Laserfiche WebLink
i <br /> ,.,y , <br /> �� APPLICATION FOR CONSTRUCT�ON PERMIT �'� <br /> � everett ; <br /> Mo Everyroon � : <br /> everett �I <br /> BUILDING DEPARTMENT <br /> 259_88�� TO BE COMPLETED IN INK—PLEASE PRINT <br /> ' DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN , <br /> //YY/� r�4�1 � • MA�aoo�s/ / e l�s✓�✓ ry i zia �] F��ror�e p � <br /> $ lf Q8�¢1 �S7 �.t�o� <br /> TENANT MRtLAODP[55 CITY 2iP PMONE <br /> PRCHREbiOR�E5IGNER MAILADORE55 CITY ZIP PHONE <br /> GENERALCONiRACiOfl MRILRODRE55 CITV 21P PNONE LICENSEr . <br /> ���, �`/���. sa r-.�, Sazs t,l �i��,��/� S, [ �; �'9���0 .s��-ir�s i`/D,�/l�,lt io�C`�� <br /> MECNANICALCONTRACTOR MAILApORE55 CITY ZIP PNONE LIGENSE� <br /> �y <br /> 9H'�SN PLUMBINGCONTRAGTOR MRILpDD(iE55 CITY ZIP PHONE LICENSE� <br /> H ?3 I <br /> y z H CLASSOF WOPN / ! <br /> � n . - NEW .'ADDITION -. �� ALTERATION �... REPAIR ��.�.I DEMOLITION �.. � WOODSTOVE/FRPL INSERT BUILDING RELOCATION i <br /> H�1 <br /> � H� TEN/NTIMPROVEMENTORIN7ERIORf1EM1100ELONLY CONTAGTP[i150HAN�PHONENO. i <br /> �~ CONTRRCTPPIGEOf\VORK: Q C <br /> � �� OESC 19E1VOFKRNOSOUA=EFOOTAGEINVOL ED � <br /> ;y ��.�� f - l� xi�� — �C3�/�ou-., <br /> Q N�y PROPOSEOl15EOFBUILDiNG / I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> I-�-I ['�i7 O � —.s, ; J� �N C S/' � • APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL . <br /> �" � LEGALOESCNIP710NOFP80PEflTY IIOWNOELOWORATTACHFOURCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> H y /� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> Z H,s, ioT�� o�aK oF CL/ � � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> 9 H«� <br /> r� H y A � r� AUTHORITY TO VIOLATE OR CANCEI THE PROVISIONS OP ANY <br /> �y y /fC �9 '/ /— Q(J(1 '� O �O -�O OD 7 pERFORMANCB OP OONS RUCTION.THATCI AM AUTHORIZOED BY THE <br /> t <br /> n Cy y OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> GC.� APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> � �'7 CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> a <br /> .Zyy SIGNRipREOFWNiRACTORORAUTNO�iIZEDAGENi DATE <br /> H O t� — <br /> PPQIECiADDRE55 �/✓J/ <br /> Y�� � /_ , AJ �`I• /` [y pPP���RtlTSCI U9N[SSLiCENSENO�NESSNARIE <br /> �f' �� <br /> PLUMBING MECHANICAL <br /> � NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> ...` WATER CLOSET(TOILET) � A�C—A�HNDLG UNITS—H.R �. <br /> � I BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. �. <br /> � LAVATORV(WASH BASIN) UNIT HEATERS—B.T.U. M �. <br /> SHOWcp CLOiHESDRVERS il <br /> '��"' KITCHEN SINK 8 OISP VENTILATION FAN � <br /> � '�' DISHWASHER RANGE HOOD <br /> LAUNDRVTRAY WATERHEATER <br /> w � CLOTHES WASHER WOOD STOVE ,' � <br /> �= URINAL METAL PIREPLACE 8 CHIMNEY I <br /> DRINKING FOUNT FIREPL:�CE INSERT � � <br /> FLOOR DRAI HEAT PUMP ,� '� <br /> i '�' BACKFLO ' iiEVENTERS GASPIPING� � <br /> ROOF AINS—RAINLEADERS ExHA T FAN <br /> SINK SERVICE—BAR.ETC.) � <br /> � <br /> !��' . <br /> � SUB TOTAL 5 SUB TOTAL $ ' <br /> �1� PEPMIT S PERMIT S � <br /> TOTALFEE 5 TOTALFEE 5 <br /> �—'� fRO11T5ET0ACK ' REARS[TBR;N SIOESFTB�jCR PLMi;HECKNUMBER FEE, PECEIPTNO. <br /> S V � 7 . ( `/ ,.?s' ? o <br /> usezor�e —I LOTAREA VRCANi51TE FEES VALUATION FEE <br /> � . YES � O OUiLDiNG �'�7 S�J � <br /> IYP[OiCOH51.AllOWABIE iY'EOfLONSf.ACiL'Al cr«�rµn n�m:m�wti.c.is <br /> �uo�.;P / PLUMBING � <br /> JI- •3 ---�- <br /> SiZEOFOLDG NOAiSTORIES BASEMENT MECHANICAL <br /> BO sF ves x No ; <br /> OCCl1P�NCYLOR� FIqESPRNNIEPSNE00 NEiGMTIIMIiAT10N OTHER � <br /> �. �. VES sC NO � � � C, �. <br /> STATE BUILDING SURCHARGE <br /> F[h50N FOR SPRiNNLERS <br /> STATEENERGVSURCHARGE <br /> nrrucnT�onecc.er rur+seaanoveoor CITYOFEVERETT puoucwonks � ' <br /> �� LOCAL SALES /� <br /> TAX CODE IS 3105 TOTAL C����r <br /> N.W. EN�:R�; �o� G,Hr'L��N�`• <br />