Laserfiche WebLink
� ��'t � , <br /> I APPLICATIO�:'FOR CONSTRUCTIJN PERMIT eVerett <br /> ,�„E,�,�,�„ TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITV OF <br /> everett HEATING SYSTEM: ❑GAS O ELECTRIC U <br /> BUILDING DEPARTMENT <br /> 259-8810 \/ <br /> � DEMOLITION I J COMBINATION � BUILDING �,�'t�A(ECNANICAL U PLUMBING [l SIGN <br /> OWIIEN1 MAIL�DORESS CITY �Z,fI PIqNE <br /> �p+ � I'�ft'_ i�� I� �`• � n �'���i�� C�v2rn-�- �/Q��<�� �`-��'7- n� � S <br /> �ENhNT MAllI10dIE5S CITY ZIP PIqNE <br /> 4- ANLIn1ECtORUES10NER M�KALUIIESS CITY ZIP �IIONE <br /> _ <br /> Q �6�F.�N,E�l1M� CpIIRyA`Ci0�1 MAq AO1OItESS 1 piyx� 2(1P��j PHOH�E1 �t �ICENSAE/ ^I <br /> � ��rl� �.f'!l Ilrli ��-ncd �.C�n�l` i I�M' llnrllYt' I 1..1�1?�� I(1��I� I ��� I -J�-1� �tt �IUC����LI <br /> �� MECBNlIGIL qITR�CT011 M�I�ADORE55 , CITY 21P FIIpNE �ICENuE/ <br /> � <br /> PLUMBINOCON7PAGIOR MM1.�00PE35 CITV IIP MIONE �ICENSE� <br /> � ClASSOF WORN <br /> � NEW I. ! AUDITION ,f`CALTERATION I I REPAIR 17 DEMOLITION I I yyppDSTOVErtRPL INSERT ❑ BUILDINO RELOCATION � <br /> 5�/n 1� CONT�CT PERSON MID P/qNE Ip <br /> GONiNACTPPICEDFYIORI( l� . <br /> Y OfSGHISE Wpilf 11NO SIXURE FOOTA VE <br /> C C � � <br /> � r �.�r� <br /> r;: rraroseousEoFeuKo»+a • I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> .J FK APPUCATION AND NNOW THE SAME TO BE TRUE AND COAHECT.ALL � <br /> IEUN OESCf11PTIDNOF PNOPEPTY(SIqWN BEIOW Oq�TiACH fOUR COPIES� PROVISIONS OF LAWS AND ORDINANCES OOVERNINO THIS TYPE OF <br /> ��' WORK WILL BE COMPLETED WITH YYHETHER SPECIFIED HEREIN OR <br /> T; ior e�ocK a NOT. THE 6RAN11N0 OF A PERMIT DOES NOT PRESUME TO OIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVI810N3 OF ANV <br /> r�� OTHEH STATE OR LOCAL UW RE6ULAtIN(i CON3TRUCTION OR THE : <br /> PEfiFORMANCE OF CON9THUCTION.THAT I AM AUTHOqIZED BY TNE � <br /> OWNER OF THIS PROPERiY TO PERFOHM THE WORK FOR WHICH .. <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 HCW AND 296.20p WAC. <br /> Bq1UTUREOFCONTRACTORIXIAUTIqRI2EDKiENT OATE <br /> PIIOJECTADq1EBS �i4�C[.CI /�, /I/!C ('A.( I��C��777„f� ; <br /> � )�' 1 I � " 1/'J J i � , C..I ..�. �PPLIC�NTB GIiY BUSINESS LICENSE Ip.AND BUSNE88 NMIE <br /> PLIMMN/O MECMANICAL . �i <br /> N0. T�I�E 0�fUfTURE OR ITEM FEE N0. TYPE OF EOUIPMENT fE� � � ..:;���� <br /> WATER CLOSET(TOILET) � IVC—AMNDLG UNITS—H.P. , � �"�"� <br /> "` , <br /> BATHTUB ' FORCED AIR SYSTEMS--B.LU. M E.A. � � '��"'�� <br /> LAVATOFiV(WASH BASIN) � UNIT HEATERS—B.LU. M ; ' .,�:5;:� <br /> SHOWER ' CLOTHES DRVEHS � � ���" <br /> KITCHEN SINK 6 DISP ' � ' ���;'�� <br /> _ � VENTILATION FAN - �� <br /> DISNWASHER � RAN6EHOOD , �� �i�'�a7' <br /> UUNDRY TMV ; WATER HEATEFl � . �._�','�R�e <br /> CLO?HES WASHEH i WOOD STOVE , ;� <br /> URINAL � METAL FIREPLACE 8 CHIMNEV � '� <br /> . <br /> �. DRINKINO FOUNTAIN , FIREPLACE INSERT ; <br /> FLOOR ORAIN � HEAT PUMP � .,.:�..:,,. <br /> BACKFLOW PREVENTERS ; Q�g p�p�Np � • �.'-�;3, <br /> ROOF ORAINS—RAINLEADERS � EXHAUST FAN , ����-� <br /> SINK(SERVICE—BAR,ETC.) � , � � ��`'���• <br /> i � �"' <br /> _ � <br /> � � i <br /> � � i a <br /> ' � 1 <br /> � , <br /> SUB TOTAL f ; SUB TOTAL { a � � <br /> I <br /> _ PERMIT = � PERMIT f $� , <br /> TOTALFEE S ' TOTALFEE f � � ' <br /> FOR OFFICE USE ONLY: <br /> fRONTSET&1CN REAPSET&1CN SIDE6E79�CN PIANCNEGIfNUMeER FEE IIECEIPi/q. <br /> IISEId1E LOT�REA V�CMlTSIIE FEEB VALUATIOM FEE <br /> BUILDINO ' <br /> ��rr�acoxraaiow�aic rra[acaxsr.�c�uu occu...c. x�oowu�.aa.n — <br /> i <br /> � PLUMBINO � <br /> � <br /> l�IZEOi8L00. Iq.OFSIqilES BASEMENi MECHANICAL ~— � <br /> i � <br /> oCGUP�NCY tn�D FINE S�aNul.Ens REdo IIEI[SNi I.IMII�TION ADDITIONAL PUN CHECK � <br /> i <br /> OiHER i <br /> PEASON FOq S,PpINRLER3 � <br /> 6TATE BUIlDINO SURLNAROE ' <br /> IIItA1(EOY %MlSMPROVEOBV CITYOFEYEREIT PUBLICWORKS i <br /> �oca�se�a � <br /> T�x cooe�a a�os �� ;_ <br />