Laserfiche WebLink
' <br /> APPLICATI� FOR CON�TRUC�N PERMIT <br /> everett <br /> ��E.� _ e <br /> Cltt OF <br /> everet# <br /> BUILDING DEPARTMENT <br /> 259-8010 TO BE COMPLETED IN INK—PLEASE PRINT <br /> i.; DEMOUTION ❑ COMBINATION �BUILOING ❑MECHANICAL ❑PLUMBING ❑ SIGN <br /> owH[n Wrt.�ooFEss cm IiP nWNE <br /> I?IGH Rop C�ARK S 2 ��ft�aRE�N WA _ ER= 20 425 2 2 (21 <br /> iEww�r,^,� �i�l/n�ponEsS / cm Ziv P�qNE <br /> %�v�'\� � L.VX/l� �Q�� ���^_i <br /> ABLNRECTOROESIGNEF IMR E55 CI}Y Z�P PIqNE <br /> T�'�v13 Cr-�AMPION 3f3o2 C�ars� �✓�R�� 9fSZol �1-25 259 'S13(o <br /> G[NEn4CONi1UCTOP INM1bDHESv C�LV 2�P PIpNE LICENSE� <br /> h�. J. !Jr_55 8ox211� I�NNW2� 9902$ 47-5 48r H558 <br /> MELnANiLKtdliP.�L10F Y�RMORE55 C�iV IIC p�qNE U ENSE• <br /> Mtt�i-t� q�3o 153RD hl.E. REDMONb `lSo52 4258839224jM�RITN�iIG3CM <br /> viuMowatorvraecrou waeooA=ss cm na vwr+E uccraE� <br /> SaM� <br /> cuss a ww+. <br /> ' ;NEW � ADDITION ALTERATION � REPAIR '� DEMOLITION . : WOODSTOVE/FFPL INSERT ❑ BUILOINO RELOCATION <br /> RHMILIMGPWEMENiOflI RqHFEYODELdRY CONTAGiPE1150N �OyPIqNEfq <br /> Cp11MLiFPICEOFWOIIX� 00 DD �rl <br /> OESCPIBEWJi1RANO50UAqEFCOIAG INV0.VED <br /> � 25q 313G <br /> rn000s¢ouse ouunnw I HEREBV CERTIFY TMAT I HAVE READ AND E%AMINED THIS <br /> O — G APPLIC�TION ANO KNOW iHE SAME TO BE TRUE AND CORRECT.ALL <br /> lEWL0E5CflIPipNOFPRJVEfliY15NWIN0EL01YOfiATi.�CMfW11COVIE51 PROVISIONSOFLAWSANDOFDINANCESGOVERNINOTHIS7YPEOF <br /> WORK WILL BE COMPlE7ED WITH WMEIMER SPECIFIED HEflEIN OR <br /> io* eiac. or NOT. THE GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE <br /> / AUTMORITV TO VIOLATE OR CANCEI THE PROVISIONS OF ANY <br /> �7 E E Zi r� P OTHER STATE OF LOCAL LAW REGUUITING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.TMAT I AM AUTHORIZED BV THE <br /> � OWNER OF THIS PROPEHTY TO PERFORM THE WORK FOR WHICN <br /> APPLICATION IS MADE AND I COMP�V WITH THE STATE <br /> CONTRACTOqS LAW 18.27 RCW AND 298.200 WAC. <br /> SifJIPiU!IECFCCfITpACT�O TNOH�A �Z/2Z�Ia� <br /> /� IC%AA/V` � <br /> QJ/a�! ��� !�•'Xc rXJO X � � ' <br /> vaaec*�noness D O G S S I .4�CN 1 T E LT I <br /> 59ag �� �QQti_ � �vtt�C/NtGCitVOUSMESSLCENSENO�ND0U5MEffiNA4E <br /> PLUMBING MECHANICAL I <br /> NO. TYPE OF FlIRUflE ON REM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEF CLOSET�TOILET� NC--NFiNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SVSTEMS—B.T.U. M C A. � <br /> LAVATORY�WASHBASIN� UNITHEATERS--B.T.U. M <br /> SHOWEfl CLOTHES ORYERS <br /> KITCHEN SINK 8 OISP VENTILATION FAN <br /> OISHWASHER RANGE HOOD <br /> LAUNDRV TRAV WATER HEATER <br /> CLOTHES WASHER WOO�STOVE i <br /> UflINAL METAL FIREPLACE 8 CHIMNEV <br /> �RINKING FOUNTAIN FIREPIACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPINO � <br /> ROOF ORAIN�PFINLEADEI7S EXHAUST FAN � <br /> SINK(SERVICE—BAR.ETCJ � <br /> SUBTOTAL 5 SUBTOTAL S <br /> PERMIT S PERMIT g <br /> TOTAL FEE S TOTAL FEE S <br /> FRONTSEip/�CR RE��SETNCN SIDESETO�G( PIANCNELNNUYBER iEE � qECC Iq <br /> :n ' U' O S Sa3 �5lvv9S �u�a.cDo <br /> usFm�E io*�ne� v�rv�e FEES VALUATION FEE <br /> -2 ves No au��o�r+o 7F/ �ly 3310 � c� <br /> M1RIX�i1lVNTBI[ fYCfO�CONS(ILiWI �' boLtu6u.i[ <br /> � PLUMBING / �S <br /> � SiEE O�oiDG NO o�SiOn�Es B.�SEUEr�t MECHAN�CN. <br /> VES NO <br /> P tO�D fiRESPRHMlEP51iEO0 I�GNiIiYIT�iqN OTHEfl <br /> x VES NO S � <br /> STATE BUILDIN6 SURCHAHGE <br /> PE�5011i0115PRPMl.ERS <br /> G`-( ^��GN, �Q STqTEENEPGVSURGHMGE � <br /> •PR6�TqNeCt 9Y rw�s�vvrroveoa� CITY OF EVEflEiT puBUC WowtS � <br /> 5/lCd�v �=Y�°"� T� LOCALSALES � <br /> a�deu-. ��+-m1 – � '�i� TAX CODE 153105 ro*p� 3a7,� �5�7 <br /> _ , <br /> -lYo iC: � l�Y� G�� .^��✓t, GE -�Tdc��1viuTiL �Sn Ft�u�d2 �s i�r.SrA4�� <br /> ��.0 ?.�c ..c� <cnrt^ � i\ A.+i >� FMcv� I <br />