Laserfiche WebLink
, —, ��� �i <br /> ;�:� r., �_����� ,�;�, �,�._-� <br /> z� <br /> APPLICATI N FOR CQNSTRUC':i:`ON PERMIT <br /> ���«�« <br />,. - pir Fvmq�rn� � <br /> GIIY OF <br />�" � everett <br /> BUILDING DEPARTPdENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> � ��+ DEMOLITION X COMBINATION BUILDING MECHANICAL _ PLUMBING _SIGN <br /> ovrt�ee unanona�ss c�n� r� r��o�._ <br /> 'e�'�-! All Citv Credit Union 3102 Broadway EvereCC 98201 252-3168 <br /> Cy ^ iENANi M�iU�DRE55 LITV .. PHONE <br /> H �� Same , <br /> �RCHITFCTORDESIGNER M/.LLnDDPE55 CiTV liP PHONF <br /> "� y� The DrifCmier ArchiCects 720-1/2 Market St. , Kirkland 98033 828-614G 3560 <br /> �y� GENE� q�iRR�OR �IICII�LlDt�N..��.�M1C� �l/ �Ci'ip�0� J�ztHe 48r�(�P ��Ezy�—d7ll�E� — <br /> H z� UECHRNiCII CONTRRCtOR MAILAD�R[55 GITV 2i� CMONE UCENSE� <br /> [1� �oNC/�C ll 33 kfF� <br /> Q �„�d PWMBINGGONiRAGNf1 MRIIADDPE55 GTV 2iP PHOIIE UCENSE� <br /> �� 8 <br /> (.�w (� L'.RSSOFWORK <br /> w �. NEW X ADDITION � ALTERATION �.R REPAIR �X DEMOLITION �� �. WOODSTOVE!FFPL INSERT , . BUILDING FELOCATION <br /> r y� TFNpNT IMPPOV[MENt OR INTERiO EMODEL pJLV CONTACI P[RSON AND PNONE NO <br /> �' � �/ Lee Beard 828-6146 <br /> M H ppNTRACT PRiGE OF WORN: y 0a Qay _ <br /> y OLSCRIBE WORK RND SOVAPE fOOi�GE INV V[D <br /> H <br /> C]�VJ '�r-�z�---'r � yJ SZ"� .T�. r/_ <br /> ��� r PPOPOSEDUSEOF9UILDING 1 HEREBV CERTIFY THAT I HAVE READ AND EAAMINED THIS <br /> y � (� n_ r L�,,`F� APPLICATION AND KNOW THE SAME TO BE TRUE AND COIiIi[CT.ALL <br /> H O V� �EGniDescniPiror+oFPaoPEnlvlsr�awr+ee�owonanncHrouncor�esi PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPEGFIED HEFi21N OR <br />� �or e�xK oF NO7 THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VI(1LATE OR CANCEL THE PROVISIOf1S OF ANV <br />' J`��� � /G y F `J�� �2f1 �(f(inX" OTHER STATE OR LUCAL LAW REGULATING CONSTRUCTION OH THE <br />���,�._i` _, _ PERFORMANCE OP CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> - ' OWNER OF THIS PROPPyFTKTO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS DE ND I C PLV WITH THE STATE <br /> CONTRACT 1827 R(�N AND . 00 WAC. <br /> SiGNAi hC0'!iP .il O�PUT�ORIZ-. .[N OATE <br />'I <br /> X <br /> PROJECTRDDNESS � � -- <br />' ��� a n�l'liCP4iSQ1YHU5,,. 55L�Cf1:i[bDANOP��MfS_`N�ME <br /> PLUMBING MECHANICAL <br /> f/ ' NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> I ��. WATER CLOS[T ITOILETI __ ti"C—MHNDLG UNITS—H.P. <br /> 6ATHTUB _ FORCED AIR SVSTEMS—B.T.U. Id E.A. <br /> 1 i LAVATORY(WASH BASIN) UNIT HEAT[RS—B T U Id I <br /> SHOWER CI.OiHESDRVERS <br />. i ��' KITCIIEN SINK 8 DISP VENTIV+TION FAN ; <br /> '� DISIi WASHER RANGE HOOD <br /> LAUNDRV TRAV WATER HEATER <br /> CLOTHES WASHER WOOD STOV[ i <br /> URINAL ' METAL FIREPLACE 8 CHIMNEY <br />� � 1 �� DRINKINGFOUNTAW fIREPLACEINSERT I <br />� i FLOOR DFAM ' HEATPUMP � <br /> BACKFLOW PREVENTERS � GAS PIPING <br />� �'� i700F DRAINS—FiAINLEADERS � EXI{AUST FAN <br /> � SINK(SERVIC[—BAR,ETC.) i <br /> � I ' ' ' SUBTOTAL $ SUBTOTAL S --T li, <br /> '. PERMIT $ PERMIT $ ' <br /> ._� TOTA!.FEE $ TOTAL FEE $ '_ <br /> L_� FHONiSETBACK REARSETBACN ISIpESETBACK PIANCNF.HN�MBEP iEE RECEiPiJ�,0_,, �,7 — <br /> ��o / s3a. c�l �LJ�'J�c <br /> , usezon � LOTAPER wcnNtsrte FEES VALUATION FEE _ <br /> � VES �0 <br /> BUIL�ING �p ('�'J ] �;9 i Cj� <br /> iYPE0iC0 iF:�LO�fI[ TVP[piCONStrI� oWu�^a nnmJwR� PLUM�ING r� V� - i <br /> i <br /> -:,'.��,.,_,, .; il2[OFBFBG/rj7j7 NOAFSOPILS BASEMENT MECHANIGAL <br /> '+ 5p S � '. YES�"?1�" <br /> 4i �F�i;` ` , _ <br /> ���. OCCUPdNCYIORD FlRESPRNNLERSREO'D HEIGHTLIMiiATION OTHER � <br /> � ;'�� �� -]-Z(p �%�5 l+�. -, YES �NO '�� STATEBUILDINGSURCHARGE � <br /> 1 i <br /> �Sf n pE '5��6�.i ' _ �Q �6r�� STATEENERGVS:IRCHA(iGE i I <br /> �y,h�, . _, pPPLICRTIONnCC.BY PUN APPNOVED�V CITY OF EVERETT PUBLIC WORK$ ��'-- <br /> '�°'��'� • LOCAL SALES � — I <br /> ��� TAX CODE IS 3105 TOTAI � � <br />