Laserfiche WebLink
APPLICATIdb FOR CONSTRUC7&N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />32?O CEDAR STREET • EVERETT, WA 98201 • 257-8810 <br />n DEMOLITION i COMBINATION , I BUILDING MECHANICAL n PLUMBING ❑ SIGN <br />�- <br />PluuolNG CorvnuCW uuIACORCSS Gtt io AgNE .rAIE lKtIUE• <br />CONTRACT PNK E OE WVHK I <br />HEATING SYSTEM: J71'GAS ❑ ELE-CTRIC ❑ _ <br />CC'..CMITE WORK ARE$ AHE ECKOTAGE INVOLVED <br />FOR, ' rs—oi AHRq!rt AG <br />,�✓ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION IND K14OW'THE SAME TO BE TRUE AND CORRECT ALL <br />PROVI S IONS OF LAWS AN D ORDINANCES GCVERNtF,Q THIS TYPE OF <br />WORK WILL EE COMPLIED WITH WHETHER SPECI': ED HEREIN OR <br />NOT, THE GPANTING OF A PERMIT ODES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCIIL THE PRO'AISION OF ANY <br />OTHER STATE OR LOCAL LAY! REGULATING CONSTRUCTION OP ME <br />PERFOPMANCE OP CONSTRUCTION. "HAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PEFFORM THE WORK FOR WHICH <br />APPL.ICATICN IS MADE AND 1 COMPLY N'ITH THE STATE <br />CO i&ACTORS LAW TF. 27 RC AK D 296.200 WAC, <br />_ / <br />_ <br />PROPOSED USE OE eunpNo - iI <br />LEGAL. DCSCRWTKW a PROPEFRY ISICWU REIOW OR ATTACH TWO CC REs <br />lOr BLOCK Ex <br />PARCEL VA IB NUMBER <br />CONSTRUCTON LOAN LENDER. ADOPESS. MIERKNE NUMBER <br />51GNAIVPC CAR <br />CI'Y RUSINE iS IKE TSE NO <br />PLUMBING <br />MECHANICAL <br />N0. <br />TYPE OF FIXTURE ORITEM <br />FEE <br />NO. <br />MEN <br />TYPE OF EOU'�PT <br />FEE <br />_ <br />WATER CLOSET (TOILET) <br />iCC - A HNDLG UNITS <br />BATHTUE <br />XORCEO AIR SYSTEMS _ <br />_ <br />IAVATOFV (WASH BASIN(-_-_- <br />—_— <br />HEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATERS <br />_ <br />KITCHEN SINK 6 DISP <br />CLOTHES DRYERS - <br />DISHWASHER <br />i <br />RANGE HOOD <br />LAUNDRY TRAY <br />i <br />WATER HEATER <br />CLOTHES WASHER <br />i <br />WOOD STOVE <br />URINAL <br />i <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACK FLOW PREVENTERS <br />GAS RANGE <br />SINK(SERVICE - BAR. ETC.) <br />_ <br />GAS PIPING <br />- <br />E%HAUSTFAN <br />B TOTAL 6 <br />SUBTOTAL $ <br />ER <br />S <br />PERMIT S <br />70T <br />6 <br />TOTAL FEE $ <br />FOR 0FF!CE Ucc nAH`W - 1\ 1 ' - , 1 <br />FRONT SERACK -_ncQy <br />-Ci -�T— <br />IVC SURACK <br />Pury CHECK PjA I <br />FEE <br />REUmTw <br />USE ZONE <br />107 F<A <br />VACANT SIM <br />EVES <br />VALUATION <br />FEE <br />WM1pNO <br />t]YES a NO <br />HEIGNTEIARIM"i <br />N OFOV/ELLIN'J <br />WECi RI <br />UNITS <br />O <br />RUMBnG <br />OCCUPANCYNJ <br />CI FORCE <br />EKCMANr LGAC <br />BA.SEME1iT <br />MECIYNK:AL <br />G P <br />n <br />❑VLF ONO <br />AWITpN4 PLAN CHECK <br />iXl SM11NKlE REUR <br />PCA$DN <br />E <sTU <br />E3 <br />OTHER <br />FHE ALARMREGn <br />REASON, <br />EASrG. <br />STATE Wkp SURCHARGE <br />IIPEOFCONSI <br />PLANTS AwRpt%o <br />By <br />CITY OF EVERETT <br />HURL WONAS <br />LOCAL SALES <br />TOTAL <br />TAX CODE IS 3105 <br />..IF <br />