Laserfiche WebLink
1� �,��+ ' �,`� <br />APPlICi4`TION FOI� CON�TR�CTION <br />PERMIT <br />fhe Everpreen <br />CITY OF <br />everett <br />BUiLDING DEPARTMENT <br />everett <br />e <br />� <br />259•8810 TO BE COMPL'cTED IN INK— PLEASE PRINT <br />OWNEfl N,lILA0�HE55 GITY 21P PNONE , <br />�,,.,� M„�, �o-�o r'-v�n�,v r.�y Li/��rr 3Ss-3oo� �,. �� �, <br />7ENIINT MNLADOflE55 �ITY ZIP PHONE . ' <br />S�mr— <br />MCHITECfORDE51GNEfl MAIL�DOHESS CITY ZIP PHONE , , <br />GENEMLCONTRAGTCfl MqLA0DPE55 GITY ZIP PHONE LICENSE• <br />'Reon,,,, �I�Ai ���r^ Pn. g,,,r���4 LYMAIWees� 91Poy6 776-$S35" �ERRHNk�y7G! <br />MEGHANIC�Lwnlfuclun m•������_�� -... _.. .---- ----- <br />, r.i � <br />RUMBINULONTPACiOfl M�II�DOPE55� CRY ZI.^ PMONE ,,,,..�..I.�LILENSE• <br />NEW CI ADDITION ❑ ALTERATION ❑ REP�41R C DEMOLI710N ❑ WOODSTOVE/FRP_INSERT ❑ BUILDINGRELOCATION <br />NTIMPROVEMENTOHI`I FIOflflEMOOELONLY � CANT�GTPERSO�NANDPNONENO. <br />R1CTPpICEOFWONK�/OI �� � _ V/1N /'��� Cli'V-YL If3HZ(�t A/E' /J ��1C <br />LOT BIOCY. Of <br />p p3U�� Et/�2 G2 K� f,� <br />PLUMBINO <br />i0. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET�TOILEn <br />BATHTUB <br />LAVATORY(WASH BASIM <br />SHOWEP <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />� BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SUB TOTAI <br />PERMIT <br />TOTAL FEE <br />AllOW1BLE/�CTUAL <br />FipESPqINKLER5RE0111PED ❑ <br />ov <br />❑N <br />n res o r+o <br />i� <br />I HEREBY CERTIFYTHAT I HAVE READ AND EXAMINED THIS APPLICATION AND <br />KNOW THE SAME TO BE TRUE AND CORRECT. ALl PFOVISIONS OF LAWS AND <br />ORDINANCES CaOVERNING THIS NPE OF WORK WILL BE COMPLEfED WITH <br />W HETHEP SPECIFIED HEREIN OFi NOT.THE GRANI�2NG OFA PERMITDOES NOT <br />PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STPTE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PER• <br />FORMANCE OF CONSTRUCTION THAT I AM AUTHORI2ED BY THE OWNER OF <br />THIS PROPERNTO PERFORM 7HE WORK FOR WHICH APPLICATION IS MADE <br />AND I COMPLY WITH iHE STATE CONTRACTORS LAW 1827 RCW AND <br />296200 WAG <br />SIGN�TUPEOGCONTNACIOR�RAUTHQNIZEO�GENT D�TE <br />� <br />� /� 2 <br />ICENSENO.ANO SINESSNAME <br />�(� lV Ea N I N <br />MECHANICAL <br />NO. TYPEOFE�UIPI <br />A/C — A/HNDLG UNITS — H.P <br />FORCED AIR SYSTEMS— &T. <br />UNITHEATERS-6T.U. M <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 <br />HEATPUMP <br />GAS PIPINCa <br />EXHAUST FAN <br />PERMIT <br />TOTAL F <br />BUILDING <br />PLUMl11NG <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />PUBLIC YJORKS <br />TOTAL <br />S <br />