Laserfiche WebLink
� ��.::��� y:z:,::�., <br /> APPLICATIOI� FOR CONSTRUCT1�1�1 PERMIT everett ' <br /> e � <br /> TO BE COMPLETED IN INK—PLEASE PHINT � <br /> the Everpreen � <br /> CITY OF � <br /> everett HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ � <br /> BUILDING DEPARTMENT ' <br /> 259•8810 � <br /> i <br /> ❑ DEMOLITION f 7 COMBINATION �BUILDING I I MECHANIC.4L I.]PLUMBING 17 SIGN ; <br /> p�Eq � .y..►IA�AILAUDfiE55 11Z3 (�(O�� ��TY ZIP 7HONE � <br /> ��`�RKwvl��?S�a1t � MA2+A03 ��u. �(y1� q�2'1O �5`�- �02`�'� i <br /> TEN T MAILAD�RESS CIN ZIP PNONE � <br /> � M6c��r� �•o . gox5�1�- E�tor�F Wa• 9s�b 33�-'�ib�{ __ ; <br /> ARCHITECTORDESIGNE MAILAD�NESS CITV ZIP PMONE <br /> �o,n Ll � tl5'I I�Sa 3H� ST So,o..�'�C.� ' 9�t-o�l �V-�- ��}2�b _ �, <br /> 'GEAFR�LCONiNACi1 H MAILADDRE55 CITY ZIP �1 �� PNONE UCENSE� <br /> ,�v_av�i��w� W o v� W�v��«,�s 2�zo3 vT� sr �Vav�U' Wa 2s9-bbsb Q�AA�ww I�.�k� <br /> MEGMANIG1lGONTHAqOR M,1ILADORE55 CITY 21P PHONE LICENSE� <br /> PL'JMBINGGONTRACTOR MMUDDRESS LITV ZIP PIIONE LILENSE� <br /> ClASS OF WONK , <br /> O NEW ❑ ADDITION GrALTERATION f I REPAIR I 1 OEMOLITION I I WOODSTOVFJFRPL INSERT ❑ BUILDING RELOCATION <br /> �j CONT�CT PEfl50N AND PIIONE NO. l 1 <br /> CANTRACT PPICE OF WORK ^ 3 F b O l)�T � 56 2�J��bb�� <br /> DESCPIBE WORK AND SOUARE FOOTAGE INVOL E <br /> G,J SToC'2. Ro1�� <br /> PROPOSEDUSEOFBULDING I HEREBY CEFTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � � i APPLICATION AND KNOW THE SAME TO BE TRUE AND COPRECT.ALL <br /> LEOAL DESCRIFTION Of POOPERTV ISHOWH BELOW OR AR�CII FOUR COPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNINO THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHEF SPECIFIED HF.REIN OR <br /> �oT eiocK aF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE � <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE � <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED dY THE <br /> OWNER OF THIS PROPERTY TO PERFORM 7HE WORK FOii WHICH ! <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE I <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> SIGNATURE OF CONTRACTOR OR�UTHORRED�GENT O�TE <br /> X � <br /> PPOJE��,E"] ��b �1VQ. . C�J�•'�!M �4 98�ti . <br /> APPUGA��iS CI1Y BUSINE55 LICENSE N0.RNO BUSINE55 NAME <br /> PLUMBINCt MECHIINICAL <br /> Np, TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOl11PMENT FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. _�_ I <br /> BA"iTUB ' FORCED AIR S`!STEMS—B.tU. M E.A. <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M � � <br /> f <br /> SHOWER <br /> � GLOTHFS DRYEfiS ' � <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN � f <br /> DISITY:ASHER � RANGE HOOD ' i <br /> LAUNORY TRAY � WATER IiEATER � � <br /> � t <br /> CLOTHES WASHER � WOODSTOVE �_ � <br /> URINAL ' METAL FIREPLACE 8 CHIMNEY �_ � <br /> � <br /> FIREPLACE INSENT <br /> DRINK�NG FOUNTAIN � � i <br /> FLOOR DRAIN � HEAT PUMP <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ----}-- <br /> pOOF DRAINS—fiAINLEADERS � EXHAUST PAN ' <br /> ---�— <br /> SINK(SERVICE—BAR,ETC.) _T_ � � <br /> i ' <br /> � -----i-- <br /> r <br /> i <br /> i <br /> — —__ — i <br /> i �� <br /> -_ _— � <br /> i <br /> � SUB TOTAL $ ' <br /> SUB TOTAI. $ � <br /> PERMIT $ � PERMIT S � <br /> TOTAL FEE $ ' TOTAI FEE $ ' <br /> FOR OFFICE USE ONLY: <br /> FRONT SETB�CK REAR SEIDACR SIDE SETBRCN PUN CHEG NUM9Eq FEE PELEIPT N0. <br /> y 1 G fJ.Z __ <br /> USEZONE IOTPREA �ACANTSITE FEES VALUATION FEE �i <br /> BUILDING 3' o� <br /> 7VPEOFLOHTS.AILOWABI[ TY�OFCONSIACIUAL occuP�[r NOdVNRuxauxnt � <br /> -EX �� � �— PLUMBING � <br /> i <br /> 52f OF 6LD(3. NO.OF 5T BASEMENT� MECHANICAL � � <br /> ✓ � i � <br /> OCCUPANCYIO/�D FIRESPflNKlER5flE0'0 NEIGHTLIIAIT�TION ADDITIONAIPLANCHEGK � ' <br /> i I <br /> %Y� i OTHER � <br /> i IREASONFOPSPPINKI.ERS �/ � � <br /> ��� STATE BUILOING SURCHARGE 7 <br /> � <br /> INT�REBY PiANSAPP DBY CITYOFEVERETT PUBUCWORKS i <br /> LOCAL SALES � <br /> TAX CODE IS 3105 70TAL � 7 ; 3D <br />