Laserfiche WebLink
APPLICATIOrI FOR CONSTRUCT.JN PERNifT �� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> � --- <br /> � � �ic�TING SYSTEM: }(J GAS gJ ELECTRIC J _. � <br /> BUILUING DEPARTMENT <br /> p - 259-88?0 <br /> �H� DEMOLITION g COMBINATION _ _ BUILDING _ _ MECHANICAL PLUMBING SIGN <br /> ��� owr�eH u.+n+ooa�ss crtv rir� cr one <br /> K n �ousing Hope P_0.���_8�� r•.verPtt �8__ 4fl2Il] _�.59-??_19— __ _— <br /> ^y1�� 1FNA4i M�h��DFE55 f.ilv ?IP PHONE <br /> 'V 1"1� _-_ <br /> yV�� ARUut[CiOB0E5�GNEP M�IL�UOR[SC CiiV IiP ���ONC <br /> �O Stephen Story P.O. Box 2Q9,3._t;t yeinon {�111 98273 336-33'LI___ <br /> y GENERALCONiflACiJN MeIVDDRE55 Gi1V ZIP FIIONE '�1�tFUC[NSE� <br /> 0�f H <br /> f{�iJg MELM�N1OLCO�NiN�iOR MA�iIADURE55 CIl'I 11P PHONE SL�IEIICENSE� <br /> Q� O <br /> �y PlUM9MGL011iRACLOR MA�I�D�PE55 CIfY ZIP OIqNE STUEUCENS[• <br /> H � aessovwonrc ---- <br /> ��y NEW AUUITION X ALTERATION REPAIR __ DEMOLITION WOODSTOVEiFRPL INSERT BUILDING RELOCATION <br /> �� rr CONL.1Ci F iRSON�HD���ONE NO <br /> �a� CONTP�CiPRiCEOfWURn apptox $20 000 SteVe Stroh C/o Housing Ho�e <br /> jy DESCRiPEWONK�N�50U�PEfOpUf.CMVUiv[I ' A/�5L r � <br /> V <br /> misc repair + rerenovation_2828 sgft _�@�_�L41_��9��. <br /> vaorosEouseoreunon�c Tiansitiondl NOUS1I1eJ.- i HEREBV CERTIFV THAT I HAVE READ AND E%AMINED 7H15 <br /> P-.egnant women/newborns APPLICATION AND KNOW 7HE SAME TO BE TiiUE AND COFRECT ALL <br /> �ew�oescaianoNo�rnortnrvis�owr�oeiowoannnunounc�r,rirs� PROVISIONSOFLAWSANOORDINANCESGOVERNINGTHISTYPF_OF <br /> WORK WILL BE COMPLETED WI7H WHEiHcR SPEG�IEU HERf_IM1 DR <br /> �ot]Sf�_ eia:nfi9_4—D.�Or EverPtt ❑i v�___ NOT. THE GRANTING OF A PERMIT DOES NOT PRESIIME TO GIVE <br /> AUTHOqITV TO VIOLATE OR CANCEL THE PROVISIDNS Of- ANY <br /> Everett D1V iS1011 I�,l.at-Of OTNcR STAtE OR LOCAL LAW REGULATItJ3 CONS7RUCTiGN OR T4E <br /> PERFOR�IANCE OF CONSTRUCTION.THA71 AM AUTHORIZED AV ;He" <br /> D.1�C 604 ,p=Q9__LDts 7 9+20 �WNSF OF THIS PFOPERTV TO PERFORM TI'S WOFK FOF WHICH <br /> -- APPLICATION IS MADE AND I CO'.'.PLV WITH iHE STATE <br /> CONTRACT��``RSLAW 1 7 W AND29G200WAC <br /> Vol OS Pa_ 011 Snnhonish__Cp_,_ —._— / <br /> I � /, y <br /> Parral K 4�7A f,OL�_11IlA—_---- �IK - --- � �-J-1-- <br /> cnaer.re�on�ss --____ X..:.,. G - . °.' <br /> '�' 2419 Everett Ave Ev WA 98201 •� , — <br /> '_' PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOII ET� A C� A r�INDLG UNITS-H P <br /> '�1 _ BATHTUB __ FORCEDAIRSYS7EM5-BT.U._ M EA __ � __ <br /> ' ' LAVATORV IWASH BASIN�___ _ UNIT HEATERS-B T U M <br /> � SHOWEH _ _ CLOTHESORVERS <br /> KITCHEN SINK B DISP VEN7ILATION FAN <br /> ' ' OISHWASHER RANGE HOOD _ _ _ _ <br /> LAUNDRV TRAV WATF.F HEATER <br /> 1�I CLOIHES WASHER WO`JDSTOVE <br /> URINAL METAL FIRF?LACE 8 CHIMNEV <br /> '� - — _ —_ i <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> � FLOOR DRAIN HEAT PUMP —r <br /> �' BACKFLnN�PFEVENTERS GAS➢IPING <br /> ROOF DRAINS-RAINLEADERS EXHAUST FAN � <br /> ' SINK�SERVICE-BAR,ETC 1 <br /> 1 — -- ' <br /> � <br /> ' 1 _ — — _. �__ <br /> ' ' _ _ _ SUB TOTAL 5 ___ _ SUB TOTAL S _ <br /> � PEAMIT E PERMIL $ <br /> 70TAL FEE $ ' TOTAL FEE $ <br /> FOR OFFICE USE ONIY: <br /> LRONiSEiPACN qFRP_d1HACK Sii)CSEIBALK �'InpC�IfCaNIIA R f6L �� �RFCFIPIII��� <br /> _ x / `_.'�n1<� 3��7�� <br /> useza+e ior�H[n veurir.sit1[ FEES VALUATION FEE <br /> �' � 7� n N� _ BUILOMG _ "_____ . l��r� � � � <br /> rvPFOit�Nt54lOW�BIF IVPFOfLnN9�[Ipel o:mouuc� m d^ !..�.. • .--.-- .__.-_._.__._ G r... - . <br /> � � c=w+ PI.UMOIN. �� <br /> R3 __ 1 _ -- - <br /> SU�F�OrIIX'i Y NO Of 1iOFIES 9�SEMENt MECIiANICAL � <br /> L F yC,J� <br /> �i cn;• � a��a 2- ---- — <br /> (KCUP�NCYLO�O fIRESPIRNNlEH5PE00 MEIf.HLUMITAi17N ADDITIONALPLANCHECI( <br /> � I�'�� �� SPRINNLEfl . <br /> RE�SON(ON SPFiNwlFRS — � <br /> STAT@�UIl014G SURCHAflGF �l/ . <br /> _— __ _. - ""__'�-.�1.1! � <br /> -- . _ _—_— _ '. _._ .. __"_ ___.. _ _ — <br /> ra��r e. ruNs e�rnweuer CITY OF EVERETT ruouc wonns ' <br /> LOCAL SALES — <br /> _ �� �L TAX COOE IS 3105 TOTAL <br />