Laserfiche WebLink
�^'� P�■ <br /> 4 Y <br /> � <br /> � �'�u2� ° APPLICwT10N FOR COI�ISTR�UCTION <br /> Il <br /> : PERMIT <br /> the Evarqreen <br /> CITV OP rvcrclt <br /> everett e <br /> BUILDINC DEPARTNENT <br /> ,��� 259-88t0 TO BE COMPLETED IN INK— PLEASE PRIRIT — <br /> OWNER MAILApDPE55 (:IiY 21P PNONE <br /> 16 1 lv�zr i tt L�zn (� 1�S !G' I-v. �,,,�.'� �3' �S S <br /> TEN�NT MAILP�RESS��ty-� C�LY � PHONE j�l-S <br /> �H f/� —- <br /> ��p1 pRCH'fECTOPDESIGNER MRIIApDRESS CI1Y ZIF FIIONE <br /> �'�`` n <br /> �W Q 6ENEflALIJNTRACTOR MAIL0.pORE5S C4Y 21P PNONE UCCNSE <br /> h'I '+v <br /> y' N <br /> i.i ��� MECMANIC�LCONTPACTOR b:AILADDFE55 CIiY ZI? Vu�NE ULENSE� <br /> Cf <br /> �i� ,�d �«„��r, s,�r� ,s�,� 7`9��7`a/ ��////%lars Fi �1�w� ts� - 3 � !ie%'G 55�it//r9 .. <br /> OH }]y[ PLJ INGCONTRACTOR AIPILAD�PE55 � CIT�TZIP PHOVE LIC[NSE� <br /> � LUV _ <br /> Qr n�y CUSSOFWOpR�y <br /> �y a ❑ NEW JJH ADDITION ❑ ALTEFAIION ❑ REPAIR ❑ OEMOLITION ❑ WOO�STOVE/FRPL INSERT ❑ BUILDiNG RELOCATION _ , <br /> � TENANTIMPHOVENENTONINTEPipqqEMO�ELONO CONTACTPERSONANDPHONENO <br /> �.y�y � 'ONTNAGT^PICEOF\YONK ���v�LOQ . <br /> Y 'pESCpIBEWOPNAND50WREFOOUGEINVOLVEO <br /> CV]G W /�.tnq ��.�Q vl.•7L : rf Gt�,i 7� �r,q7�tf- ' <br /> � . FnOP�o eouSeoFewloiHc IHEREBVCERTIFY?iIATIHAVEREADANDE%AMINEDTHISFPPLICATIOFAND <br /> �� fl Q � / S�� KNOWTHESAMETOBETaUEANDCORRECT.ALLPROVISiO1J50FLAVlSAND <br /> �jp Lt� ORDINANCES GOVERNING THIS NPE OF WOflK W�LL BE COMPLET�D WITH <br /> _ . LIiGAL�ESGNIPTIONOFPPOPE ��HOWNBEIOWOPATTpCMFOURGOPIE51 yyHETHERSPEGFIEDHEREINORNOT.THEGRANTIN30FAPERMITfJUESNOT <br /> PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PR071510NS OF <br /> �ca___ BtoCrc OF ANYOTHEflSTATEORLOCALLAWREGULATINGCONSTRUCTIONORTHEPER• <br /> FORMANCE OF CONSTRUCTION.THAT I AM AUTHORRED BV T�il:OWNER OF <br /> THISPROPERNTOPERFORMTHEWORKFORWHICHAPPLI!;ATIONISMADE � <br /> — — AND I COMPLV WITM THE STATE CONTRACTORS LAW 182'' RCN AND <br /> 296.200 WAC. <br /> SIGNAiUREOPCONiRAGIOROHFpTHOF12E0AGE4T DNiE � <br /> X /� ��1/i�%�__ s /sj�rL <br /> "` 3 <br /> PROJEGTADpRE55 APPLIGANTSGItY0U51NESSlI ENSENOANDBUSINESSN4ME <br /> 03- .i v - s CC/ � C� <br /> PLUMBING MECHANICAL <br /> � NO. TYPE OF FIXTURE OR ITEM FEE NO. 7YPE OF EOUIPMENT FEE <br /> �� WATERCLOSET(TOILEn NC—A/HNDLGUNI?5—H.P. <br /> BATHTUB FOFCED AIR SYSiEhiS—BTU. M EA <br /> �'•��� LAVATORY�WA5HBPSIN) UNITHEATERS—B.T.U. MS�� Lf7U _ <br /> � SHOWER CLOTHESDRYERS _ � <br /> � KITCHEN SINK&DISP. VENTILATION FAN ' <br /> ��' DISHWASHER RANGE HOOD __ ; <br /> LAUNORVTRAV WATERHEATER — � <br /> ' CLOTHESWASHER WOODSTOVE <br /> - URINAL METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPIACE INSERT { <br /> �_ FIOORDRAIN HEATPUMP <br /> BACKFLOW PREVENTERS GAS PIPING _ '� <br /> �- ROOF DRAINS—RAINLEADERS EXHAUST fAN <br /> �I � SINKISERVICE—BAR,ETC) <br /> i �1� <br /> . I�� ' SUBTOTAL 5 SUBTOTAL S �y�0 � <br /> PERMIT S PERMIT 5 / �. <br /> 70TAL FEE 5 TOTnL FEE S S.T <br /> � FFONTSETBAGH REANSETOACN Si0E5[LDACN GIANCNECNNUMBEII FEE NECEIPTNO. � <br /> � � , �� � <br /> -- - uSEzor+E �oTnnen WCANiSRE FEES VALUATION FEE <br /> L'YES ❑ NO <br /> BUILDING <br /> TYPEOFGONSi. OCCUPANLYGFOUP NOAF01�ELlINGUN1i5 — t <br /> nLLOWPBIEIAGTUAL PLUMBING <br /> SREOF6L�G. NOAFSTORIES BSML OCC10A0 ' �� <br /> ❑ y MECHANICAL .�5� <br /> ON <br /> NEiGMrL�NlinilON OTHER , <br /> FIRE 54'RINNLEPSREOUIPEO ❑YES ❑NO STATE BUILDING SURCHARGE � ' <br /> STATE ENEPGY SUFCHARGE <br /> APFLICAiION AGG OY PLANS PP .BY �� <br /> PUBLIC WORKS <br /> ����� TOTAL S,� Od <br />