Laserfiche WebLink
�, � <br />APPLiCAT10N FOR CONSTRUCTIV.�! PERMIT <br />Me Eve.green TO BE COMPLETED IN INK—PLEASE PRINT �/��. (,+ <br />CITV OF �V <br />everett � <br />BUILDING L�EPARTMENT <br />259-8810 <br />! DEMOLITION � COMBINATION <br />OWNEF� — MAILADDRE55 ^ <br />TENANT <br />MECMANICALCONTRACTOR <br />PLUMBING CONTRACiOR <br />MAIL AD�RESS <br />MAIL ADORESS <br />HEATING SYSTEM: ❑ GAS � ELECTRIC ❑ __ <br />i i BUILDING <br />CITY <br />_�1�'�rt <br />cirr <br />Q7Y <br />�� <br />CITV <br />_ ��4=ICt <br />aTr <br />cin <br />NEW ._' ADDITION . _�. ALTERATION �� �. REPAIR <br />CONTRACT PflICE OF WORK <br />OESCRI9E WOflK AND SOUA <br />��,cli � L. <br />LEGAL OESCRIPTION OF PflOPERTY (SHOWN BF104 <br />LOT �� BLOCK � OF <br />PF0.IECTADDRESS <br />WATER CLOSET (TOIL <br />BATHTUB <br />LAVATORY(WASH BA; <br />SHOWER <br />KITCHEN SINK & DISP <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVEN' <br />FQR OFFICE USE ONLY: <br />fPONT SETBAfj( REAR SET�t�CN <br />.�, �� ��.� <br />�.� ��. <br />USEl.O(jjlE LOiqqEAy!, <br />\��Z � SV[ <br />-N y-N <br />S�ZE OF BLOG NO. CF STORIES <br />zia,o s� t y <br />pq0 Sf fiA2 <br />OCGUPANCYLOAD FIPESPRNNLERSREO'D <br />�/u <br />REASpN ORSPRINNLERS <br />MTANE BV � ^ PlANS APPRO' <br />`M' \ 1 /J„iL <br />r� � - �71 <br />f3 � <br />z/� <br />SIDE SETBACN <br />5� <br />VACANT SITE <br />MECHANICAL <br />ZIP PHONE <br />�w ;� g ;•7 <br />ZIP PHONE <br />21P PHONE <br />��;v � � <br />21F PHONE <br />'t�S =� � ?��7 <br />21P PMONE <br />ZIP f'MONE <br />everett <br />e <br />❑ PLUMBING �- SIGN <br />>� <br />��,v <br />LICENSE � <br />�i �✓�tsrn� �yvr�. <br />LICENSE � <br />UCENSEY <br />� DEMOLITION i_-. WOODSTOVE/FRPLINSERT ❑ BUILDINGRELOCATION <br />I CONTACT PERSON ANqPHONE N0. . <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PqOVI510NS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZEP BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STqTE <br />CONTRACTORS LAW 7827 RCW AND 296.200 WAC. J� <br />SIGNATUHEOFCONTFACTORORAUTHORIZEDAGENT DATE �15�9(J <br />X <br />APPLICANTS BUSINESS CENSENO.ANDBUSINESSNAME <br />MECHANICAL <br />N0. TYPE OF E�UIPMENT FEE <br />A/C—A/HNDLG UNITS—H.P. � <br />FORCED AIR SY TEMS—B.T.U. M E.A. <br />UNIT HEATERS--B.T.U. M � <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />8 CHIMNEY <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />NUMBER FEE <br />,, ���. � �— <br />� BUILDING <br />acuv.�yn rin or w�Euixcuxrts <br />cnoua Z PLUMBING <br />2-3 <br />BnSENENi MECHANICAL <br />MEiGHT uhuTATiOH ADDITIONAL PLAN CHECK <br />L$� <br />OTHER <br />STATE BUILDING SURCHARGE <br />CITY OF EVEfl[Tf PUBLIC WORNS <br />LOCAL SALES <br />TAX COOE IS 3105 TOTAL <br />�u <br />� <br />