Laserfiche WebLink
APPLICATIO.. FOR CONSTRUCTIJN PERMIT <br /> CITY OF EVERETT •BUILDING DIVISION 4-r7. <br /> 3200 CEDAR STREET E EVERETT,WA 98201 •259-8810 <br /> I I DEMOLITION I COMBINATION I I BUILDING <br /> 1 1 1 MECHANICAL I I PLUMBING SIGN <br /> PROJECT ADDRESS 22Z ��Ah /�0 V. 1LI <br /> owNrn MAN.ADDRESSf.Try Zlr ruLRE <br /> SOA/ pAlSy /5 yid'19�'AAu SL /�IIII G'e� 9g� r r. 3iG-8361 -- <br /> --- CITY rlr ----- - rNONE <br /> iCNANT MAl1.AMRF.54 <br /> ARCIIIIECT On DESIGNEn MAIL ADDRESS CITY rip rNONE <br /> GENERAL CONTRACTOR MAILADORESS CITY Ar MIONF STATE LICENSER <br /> MCI ,sy. I'-a 9 !^ 'Ad .1i5: InI/I reek 9Yvr -jp" r /hp..7 c *,r doss-sW <br /> MECHANICAL CONTRACTOR MAILADDNESS fAIY ZIP PIIONF. STATE LICENSE E <br /> M UMBVl0 CONInACTOR MAID ADDRESS CITY ZIP rmw STATE LICENSEE <br /> CONTRACT PRICE OF WORK HEATING SYSTEM: lid'OAS FI ELECTRIC CI <br /> DESCRIBE WORK AND SOIIAne rODTAGF.INVOLVED CONTACT PERSON AND MIO1F.NO <br /> / <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> rnorosED use or BInLDING PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGAL DC%�PnorFnry(SIMIN BELOW On "Ar.I1 TWO COMES) NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT BLOCK OF He r l {A 4c AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 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 /> CONTRACTORS AW 18.27 RCW AND 208.200 WAC. <br /> PAIRCEL TAK 1 D IMP <br /> CONSIRIICGON LOAN LENOFn.Anorm.SS.IFI FMIONF.MIMPFR <br /> SIG IA In DAIS <br /> CITY POSIMSS LICENSE NO <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEC Wo— OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) I AIC—AMNDLG UNITS—H.P. ' <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) I HEAT PUMP ' <br /> _ SHOWER ' UNIT HEATERS—B.T.U. M ' <br /> / KITCHEN SINK A DISP _ I CLOTHES DRYERS ' <br /> DISHWASHER ' VENTILATION FAN ' <br /> LAUNDRY TRAY RANGE HOOD i <br /> CLOTHES WASHER I WATER HEATER ' <br /> URINAL ' WOOD STOVE ' <br /> DRINKING FOUNTAIN I METAL FIREPLACE(WOOD BURNING) I <br /> FLOOR DRAIN ' FIREPLACE INSERT(WOOD BURNING) ; <br /> BACKFLOW PREVENTERS / OAS FIREPLACE <br /> SINK(SERVICE—BAR,ETC.) I GAS RANGE ' <br /> ' OAS PIPING <br /> EXHAUSTFAN ' <br /> 1 ' <br /> I <br /> - I 1 <br /> I <br /> I <br /> I <br /> SUB TOTAL S ' SUB TOTAL S ' <br /> PERMIT S I PERMIT $ ' <br /> TOTALFEE S I TOTALFEE $ ' <br /> FOR OFFICE USE ONLY: Z <br /> FROM SETBACK READ SETBACK SIDE SETPACK PIAN CIIFCK MIMnrn FFF _ IRFCEII•E NO. <br /> 'ZO •Z O S -t7' _ <br /> NSE ZONF Lor 1111E/^ VACANT SITE: FEES VALUATION FEE <br /> L77O VV6% 11 NO FROIDllln FjLI 2 7C/ <br /> IIEIOIIT LIMITATION Y NO I a DWELLINGSMF.or PURL �--�1 <br /> 28 I J.c L"r, <br /> 4 PLUMBING <br /> OCCUPANCY f NO Or SRKEES OCCUPANT LOAD BASEMENT MF.CIIAMCAL <br /> 0N110111, <br /> I[ - , A fS IIYFs INTO <br /> E[ ATNIIIIONAI PLAN CLIECK <br /> FIPF.ALARM OEOD REAS(nl <br /> _ Onim _ <br /> FIRE SPRINKLER nEOn REASON <br /> S1AIE DIVIDING 51111I:IIAMRE <br /> TYPE OF CONST rlANSAPPROVED BY CITY OF EVERETT rtmICYVOnKS <br /> ,j LOCAL SALES <br /> DATE 3 2 TAX CODE IS 3105 ITOTAL <br />