /> NSE ZONF. IOT AREA VACANT 5111 FEES VALUATION FEE <br /> 1Iv1s111 Z <br /> 0 <br /> HEIGHT I IMITATION NO OF MELTING SIZE Or 01tW" _ ' -'— <br /> uNIrS ?' -o S.F. G.TILA'E rluunnm �/ OD <br /> OCCUPANCY NO OF SILwFS OCCUPANIIOAD BASEMENT MFCIIANICAI v <br /> GRIXIP / <br /> �, Z IIYf9 IYNfI <br /> FIRE AL ARM RED D REASON ARCINIONAI rI AN CNFCK <br /> DINER <br /> SPnINKIFRnEOR REASON <br /> STATE RNIIIBNN SNnr.NAnGE /n <br /> TYPE OF CONST MnNS ArrnoyEn nr CITY OF EVERETT runRr..WmKc __ <br /> LOCAL SALES <br /> TAX CODE IS 3105 TOTAL <br />