Laserfiche WebLink
`:;�yPPLICATION IFG1:'_� ���,�„ <br /> '"'E""°'"" CONSTRUCTION O <br /> CITY OF <br /> everett PERMIT <br /> BUILDING DEPARTMENT TO BE COMPLETELI IN INK- PLEASE PHINT � <br /> 259-88,0 9 / <br /> 1 <br /> ❑ DEMOLITION ❑ COM8INATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEP MAIL�ODREuS �� ZIP PHONE <br /> � -erianom�i� S �ZC1-10'a'� �v-e Nt � ��Gln U-��Qu�,�� �14z��i�l �I 'S3-�'S<>U <br /> TPCHItECTONDESiGNER IARRRODNESS Girv ZIP PHONE C�J{�LASZISY`Z <br /> / <br /> GENENALLONtR�GIOR I, MAllAOpl1[55 Glrv LiP c1�ONE ENSE• <br /> CuJt�l �'cns�lvc.hr..i �C� 3cK I `I81, �FJ�II-e�ue, �t800=t 88333`�7 <br /> �ME RNIL�LCONiRnGTOq MAniLAD00E5S ��n' 21P PIIONE LICENSE� <br /> o✓ � c�na n �ca.l <br /> N +�N�CONfAAG10N MAILAO�RESS Cltt ZiP PIIONE UCENSE• <br /> I <br /> CLAS OF WONN <br /> ❑ NEW ❑ ADDI710N �TERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODuTOVE/FRPL,INSERT ❑ BUILDI�IG RELOCATION <br /> VALU�TION OF WOAKICOSI GF MPT[RIRI$PL115 LABORI <br /> �IZ 2�G <br /> �D7E-SGNiBE WORK 1 I I 1 <br /> yY1'S�,l� dl� Ct'LIIN �C � I✓1J`�4�L`I�CWI �UF� �.�- _ <br /> USEOFBIIILDINGI 1 H[REBY CERTIFY THhT I HAVE READ AND EkAMINED THIS AP� <br /> ( �.l PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> IEG�L0E5CHIPT10NOFPHOPERTV�SHOWNBELOWOfiA1TACMFOURGOPIE51 PROVIS�ONuOFLAWSANDORDINANCESGOVERIJINGTHISTYPE <br /> � OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br /> �or_n�cc�—ov IN OR NOT.THE GRANTING OF A PERMITDOES 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 /> �$1GNAiHR ONiPACTCIiORAUT OtiIZEDAGENT �AiE <br /> _X � .� �� �3 � <br /> PROJECT�pOHE55 ' I APPLIGANTSCILYBUSNESSLICF��SEliO <br /> ! q �r ' , 1 � VIyi4 <br /> S) U�3 ,y�rVuP✓� V" `S fYl'lc+v� �.Gt <br /> PLUMBIpG MECHANICAL <br /> NO. TYPE OF FI7(TURE ON ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATiACLOSET�TOIIET� ' A/C-A/HNOLGUNITS-M.P. <br /> BATH'(UB REFRIGERATION UNITS-H.P.EA. <br /> UVATORY(V.'ASH BASIN� BOILERS-B.T.U./H.P. <br /> SHOWER GAS FIRED A.C.UNITS-B.T.U. <br /> KITCHEN iINN 6 OISP. FOFlCED AIR SYSTEMS-B.T.U. M EA. <br /> OISHWASMER WALLNEATEFS-B.T.U. M � <br /> ' UUNDRYTRAY UNITHEATEPS-B.T.U. M <br /> CIOTHES WASHER ' EVAPORATIVE COOLEFS <br /> URINAL CIOTHESOHYERS <br /> OPINNING FOUN7AIN VENTILATION FAN <br /> iLOOH�FAIN ' RANGE HOOD <br /> PACKFLOW PREV'cNTERS WATER HEATER <br /> flOOF ORAINS-RAINLEAUERS WOOD STOVE ` <br /> SINK(SERVICE-BAR.ETC.) METAL FIREPUICE 8 CHIMNEY <br /> � FIREPLACEINSF_qT <br /> HEATPUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL f Sl1BTOTAL <br /> PERMIT f KRMIT <br /> � TOTAI�EE f TOTAL FEE <br /> f RONi$F.T6ACM PF.Nq$ETBM:N Slpl:SETBM1GH �L�^E K NUMBEH FEE �O RECEIPT NO. <br /> � � ��. 3 93 �s$ <br /> USE tONE lOi APEA. yp�p��T E FEES VALUATION FEE <br /> OYES�O <br /> BUILOING S`��� l � <br /> TYPE OF GONST OGCUPANCV GROVP NO.OF DN'ELLING UNIiS <br /> ' ��� I� ��Z � PLUMBING <br /> SIZE OF BLDf/_� NO.OF SiORIEO Mn%.OCG LOAO <br /> �? � SZ h1ECHANICAL <br /> OTHER <br /> FIRE SPRINKLERS P.EOUIRED� O YES NO STATE BUILDING SURCHARGE <br /> STATEENEPGYSURCHARGE <br /> APFIICNTIJN�C4 9�' PUNS CHECNEO BY RPP0.FOB ISSU�NCE BY <br /> PUBLIC WORKS <br /> � � ' v ' TOTAL <br /> �� �, ��' PROPcRTYOWNERSARERESPONSIBLEFORDETERMININGALL <br /> PROPERTY LINE LOCATIONS AND PELAiED EASEMENTS. <br /> PC�4. ��5 1��7_3`�. <br />