Laserfiche WebLink
� <br /> APPLI�dT10N FOR CONSTR'dCTION <br /> PERMIT <br /> Ms Everpreen everetl <br /> CITY OF � <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK— PLEASE PRINT <br /> OWNER MRIL�ODPESS CIIY 21P VNONE <br /> National Inv. Corp. 14200 NE 12th P1 Hellewe 980G7 643-3576 <br /> TEN�Nf M�ILADURESG CIiY iiP PHONE <br /> 1 <br /> AflCNITECTOR0E51UNER M�II.AUDRE59 G11Y 21P PHONE <br /> � <br /> OENEMLGONTiUCTON M�IL�D�RESS CIIY ZIP PNONE 4CENSE• <br /> National Inv. Corp. 14200 NE 12th PL Bellewe 98007 643-3576 <br /> MECHANiCAIGONiN,1CTOR MAIL�D�PESS CItY 2iP PHONE LILENSE� � <br /> � PLUMBINOfANiR�CTOP MAIL�001iE55 G11Y ZIP PHONE LIGENSE• <br />� Pobinson Plimibing Inc 607 SE �verett Mall Way Everntt 98208 355-6171 13�BINP*1.72C2 <br /> GLAS80F WONK <br />� T�EHANTEMP�VOV❑EMEN�tOP�NOGiERI0aEM0`�FL�ONLON ❑ REf'AIR ❑ DEMOLIiION co❑pCWOOD�SNONOr OrvE oSERT ❑ BUILDINGRELOCATION <br /> � CONfRACTPRICEOFWONK T�OOO.00 <br /> DEBCNiBE M'ORN�Np SOII�RE i00ThGE INVOLVED <br /> , pltmibing _ -- <br /> { PIIOP09EDU9EOFBl11L01N0 IHEREBVCERTIFYTHATIHAVEREADANDE%AMINEDTHISAPPLICATIONAND <br />� ��1 KNOWTHESAMETOBETRUEANDCORRECT.ALLPROVISIONSOFLAWSAND <br />� LEOALDESGNIP110NOfPROPERfY15HOWNBELOWOPATiRCNfOl18GOPIE51 ORDINANCESGOVERNINGTHISTYPEOFWORKWILLBECOMPLETEOWITH <br /> WHETIIEH SPECIFIED HEREIN OR NOT.THE GRANTINGOFA PERMIT DOES NOT <br /> PRESUME TO GIVE AUTI IORI fV TO VIOLATE OR CANCEL THE PROVISION$OF <br /> loi BLOCK oF ANYOTHERSTATEORLOCALI,pWREGULATINGCONSTRUCTIONORTHEPER- <br /> FOFMANCE OF CONSTRUCTION.THAT I AM AUTHOR12ED BY THE OWNER OF <br /> THIS PROPERN TO PERFORM THE WORK FOR W HICH APPLICA710N IS MADE <br /> AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND <br /> 296200 WAC. <br /> S�GNAIOREOFCONtlIAC10RORTUl1100REDF0ENt UAIE <br /> 1 � <br /> X �I1�:�.� �-/ - 9t� <br /> %IOJECTApDRESS qPpllG� fSCItYBU51NE55UCEN5ENORNOBU51NE59N�ME <br /> 1120 Broadway <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FIXTUHE OR ITEM FEE NO. TYPE OF EUUIPMENT FEE <br /> WATER CLOSET(TOILEl) A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SYSTEMS—6T.U. M EA <br /> UVATORY(WASH BASIN) UNIT HEATERS—B.i.U. M _ <br /> SHOWER 2 CLOTHESDRYERS <br /> KITCHEN SINK6 DISP. VENTILATION FAN <br /> DISHWASHER RANGE NOOD <br /> LAUN�RYTRAY 1 WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL M ETAL FIREPLACE 8 CHIMNEY <br /> DRINKINQ FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN _ <br /> SINK�SERVICE—BAR,ETG) 1 S heater _ <br /> SUBTOTAL E SUBTOTAL 5 3O OO <br /> PERMIT S PEFMIT 5 .LS OO <br /> TOTAL FEE 5 TOTAL FEE S 9S OO <br /> iRONTSETB�GR PEAfl5ET8�CK SIOESEIB/�GK PIANCHECKNUMBER FEE NECEIP(N0. <br /> uSexoNe �or�n� WC✓�NISITE FEES VALUATION FEE <br /> o res ❑No <br /> BU�LDING <br /> TYPEOFfANST. OCCUFANCYOROIIP NO.OFpWELLINOUNIIS <br /> ALIOW�ELE/AC7UAL PLUMBING <br /> SI2EOFBLOQ NO.OFSTONIES aYT, �G��� MECFIANICAL <br /> ON <br /> NEION�LIMIt�110N OTHER <br /> FIRESf'l1INNLER9NE0UI11ED O YES O NO STATE BUILDIMCi SUFiCHARGE <br /> STATE ENERGYSURCHARGE <br /> MMIGA710N�CGBY PUN9MPRBY PUBLICWORKS <br /> TOTAL <br />