Laserfiche WebLink
�n� <br />D '�1 x <br />9�JfHi� <br />Y <br />Ytl Ci <br />H 7tl <br />� M � <br />V! M <br />L'J 0 � <br />H t7 <br />OH <br />��g <br />(�] Y (7 <br />t"y� <br />Ny <br />gy <br />C] C7 �n <br />����++7 <br />�3 [n <br />HOtn <br />. ,, „_,, <br />APPLICATIO/,d FOR CONSTRUC'�ION PERMIT <br />rno everoreen <br />cin oF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br />❑ DEMOLITION ❑ COMBINATION f 1 BUILDING I J MECHANICAL I 1 PLUMBING <br />rnni�nooNess <br />�� � �� � <br />LL'fCS j✓l�r��__t_9_/ �'Ci <br />� MAIL�DDRE55 <br />OROESiGNER MRILAp�RE55 <br />pryTqqGTpq MRIL��ORE55 <br />iGONIRACTOP MAILpODflESS <br />wr <br />�uLv�o on <br />GITV ZIP <br />CITY ZIP <br />CITY 21P <br />CIIY ZIP <br />'oS 7 i7 / 3 ) - ,� ( <br />PIIO�IE <br />PHOflE <br />PHONE LIGENSEY <br />PHONE UGENSEI <br />everetl <br />e <br />❑ SIGN <br />rLUMA1NG ontnn toR MnlLnooness cu. air ,'n�n�. �wana=^ <br />1�, Pii�A, P�. �,,,�_�r�A�o�r ���a�,, ���_��.�, WCJL�oPCld'dG.1 <br />c�+ss or won <br />(J NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIF I_I DEMOLITION IJ WOODSTOVE/FRPL�NSERT I] BUILDINGRELOCATION <br />IENANT IMPqOVEMENi O!I INIERIOfl PEMOOEL ONLY CONiACT PEI150N AN� OMOYE NO. � <br />GONiPRCT PRICE OF WONN: '� <br />�ESCf11BE W011N ANO SOUMIE FOOTAGE INYOLVED <br />LOT <br />PBOJEGTA�DPE55 <br />oiocK <br />i�9��ly <br />I HEREBY CERT�FY THAT I HAVE FEAD AND EXAMINED THIS , <br />�PPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />�owoantTnci+vouncoriesi PROVISIONS OP LAWS AND ORDINANCES 90VERNING THIS NPE OF <br />WORK WILL BE COMPLETED WITH WHETHEA SPECIFIED HEREIN OR � <br />oF NOT. THE GRANTING OF A PERMIT DOES N�IT PRESUME TO GIVE I <br />AUTHORITY TO VIOLATE OR CANCEL TH[ M'ROVISIONS OF ANY <br />OTHEP STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE I <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE �i <br />OWNEF Of THIS PROPERTY TO PERFORM THE WORK FOR WHICH i <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS lAW 1827 RCW AND 296.200 WAC. <br />SIGN�fUf1EOfGONLMCl0110lIAU1HOHRED�GENi pAIE <br />X 1 � <br />C�'. v- a.��J <br />R, � 2 4P ISGITYOUSMESSIiCcy,.rN�iA�t' USMESSNMIE I <br />) !/ <br />MECHANICAL �', <br />)R ITEM FEE NO. TYPE OF E�UIPMENT FEE I. <br />ItlD �00 NC—NHNULGUNITS—H.P. I <br />�p� � FORCEDAIFlSYSTEMS—B.LU. M E.A. I <br />/DL�_� UNITHEATERS—B.T.U. M —;— <br />—� <br />� CLOTHES DRYERS I .. <br />CLOTHES WASHEF _ �Q�� WOOD <br />URINAL �_ METAL <br />DRINKING FOUNTAIN i FIREP! <br />FLOOR DRAIN i_ HEAT F <br />ReCKFI f1W PRFVFNTFRS : GAS PI <br />8 <br />PERMIT 8 }� - _ <br />TOTAL FEE $ �' U' <br />FRONiSETB�CK i1E�05[i0/GK SIDESETO�CR PL�NCIIELNNUMO[R F[E <br />USE20NE LOTAiIEA VRLANTSItE FEES <br />LJ Y[S I.1 NO BUIL�ING <br />lYPEOitONSLAILOWABtE tYPf0iG0115I.RG111AL acuv�xn imwOw[uiu;uxns _ -- � <br />cnar p�UM01NG <br />SIZEOiO��:. NO.OFSTORIES B�SEMENT MECHANICAL <br />f_l YES ❑ NO — <br />OCCUPANCYLOAD FIPESPflNKLERSREOD MEIGIITUIJITA➢ON OTHER <br />❑ YES ❑ NO STAIE DUILDI4G SUqCHMGE <br />PEPSONF085PNNNLERS — <br />StATE EiJERCiV S6RCHARGE <br />pPPIICATIONACC.BY PIANSAPPfiOVE�BY CITY OF EVEREIT PUOLIC WORY.S <br />LOCALSALES <br />TAX COOE IS 31115 TOTAL <br />$ <br />$ i <br />RECEIPT NO. <br />�� <br />