Laserfiche WebLink
APPLICATIL�� FOR CONSTRUC7�`JN PERN�IT <br />CITY OF EVERETT • BUILDING OIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-BB10 <br />❑ DEMOLITION � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMl�ING ❑ SIGN <br />s� PRWECT ADDRESS: �� (,� L�I V r''� A i C_ B I UcI • <br />.' <br />ner. wil��� <br />GENEMI CONTMCIOR <br />� ��. ky <br />� <br />;o,� t c.. Cor(f �. n. �C �3 � ve�e-H , �J/#- i g�A �'�5-3- 4�76 <br />MN1�0011E55 CI7Y 2�P TVNONE <br />S `foLt Fr���W ��F. �verelf , Wl� `'(b`Zo l (Zo6� �Sz —$�6�- <br />ww�ooaEss i crtv iiv cHowc <br />r�.c I� Oly�.,p�c� �81va, fvcrcff�hlh- hob) z5�i- Gbsti <br />wui�ooness � c� tm �ror.e <br />� ocv?y /5�� A� .�1� �2ealw,�,�,�1.1 W/.� 98cSi(zoc7 �s 3 I y57 <br />M4l�ODRE55 GITY )�P PIIDHE SGTEUCENSE• <br />.,,,�.rd s�e� Akk�„s a,.,.�f F�me.�a � fir�.,,�� �1� ,-k�� <br />MECHANIGILCONTRIIGTUR MIUl�00HE55 CITY IIP PHONE ST�TEIICEN5E1 <br />PLUMlINGCONTR/�CTOR MM�AppRESS CIIY IIP PIqNE ST�TE�ILENSE� <br />�oT <br />WdIKAND <br />a �avE <br />_ eiocK <br />� GD <br />, <br />OE VEDy <br />c,�a !I s +a �-. <br />�OORESS.IELEP110NE NIMlER <br />OF <br />BATHTUB <br />LAVATORV(WASH BAf <br />SHOWER <br />KITCHEN SINK 6 DISP <br />DISHWASHER <br />LAUNORYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKIN6 FOUNTAIN <br />FLOOR DRAIN <br />SINK (SERVICE — BAR, <br />SUB TOTAL S <br />PERMIT S <br />FOR OFFlCE USE ONLY: <br />FHONTSEIBnpc RE�RSET&ICK <br />USE20NE IOT�REA <br />HEI6HTUMIT�TION NO Ot OWELLINC <br />VNITC <br />pCCUPMILY Iq Oi SfMYfS OCCUP11Nf LO�D <br />'HINKLEH RGO'D <br />ti�o <br />aRM� „R[0'D <br />N� <br />x r,or�st <br />� <br />PL�NS <br />BY <br />CONES) <br />FEE <br />SIDE SETB�CK <br />V�CANT 51TE <br />❑YES ❑ NO <br />HEATING SYSTEM: GAS ❑ ELECTRIC ❑ <br />co�lrensa+�no a�anE no l vo .'j 1— `� t7 <br />nd.` „1.... A�..1....._I /!. _/�___ .I.L.1_ <br />1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORPECT ALL <br />PPOVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE ORANTINCi OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTFIER STATE OR IOCAL LAW REGUTATIN6 CONSTHUCTION 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 MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />���fi-- � o��� f 3 �yL <br />�� ��b�� <br />CITY BUSINESS 110ENSE NO <br />MECHANICAL <br />NO. TYPEOFEGUIPMENT FEE <br />FORCED AIR ; <br />HEAT PUMP <br />UNIT HEATERI <br />CLOTHES DR� <br />RANGEHOOD <br />MEfAL FIREPLACE I <br />FIREPLACE INSERT <br />C� <br />PERMIT f <br />TOTALfEE S <br />PLAN�E� � E/ n I fEF„� //�O AFCEIPT Np <br />7 Ct/ � n <br />OUIIDINR <br />size a e�oart.i <br />�L� /i . •fI, FLUMBING <br />Z <br />BASEMENT MECN�NIL�I <br />❑YES �NO <br />�ODIIION�L �l �N CNf.CK <br />on+en <br />ST�1E BWLD�HC 51)RCH�RGE <br />CITY OF EVERETT PUNI M, WOPNS <br />LOCALSALES — <br />TAX CODE 15 3105 TOTAL <br />