Laserfiche WebLink
APPLICATIO► _ FOR CONSTRUCTI.,N PERMIT <br /> CITY OF EVERETT •BUILDING DIVISION <br /> 3200 CEDAR STREET• EVERETT, VJA 88201 •259-8610 <br /> ❑ DEMQLI'IJN Cl COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT AD. <br /> ° <br /> SS: ,�3p �l' � <br /> OWNER MMI,AWnE59 C11Y IIP r1pE;, <br /> /��/ L/ ��>/I f1 s�•�' /s y_�-� %"31"I SE- All ':grc, i <br /> TENANT I MNL ADDRESS CITY IIP PHONE <br /> An041TFCT OR DESIGNER MAII ARORESS CITY )Ir PHONF <br /> OENEEIIALCONIRACTOLI 4Ml AOpOFsSI CIIY )Ir M10HE SIAIE UCCHSEE <br /> _ c.U<�. �/g../ j11 ('-i ,SART ;C't<� , .,L K E o� l-TGi <br /> MECHANICAL CONIRAC70P MAIL ADDRESS CITY 71P PIIONE STATE LICENSEE <br /> PLUMBING CONTRACTOR MAIL ADDRESS CIIY IIP PNONF STATE LICENSEE <br /> CONTRACT PRICE OF wonK <br /> HEATING SYSTEM: O GAS ❑ ELECTRIC ❑ <br /> DESCRIBE WORM AND SO UARE FOOTAGE INVOLVED CONIACI PC SON AND PHONE NO <br /> ' HEREBY CERTIFY THAT 1 HAVE READ AND E%AMINEU THIS <br /> PROPOSED USE OF BUILDING PROVISIONS <br /> AND KNOW ThE SAME TO FIE TRITE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEOALOESCRIPTIONOFPnOPFnTYIS.✓ 'm nU Non nAcH Two coP,BST ,[ NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOT��BLOCK_.__OF '1' I 1� - ' -."S AYu AUTHORITY TO VIOLATE OR CANCEL THE PPOVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS A ADE AND I COMPLY WITH THE STATE <br /> PARCEL TAN I D.NUMBER /, CONI RACTORS LAW 10.27 RCW AND 296.200 WAC. <br /> CONSTRUCTION LOAN LENDER.ADDRESS.TELEM40NE NUMBER <br /> SRNATLIE DATE <br /> CRY 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 ' <br /> BATHTUB ; / FORCED AIR SYSTEMS ' <br /> _ I <br /> LAVATORY(WASH BASIN) I HEAT PUMP <br /> SHOWER ' UNIT HEATERS <br /> KITCHEN SINK 8 DISP i / CLOTHES DRYERS <br /> DISHWASHER I ) RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> / CLOTHES WASHER WOOD STOVE ._ <br /> URINAL ' N.ETAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) i <br /> _ FLOOR DRAIN fj GAS FIREPLACE <br /> BACKFLOW PREVENTERS ; GAS RANGE <br /> SINK(SERVICE—BAR.ETC.) ,z GAS PIPING <br /> ? EXHAUST FAN <br /> I <br /> I <br /> _ 1 <br /> SUB TOTAL S SUB TOTAL f <br /> PERMIT S I PERMIT f <br /> TOTAL FEE S TOTAL FEE S <br /> FOR OFFICE USE ONLY, <br /> rRdIT SETBACK REARSFIBACK SIDE SETBACK PJANCIIECKNUMOrn r RFCFIPT NO <br /> —� 7-0 _ / <br /> USE ZONE 101 AGFA VACANT S'IF FEES _ VALUATION _ FEE <br /> _1 //, 7OL/ gCrS ONU BURVINn 1�9 /r TDO <br /> HEIDIT I IMITATION A NO OF DVYELUNO SIZE Or BLUGn I <br /> UNITS l7VV S.oe DIMMING <br /> S .17.11. GtYRAGm <br /> OCCUPANCY NNO D SIMS OCCUPANT LOAD BASEMENT � � MFOIANICM /ro 2 0(] <br /> 1•I 2 ❑Yrs 0-1I - I <br /> TIRE SPRINKLED REO'0 Rr ASON ADDITIONAL.PI AN CHICK '3 t� loo <br /> I <br /> RBE AIAnM REO'p REASON -- — <br /> suTE Bm1DINn sonuunar i <br /> TYPE DcoNsr MnNSAPPROVE D eY <br /> CITY OF EVERETT O� <br /> rx7 j_ <br /> iT .JkF r1In11r.vmnKc <br /> LOCAL SALES --- --- — <br /> _.1L-n1 GATE (0 6 TAX CODE IS 3105 TOTAL I <br />