Laserfiche WebLink
APPLICATI�.N FOR CONSTRUC'1 .ON PERMIT <br /> everett <br /> �„P�,d.9,a�,, e <br /> CITY Of <br /> everetf <br /> BUILDING DEPARTMENT Tp gE COMPLETED IN INK—PLEASE PRINT <br /> .^59-8810 <br /> DEMOLITION COMBINATION X BUILDING MECHANICAL PLUMBING SIG <br /> � eIAIL\OORESS GITY ZiP PMONE <br /> OWNEF <br /> :,P�eueS �;���rr 9is ii.�j2A�c fr /�el(edde cJ(� 9POOS yf3- /�00 <br /> 1[NANT MRILRD�HE55 QTY 21P PNONE <br /> i-o!F 1,�.fA 9,207 �S�`l�J� �lf/= /`ro.r�fJlle c,1f+• 9,(':70 (59-.2.2./O <br /> pPCMIiEGTGOJESiGNER MAILR��RE55 GITV —, Z�P PIIONE � <br /> �I n� ic.f 1���1�/u....e �� �.1.t C?0 Nn�T� ��r�y–f-QLC�v�e e-'Ia.99001 ��� �00 <br /> T IICENSE• <br /> Ci'�.. � ZIP PNONE <br /> GENERRLCO RPCLOR MAlLAODR 5 rr �` -. 3r� M^ C(' / YhK <br /> C) nu'[1 F� �� C I�I 1•^C. � LITY Z�P PNONE LICENSE t <br /> MECN�NICALCIXJiPA'.TOR MAIL OD�E55 <br /> ��� CITY ZiP PNONE ��CEN`E� <br /> PWMOiNGCONiFACTON MAILADDRE55 <br /> Q �xi <br /> a y y cuss oF wor+�; . . -._ <br /> t,�., �� . . NEW '��. AD�ITION . ALTERATION �� REPAIR �� DEMOLITION �. WOODSTOVE/FRPL INSERT l� BUILDING RELOCATION <br /> CONTACT?ERWN AND PHONE N0. <br /> � TENAYtIMPROVEMENiONINT[H/iORREMO�ELONLV A P, Qe(.��(' yf3 •/600 <br /> y r b GONTflRL i P F I C E J.'WORN: +�D OO G�r�� l`A l�l� i <br /> y y N �ESCRiBE WORNRNOSW�:L�^�I>GE iNVO'.VEO <br /> %G�c-i i A(D✓�n�v�"I �/r,n � <br /> ^y�+ PROPOSE�USEOFpUILDIN I HEREBY CERTIFY THAT I HAVE READ AND EXAh11NED THIC <br /> � �� /^ � � �',Q J �� G ��e � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRE�T.ALL <br /> � �, PROVISIONS OF LAWS AIJD ORDINANCES GOVERNING THIS TYPE OF <br /> �H� IEWLDESf,PiPil)NOPPROoGR�NBELOWORATTACHiOURCOPIE51 WORK WILL dE COMPLE?ED WITH WHETHER SPECIF.ED HEREIN OR <br /> � <br /> e�p�H oc NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GI <br /> �� � �or AUTHORITY TO VIOLATE OR CANCEL THE PPOVISIONS OF ANY <br /> �M� OTHER STATE OR LOCAL LAW REGULATING COi�STRUCTION OR THE <br /> h PERFORMANCE OF CONSTRUCTION.THAT I AA1 AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> �"'� H APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> � <br /> �..� CONTRACTORS LAW 1827 RCW AND 290.200 W <br /> ��[n � nj�z� �/ _��!^G C(ir��r SiGNAi11NE0iLONTRAGiORORAl1iMO�iZ[DFGLNT DRLE <br /> �+ Sn )iZ Q�1 �•� I.0 � <br /> W —� � / �� p <br /> �p(Zl r�cr lce ,. UA�/�sLi�� X �,l,� �'. /lC��— ��/9�90 <br /> y �� / !�a <br /> �F0.1EGT AOORE55 q ANTS LITY OUSINESS IICENSE��0.AND OUS�NES$NAME <br /> �$ � PLUMBING MECHANICAL <br /> !� FEE NO. TYPE OF EOUIPMENT FEE <br /> , NO. TYPE OF FIXTURE OR ITEM q,i�piHNOLG UNITS—H.P. _ <br /> � WATEH CLOSEl�(TOILET) _ <br /> I _ BAiHTUB ' FORCED AIR SYSTEMS--B.LU. M E.A. — <br /> C� —T-- UNITfiEATERS—B.TU M — <br /> LAVATORV(WASH BASINI CLOTHES DRYERS <br /> � SHOWER <br /> ' KITCHEN SINK 8 DISP VENTILATION PAN — <br /> � DISHIVA;�'�ER RANGE HOOD — <br /> � LAUNDRY TRAY WAiCR HEATER — <br /> � �� CLOTHES WASHER WOOD STOVE — <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> I, FIREPLACE INSERT <br /> DRINKING FOUNTAIN ' <br /> � �� FLOOR ORAIN � HEAT PUMP <br /> � �, ' BACKFLOW PFEVFNTERS GAS PIPING <br /> I <br /> qOOF DRAINS—RAINLEADERS �XHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> !�1�1 I <br /> I �_ <br /> SUBTOTAL ° SUBTOTAL $ <br /> I ��1, PERMIT 5 PEHMIT S <br /> � TOTAL FEE 5 TGTAL FEE 5 ' <br /> RECEIPTNO / <br /> fRONTSETBPCN RERRS[TBRCN � SIJESETBAGN PUNCHEC NbM9ER FEE ..�� � � <br /> � ' �� I 1/-, �11 ',1-''_ :�_-� •'�� <br /> /,�/v�•— �JCr—io — i�`�-<' :' " � <br /> T — VACANTSITE FEES VALUATION FEE <br /> USE Z01JE r � LOT ARE� / / _ _ �J ,�'fj <br /> �� �) YES .' NO BUILDING � lI / I�/�_� <br /> iYPEOfLONSi.ALI.JWABIE 1YFEO�STACiWI ^.Cturµ(v noO�PxFuiN6UMn5 � <br /> "�° .�� PLUMBING <br /> 'Y'_ �.l �L, - �I �- , <br /> SIZEOF6kL�.SP�C& NO.OFSTOFIES 9ASEMGNT MECHPNICAL <br /> 0o sF �� ves 2GNo <br /> - OCCUPANCllOAO FIPESPWJKLEPSREO'� HEIGMTLIA'ITATION <br /> OTHER <br /> � ��_ :_'� YES x NO d� STATE BUILOING SURCHARGE <br /> RERSON FOH S?RINKLEPS <br /> STATEENFPGVSURGHARGE <br /> p?PLICATIONA.G.BV PLANS�PPFOVED9Y CITYOFEVEflETT PUBLICWORKS <br /> ✓j LOCALSRLES a <br /> /1� , TN(�DOE�$3��5 TOTAL <br /> uc� <br />