Laserfiche WebLink
M�EruprNn <br />GITY OF <br />everett <br />BUILDING DEPARTMENT <br />259•8810 <br />,'� r <br />�' p.'�:`II 1 /�li� <br />A'PPLICATION FO�t�'�� <br />CONSTRUCTIOf� <br />PERMIT <br />TO BE COMPLETED IN INK • PLEASE PRINT <br />n oennouTlON ❑ COMBINATION ❑ BUILDING O MECHANICAL ❑ PLUMBING <br />everen <br />e <br />❑ SIGN <br />PLUMBINGCONIR�GIOR M6iL�00RE55 CITY ZiP PHONE tICENSE• <br />��naa �. ..��� <br />n.��,.� I—I enlllTl(1N ❑ n�7ERATION ❑ REPAIR ❑ DEMOLItION ❑ WOODSTOVE/FFPL.INSEFiT ❑ 9UILDING RELOCFTION <br />�}/', �ti��j� � <br />�� Id � C�/" ux�c� <br />PqOJECiADOP.E55 <br />��a3- SE �v7-HfFr,� raY. <br />PLUMBING <br />HO. TYPE OF FIXTURE O <br />WATER CLOSET ITOILET� <br />BATFITUB <br />LAVATORY IH'ASM BASIN� <br />�MOWER <br />KITCHEN SINK 6 DISP. <br />OISHWASHER <br />� LAUNORYTRAV <br />CLOTNES WASHEF <br />URINAI <br />ORINNING FOUNTAIN <br />FLOON DRAIN ' <br />BACNFLOW PREVENTEHS <br />ROOF DRAINS — RAINLEA�EHS <br />SINK ISERVICE —9AR. E7C.� <br />VRONT <br />� <br />SU�TOTAL <br />FEPMIT <br />TOTALFEE <br />USE 20N� LOTRRE�. <br />c-r <br />TYPEOFCONST. UCCUP�NCYGR( <br />���c,� P� -2 <br />SiZEOFBIDG NO.OFSTOPIES <br />2Z� S� I / <br />FEE <br />VRC4Ni SIIE <br />OYES�ifiO <br />��o. oF oweiur+c <br />�' <br />z <br />IIONPCG�BY Pl��NSCHECREDBV PPPH.FORISSU�N <br />� W '� � <br />1 HEREBY CERTIFY TNAT I HAVE READ AND EXAMINED THIS AI'• <br />PLICATION AND KNOW THE SAME TO BETRUEANDCORFiECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCESGOVERNINGTHISTYPE <br />OF WORK WILL BECOMPLETED WI7H WHETHERSPECIFIED HERE• <br />IN OR NOT. ThiE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />G�VF AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW R�GULA7ING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. . <br />SIGNATURE OF CONiRACTOR OR AUTHOBIZED AGENT bATE <br />X ��/�: �.1 /� ' � � u �v G <br />MECMANICAL <br />A/C — A�HNpLG UNITS — H.P. <br />REfRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.U.IH.P. <br />GAS FIPEO A.C. UNITS — B.T.U. <br />FORCED 111R SYSTEMS — B.T.U. M EA. <br />WALLMEATERS—B.T.U. M <br />UNIT NFATEPS — B.T.U. ti1 <br />EVAPOflATIVE COOLERS <br />CLO7HESORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATEH HEATER <br />wO00STOVE � <br />MEfAL FIREPLACE d CHIMNEY <br />FIREPLACFINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUB 70TAL <br />PERIAIT <br />TOTAIFEE <br />PLAW�{ I�M/�V IFEf: <br />� l/ <br />Cl �- <br />9UILDING S <br />PLUMBR[G <br />MECHANICAL <br />OTHEF <br />STATE BUILDING SURCHARG� <br />STATEENERGYSUHCHARGE <br />PUBUC WOFlKS <br />TOTAL <br />rcc <br />RECEIPT NO. <br />G 5��9 <br />PROPERTY OWNERS ARE NESPONSIBLE FOR OETEFiMINING ALL <br />PFOPEFiTY LINE LOCATION3.AND PELATED [ASEMENTS. <br />