Laserfiche WebLink
APPLICATI�.N FOR CONSTRUCT �ON PERMIT <br /> ��E�ro,�� everett <br /> ��T�oF e <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> I I DEMOLITION i i COMBINATION Bi11LUING �ECHANICAL PLU!ABING SIGN <br /> OWN�— � � IA�IL�DDRE55 ///`s�L—L'LtS�I�r �"-' _ ZIP ������ L l NE ✓�� Y�C�� <br /> ` )r <br /> � <br /> TEN T - ^, '^/ MAII�DORE55 CitY ZIP PIIONE <br /> �' • I `i� <br /> �RCHITECT Ofl OESIGNER M�It ADDRE55 CIIY 21P PIIONE <br /> G'1,�TOP IA il �ORES= �C � l C IY � . .2�P/ / L���l /� �`I /rLIGEI�SE 1 <br /> �/ 7� <br /> MEGN�NIGILC �C10R M IIADItRE55 CItY IiP PI� lICE45E� <br /> _ I��-L�rl1E3 �5�L2 �- '�1/ <br /> PWMBINOCONTP�CTOR MMI�ODPk55 GtY IIP PIIONE IICENSE� <br /> LUSSOf WORN <br /> I I NEW I I AD7ITION �ALTEFiATION i '� REPAIR I � DEN"lITION � i WOODSTOVE/FRPL INSERT I i dUILDIN6 flELOCATION <br /> TEN�NTIMPROVEMENTd11NTERIORREM LONLY ICONT�LIPEPSIk1�NOP110NEN0 <br /> CONTXACT PRICE OF W011M: la������ <br /> O��WQP �$OU RE�T�GE INI OIVED �� — <br /> jyE !1 � <br /> Y(.t• C Q � <br /> PBOPOSEDUSEOFBUtt O !�./� <br /> G�1 'f/� I NEREBY CEFTIFV iHAT I HAVE READ AND E%AMINED THIS <br /> l_71' �, APPLICATI)N AI�D KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> lEOAI UE6LRIPTION OF PROPEXTYISHOWN BE��OW ORATT�CNFOURCOPIES� PROVISIONS OF LAN.'S AND ORDINANCES GOVERNINO THIS TV?E OF <br /> WORK WILL BE f,OMPLiTED WITH WHETHER uPECIFIED HEREIN OR <br /> �oi BIOCN oF � NOT. THE GRANTING OF ,1 PERMIT DOES NGT PAESUME TO�IVE <br /> AUTHORITV TO VIOLATE l�R CANC[L THE PflOVI510NS OF ANY <br /> OTHER STATE OR LOCAL I.A�V REGULAT�NG CONSTRUCTION OH THE <br /> PERFORMANCE OF CONSTRIICTION. iHAT I AM AUTHORI2ED BY THE <br /> OWNER OF THIS PHOPERT�.' TO PERFORM THE WOFK FOq WHICH <br /> — -- APPLICATION IS MA�E AN� I COMPLY WITH THE STATE <br /> CONTHACTORS LAW 18.27 RCW AND 2p6.200 WAC. <br /> SIUN�Il1REOFGONiR�CiONON�U11qR11E0�0ENT U�IE <br /> I, X�1Lyl�-� �ZN'1CIC�9c �� � <br /> PHO.IECT� S `hF�j j II �� I �- <br /> �PPIICNISCIiYB115ME551 .EN5ENOA BUSMESSNAME <br /> / <br /> PLUMBIN MECHANICAL <br /> NO. TVPE OF FI7.?�.��E OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> ^ WATER CLOSET(TOILET) A/C—AiNNDLG UNITS—HP. i <br /> _ BATHTUB _�_ FOFCED AIF SVSTEMS—B.T.I�E.A. � <br /> LAVATORV(WASH BASIN) �_ UNIT HEATEPS—B.T.U. M ; <br /> SHOWER � CLOTHES DRVERS � <br /> KITCHEN SINK 8 DISP i VENTILATION FAN ; <br /> �- i. <br /> OISHWASHER � RANGE HOOD � <br /> IAUNDRV TRAV � WATER HEATER � <br /> CLOTHES WASHER — �— WOODSTOVE i <br /> URtNAL ' METAI.FIREPLACE 6 CHIMNF:V �— <br /> DRINKING FOUNTAIN � FIREPLACE INSERT ; <br /> FLOOR DRAIN —�—�— I1EAT PUMP �— <br /> BAf,KFLOW PREVENTERS ; - GAS PIPI�IG <br /> ROOFDRAINS—HAWL.EADERS -T � EXHAUSTFAN � <br /> SINK(SEHVICE—BAq,ETC.) ; � <br /> ' — ---T— ---- ------- <br /> _ ______ — ___ ._ � <br /> � ' I <br /> ' i <br /> SUB TO7AL S SUB TOiAL S ' <br /> PERA'IT E _ PERMIT f ,y� � <br /> TOTAIFEE E TOTALFEE S ��� <br /> FRONiSETB�CN qEAqSGTBACN SIDESE70�GN PI�NG�IGNNIIMBER ![f RiLE1PiN0 <br /> USEIONE LUT�AE� v�cnNtsne FEES VALUATION FEE <br /> i I yEs I I No uw�niNc <br /> IYPE Of CON57�IIOWABIE fYtt q CONSf Attb.l acurun:r r�o n rovuuxcuxns _- ----- -- — ' <br /> cna�v � <br /> PLUMBING <br /> — —�— <br /> SIZE[ . 7. NO Oi STORIES B�SEMENi MECMANIUL �,�� <br /> I I VES I I NO <br /> 000. .�CY10�0 FlRESPRNNlER5RE00 11EIG1RlIMiiATlp1 OiHEfl <br /> I I VES I I NO STA`EBUILOINGSURCHARGE � � <br /> RE150Ni0R6PRINNLER9 -- - T <br /> STATE ENERGY Sl1RCH�RGE � • <br /> i <br /> •PPIIC�TqN�CCBY PUNS�PPROVEIIBY CIjYOFEVERETT PIIBLICWORNS � I• <br /> l.00AL SALES ' �� <br /> TAX COOE IS 3105 TOTAL S•S I� � <br /> � <br />