Laserfiche WebLink
^ <br /> APPLIL�►TION FOR CONSTRJCTION <br /> __ PERMIT <br /> � Ihe Everpreen pvrrell <br /> GTY OF � <br /> everett <br /> BUIIDING DEPARTMENT <br /> 259•BBiO TO 8E COMPLETED IN INK— PLEASE PRINT <br /> y �.N�p MARADORE55 GI♦ Ziv PnUNE /� l3q_ <br /> [ �.T �T <br /> KJ t�1� �.•���-rY"�Q,�cc�.s�v�-ldL ���jF� �G02 �EkI lTT P.Y�._Sv.TE��_�f�'Q�TTik n _ <br /> y �jTENPNt MAllAODPE CIiY ZIP I' PH'O,N,E <br /> D�s1 x (�-}-� _—.� 'f(c0'LJ}�U4S�1' o 'gL1UTc ctGY> P_' .�#�//J��.�2L_�$puo� <br /> C y y L��'���£iGH����Css c�ir z�o pnorvE <br /> 1� <br /> H : �r �!b��f'���I�t�_I�s+�+� �w,�5J3� w..�l �Yu��.�.o��—g�� <br /> F3�M . GENERALCONTARLtOR MAlLP00R[55 Cliv ZIV PNONE LIGENSE� <br /> �H � OWAI�TL — — <br /> �H � MECNAHIULGONiR�LiOF M�IL�ODR[S9 GRY 21P INONC LIGENSE• <br /> VJ H <br /> H <br /> Xp PLUMBINOCON1PIiCTOH MNLRD�RESS CITV ZIP PNONE LILENSE• <br /> �HC <br /> Q� cussovwonn �� <br /> �[sJ �j ❑ NEW ❑ ADDITION L'J ALTEFATION ❑ REPAIR ❑ DEMOLITION ❑ K'OO�STOVE/FRPL INSERT ❑ UUIIDING PELOCATION <br /> �r n TEN�NTIMPROJEMENION MEA�ONREMOO[LONLY CONiFGTPER50NAN�PNONENO. <br /> xy� CONTRRCTPRIGEOFWO�''-JrUQ�'�G7 a� ��-'����� — <br /> � otscaiae�vonPHosqu�acroor,��vo v�co -���_� T IIv�Q. <br /> � y Ivl ot' ,�t�blov�� .�.a' �G�S 1C � � J <br /> gH ea�eodseo�euno��+� rJ S IHEREBYCERTIFVTHAT�AVEFEADANDE%AMINEOTHISAPPLICATIONAND <br /> C'lga V� KN�W'HESAMEiO�ETRUL�NDCDRRECTALLPROVI510NSOFLAWSAND <br /> W ��ALOESLR�I�OfVPOPERiY19MWlN0ELOWOR/.TIACNFOIIRCAWE51 ORDINANCESGCVERNIWGTHISTVPEOFWORKWILLBECOMPLETEDWItH <br /> WHETHERSP[CiFIEO HEREINORNO'f.THL GRANTINGOFAPERMITDOESNOi <br /> PRESUML?O GIVE AUTMORITY TO VI7LATE OR CANLEL THE PROVISIONS OF <br /> y� y �ot 7 ZZ e�otrc� or � �¢ - ANYOTHERSiATEOFLOCALLAIM1'REuULATUJGCON5IFUCTIONORTHEPER� <br /> FORMANCE OF CONSTRUCTION.TNIiT I Ald AUiHORIZED DV THE OWNER OF <br /> - � THISPROPERTVTOPERFORMiHEV�ORKFORWHt APPLICATIONISMADE <br /> AND I COMPLY WITM TH SiATE CONTRAC S LnW 1P27 FCW AND <br /> � � 29G200 WAC. _ ) <br /> - SIGNniUPEO�CONI CiON� AUL+OPIZ M�CN 1ar[ Y 2�'� <br /> � V <br /> PmROJEnLT�DDRE55 AO(+�I NS - FS Et' i0< US [55 <br /> L/L� � <br /> PLUMBING MECM ICAL <br /> ' 1 NO. TYPE OF FIXTURE Ofl ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WA7ER CLOSET�TOIIE'f) A/C—A/MNOLG UNITS—H.P. <br /> 1�I BATHTUB FOfiCED AIR SYSTEMS—9T.U, M EA <br /> LAVATORV(WASM BAS�N) UNIT HEATERS—9T.U. M <br /> ' J SHOWER CLOTHESDFYERS <br /> KITCMEN SINK 8 DISP. VENTILATION FAN <br /> '�' DISHWASNER RANGE HOOD _ <br /> LAUNDRV TRAY WATER HEATER _ <br /> ' 1 CLOTHES WASMER _ WOOD STOVE _ <br /> 1 ' URINAL METAL FIREPLACE 8 CHIMNEY <br /> � DRINKING FOUNTAW FlREPLACE INSER7 _ <br /> �1 FLOOR DRAIN HEATPUMP _ <br /> BACKFLOW PPEVENTER$ GAS PIPING <br /> �' _ E%HAUSTFAN _ <br /> ROOF DFAINS—RAINLEADERS <br /> � SINK(SEtiVICE—BAR,ETC.) <br /> �' _ <br /> ' — <br /> —� _ <br /> SUB 701AL S SUB TOTAL S <br /> ' PERMIT 5 PERMIT 5 _ <br /> TOTALFEE S TOTALFEE 5 <br /> - - (PONLSElBAGN AEAR3ETB/.LN SIDESEi9ACN PUNCNE�MBEM_ �� F ,��� MECEIFiNO.�Q <br /> � � � x� Q��� r r�<7 <br /> usE� � LOTANEA vecANt i@ie_ FCES VALUATION FEE <br /> � ❑ves U\o � � <br /> BUILDING <br /> 1VFEOFCONSf OLCUPANGYGPOVP NOOFOW[IUNaUNIi$ <br /> ABLE/A LpAL � n �� PLUMBING <br /> .. � v <br /> i EOFBL06. NOAVSTORtES esMi. occioeD MECHANICAL ' <br /> 15�vra Tl °� lyv &w� <br /> H[iGN*uMrtr,non OTHER <br /> vine5wawx�easaEomneo O YES r o '� STATE BUILDING SURCHARGE � <br /> STATE ENERGYSl1RCHARGE <br /> AFVLICATION/.CL6Y PLAN9APPp.BY PUBLICWORKS <br /> � � TOTAL <br /> ST t,� U . G]��� <br /> � � . <br />