Laserfiche WebLink
APPLICATI� FO1� CONSTRUCT JN PERMIT <br /> CITY OF EVER[Ti• BUILDING DIVISION <br /> 3200 CEDAR STREET • EVERETT, WA 98201 •259-8810 <br /> f 1 DEMOUTION f 1 COMBINATION f ! BUILDING f� MECHANICAL �+ PLUMBING f 1 SIGN <br /> PROJECT ADDRESS � <br /> l ��L� C/r.��`/:,i" Y�/ <br /> OWNF.R ienanoonr:ss citt zir ri�or+e <br /> T�-��r,.�.�� i� [S" I� $si5 �.,w�p,u.-�WY. r•.�en�+ i,Ja. <br /> TGN4NT IAAILADDRESS C�� IP PHONE <br /> l�sy i�> �/L�-¢G'J f��� �i�i��� �,���7 :��o /��`I �/i�/ <br /> ancruTccror+oesi�Ner+ raau.noonesS cin zir r�wr+e <br /> GENERnLCON7RACTOR MFILADORESS QTV ZIP PIIONE $TATELIG@NSE� <br /> I,IEGNANIC�LCOt17RACTOR MRIIADDPE55 CITV ZIP PIIONE STATELICENSE� <br /> PLUMBINGGONTRnCiOR MAILAl1DPE5S CITY ZIP PHONE STAIEUCENSE� <br /> � w,,, . 0�� � � 000���nv,�l� t,�a � -� '-�100 ilnllTrP+k�`IYR� <br /> CONTRRCT Pf110E OF WOfiR <br /> HEATING SYSTEM: f-1 GAS rl ELECTRIC �1 <br /> DESCRIOE W�RN AN�SOUME FOOTRGF INVOWED GONi�CT PERSON AND PIIONE NO <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAM1IINED THIS <br /> PfiOPOSED USE Of B ILD JG APPLICATION AND KNOW THE SAME TO BE TRUE AND CORAECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LEGRLDESCRIPTIONOFPROPERTYISHOWNBELOWOFiATTACHTWOCOVIES) NOT. THE GRANTING OF A PERMIT DOES NOT PHESUME TO GIVE <br /> �or etocK or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTAUCTION OF 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 MADE AND I COMPLY WITH THE STAT[ <br /> anncE�rac i o.r+urenen CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> CONSiRUCTION LOAN LENDER.nODRE55.TELEPNJNE NUM9ER X � J �_J�"«�j <br /> �IGNATURE DATE <br /> CIN OUSINESS LICENSE N0. <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF FIXTUAE OR ITEM FEE <br /> '3 WATER CLOSET(TOILEn � A/C—AMNDLG UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> T <br /> �/ LAVATORY(WASH BASIN) � HEAT PUMP � <br /> SHOWER ' UNIT HEATERS—B.T.U. M ' <br /> KITCHEN SINK 8 DISP i CLOTHES DRYERS i <br /> DISHWASHER � VENTILATION FAN ' <br /> LAUNDRY TRAY � RANGE HOOD i <br /> CLOTHES WASHER � WATER HEATER � <br /> / URINAL WOOD STOVE ' <br /> DRINKING FOUNTAIN i AIETAL FIREPLACE(WO'JD BURNING) <br /> FLOOR URAIN � FIREPLACE INSERT(WOOD BURNING) ' <br /> BACKFLOW PREVENTERS � G�:S FIREPLACE � <br /> SINK(SERVICE—BAR, ETC.) GAS RANGE ' <br /> GAS PIPING � <br /> i EXHAUST FAN � <br /> i ' <br /> i <br /> i ' <br /> SUB TOTAL 5 ' SU�TOTAL 5 i <br /> i <br /> FEFMIT 5 � PERMIT 5 � <br /> TOTALFEE S ' TOTALFEE 5 ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSETBACK RF.AfISFTBALN SIDESETOACK PUNCIIEG � F[E RECEIPTNO. <br /> �'�`�5 <br /> usEzoNe �oranEa vncnNrsire FEES VALUATION FEE _. <br /> nves n rm awion+c ; <br /> HEIGMT LIMITATION NO OF OWELLING SIZF Of OIOGT. <br /> ❑NI IS P�UMBING � <br /> ' _— <br /> OCCUP�NGY NO O�S70AIE5 OCIXIPANi LOAU 00.5EMEYi MEGHANICAL i <br /> GROUP -- <br /> ❑\ES fl NO � <br /> FIREALAfiMPEO'D PEASON ADOI710NALPUNCNECN � <br /> � <br /> OTHER i <br /> FI�E SPRINNLER REO'D REASON � <br /> STATE OOILDIYG SIIBCN�RGE � <br /> TVPEOFCONST PLANSAPPROVEDOV CITYOFEVEqETT �UOIiCWORKS 1 <br /> i <br /> LOCALSALES � <br /> onTe TAX CODE IS 3105 TOTAL � <br />