Laserfiche WebLink
'E <br />�- fM E»rprMn <br />CITY Of <br />everett <br />BUILDING DEPARTMENT <br />259.8810 <br />,&LICATION FOR'3 <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLETED IN INK- PLEASE PRINT <br />0 EvereR � <br />e <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING L7 MECHANICAL ❑ PLUMBING ❑ SIGN <br />MMI Allllnt 55 fIi♦ lll` PNfINr <br />DW�ti C T2uaK OAK; �. !Nc. 218oz 1-k��q9 Eomo�ps Q8o2o - )w-SSgg <br />I`HrINI <br />ARCHITECT ORDLSIGNr D MAII ADDRESS Ulv TIP <br />GENERAL `(..1FO/N�TTRRAACIon MMI ADORE Sfi CPv III' PPONf IICE NSE <br />•�'A" ` — FIT, lIf PHONE LICENSE <br />MECNANI('. El CGNInAftON MML AGGRESti <br />co,PHONE LICENSE <br />PLUMBMOCONTnALTOR MAIL ADDRESS bl' <br />:LABS Of WORM <br />I`ION ❑ <br />❑ REPAIR n nni-VOLITION ❑ WOOD iTOVE/ERPL INSERT ❑ BUILDING RELOCATION <br />❑ NEW ❑ AODI <br />ALTERATION <br />MLU 11OONN O�ffWWORRK ICCORI rN MAUnIAI/S <br />U,II Annn/ <br />/��Pr- <br />)ESCAIBEW Onl.T_ <br />-/l <br />I IOVL <br />USE OF SUIT DING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />0 F F10- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERNING THISTYPE <br />LEGAL DESCRIPTInv Dr PnoPEDIYISHOWNGFIOWOPANACIvouncJPIESI <br />OF WORK WIL I. BE COMPLETED WITH WHFTHER SPECIFIED HERE- <br />IN OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE Of CONTEACTOROn AURIOn17FD AGENT GATE <br />PROJECT595 <br />Q <br />- <br />APr•urANr•, nDusu ..: nr.l N51 ul <br />c;J. ab I IL O • <br />C 06I?Q <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSE i (TOILET) <br />RIC - AIHNOLG UNITS — H P <br />REFRIGERATION UNITS — H P EA <br />BATHTUB <br />LAVATORY (WASH BASINI <br />BOILERS — ST U NI P _ <br />OAS UNITS — B T U <br />SHOWER <br />FORCEDED AIR AIR SYSTEMS — B T'J M EA <br />KITCHEN SINK B DISP <br />WALL HEATERS —8TU M <br />DISHWASHER <br />UNIT HEATERS — 8 T U M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHESORYERS <br />URINAL <br />GRINNING FOUNTAIN <br />VENTILATION rAN <br />RANGE HOOD <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />WATER NEATER <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />METAL FIREPLACE 6 CHIMNEY <br />SINK ISERVICE — BAR. ETC 1 <br />FIREPLACE INSERT <br />HEATPUMP <br />�— <br />GAS PIPING <br />' <br />EXHAUST FAN <br />BUM TOTAL <br />S <br />SUBTOTAL <br />PERMIT <br />f <br />PERMIT <br />TOTALFEE <br />T <br />TOTALFEE <br />C�UMBER��� <br />UMBE1/�—tUSE <br />FEE <br />RECEIPT NO — <br />ERONT SETBACK <br />REAR SEIBACK <br />SIDE SETBACM <br />LONE <br />LOTAREA <br />VAUNT 5U1FEES <br />VALUATION <br />FEE <br />rMECHAIN <br />STYPE <br />I---lli+o <br />—ITS <br />OF E0. T <br />OCCUPAN YGROUP <br />NO Of DWI LLING UN <br />A/ <br />� <br />G <br />Slit Of 81DUTF <br />NU Ur STOUIES <br />Mu nCc nun <br />CAL <br />OTHER 'a <br />FIRE SPRINKLERS REQUIRED U YES YLO <br />STATE B JILDINU SURCHARGE: <br />STATE ENERGY SURCHARGE <br />APPLICATION BY <br />PLAN5CHECKEDBT <br />APPi foil ISSUANCE Gv <br />PUBLICWORKS <br />/IACC <br />TOTAL <br />I <br />- <br />e FrlN n.MVDq ARF RFSPONSIBLE FOR DETERMINING ALL <br />PROPERTY LINE LOCA71ONSAND RELATED EABtMtNIn <br />