Laserfiche WebLink
����PPLICATION Fa�'1 ���,�„ <br /> ' . ,"""'°'"" CONSTRUCTION <br /> CIiY OF <br /> : everett PERMiT <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK- PLEASE PRINT <br /> O DEMOLITION ❑ COMBINATION ❑ BUILDING �-IV�ECHAN�CAL EI pLUMBIN(3 O SIGN <br /> � °'��c� Cfl�w�ns ��o�RE55C-:n��L�rcC�u�. °'�{�t@ =,P .�y�7"°�s��n <br /> ♦pCHITECTORDESIONER M�IL�ODNESS GIiY 210 PNONE <br /> OENEP�LCONfR�C10R M�II�OOOE55 Cltt ZIP PIIONE IICENSE• <br /> MEGMIINIC�LCONTR�GTOfl M�IL�D011ESS CIIY� 21P PIIONE LICENSE� <br /> I�A1t,�2AL_ ��-1`v�C111't{� C�. � ►l�J,v L:I1�Nl11lQU(p,(,t.�Q�l.i�C.�C,1�CQ� o;�J�'oZ�I1Il N1�7���Q'�[�- I <br /> � PLUMBINOCONTP�GnIO^R M�II�O�RESS GITY 21V P�IONE LICENSE��KY <br /> ��1�1_'�• <br /> C1�54OF WOflN ,,.,/ <br /> ❑ NEW ❑ ADOITION L'7 ALTERATION ❑ REPAIFi ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUIIDING RELOCATtON <br /> V�IU�T�ON OF WORN�COSi Of MATEHi�LS FLUS L�BOiil <br /> DESCRIBE WORM„�`��/ � ���, ' V'/��/ <br /> \J C. � <br /> useoreuaon+ I HEREBY CERTIFY THAT I HAVE P.EAD AND EXAMINED THIS AP• <br /> s/ �JU.� PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> LEO�LOE PilONO P OPERTY�SH NBELOWOHATT�GHFOU1iCOPIE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br /> ior_e�ocK—or IN OR NOT,THE GRANTING OF A PERMITDOES NOT PRESUME TO <br /> . GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PEFFORMANCE OF CONSTRUCTION. . <br /> j SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT ��TE <br /> X v � - �8`7 <br /> PROJECT�COPESS h ' �PPLIC�NTS CITY BUSINESS IIGENSE NO <br /> � <br /> �n 1 ,� <br /> PLUMBIN6 MECHANICAL <br /> NO. � TYP!OF FIXTURE OR ITBM FEE NO. TYPE OF EOUIPMENT FEE <br /> W�TER CLOSET ITOILET) A/C—NHNOLG UNITS—HP. <br /> BATHiUB REFHIGERATION UNITS—H.P.EA. <br /> UVATORY 1 WASH BASINI BOILEPS—B.T.U.M.P. <br /> �pyyEq OAS FIRED A.C.UNITS—B.T.U. <br /> NITCHEN SINK 8 DISP. FORCED AIH SYSTEMS—B.T,U. M FA <br /> � OISHWASHER WALLHEATENS—B.T.U. M <br /> j � ' LAUNDRVTRAV UNITHEATERS—B.T.U. M <br /> i ' CLOiHES WASMER EVAPORATIVE COOLERS <br /> � � URINAL CLOTHESDRYERS <br /> � DRINKING FOUHTAIN VENTILATION FAN <br /> i_ � FLOOR ORAIN ' RANGE HOO� <br /> BACKFl.OW PREVENTEAS WATER HEA7ER <br /> ROOFDPAINS—HAINLEAOERS WOODSTO�E � <br /> � �� SINK(SERVICE—BAR,ETC,) MEfAL FIREPUCE S CHIMNEV <br /> � , � FIREPLACEINSER7 <br /> HEATPUMP <br /> � � OAS PIPIN� <br /> ' E%HI1U5T FAN <br /> SUlTOTAL f 9UBTOTAI <br /> � PERMIT f P[RMIT <br /> j TOTALIEE f TOTALfE! <br /> I - � PLAN CHECK NUMBER FEE PECEIPT NO. <br /> iRONfSETB�CN � qE�RSE7B�CK SIDESEiB�GN <br /> I <br /> 1 USEZONE LOTAFEl1 y�C�NT5ITE FEES VALUATION FEE <br /> I ores ar+o <br /> TYPEOFCON9T. OCCUPANCYCROUP NO.OFDWELlINOUNIT$ eUILOING S <br /> � . PLUMBING <br /> � SIZE OF OLD0. NO.OF$T0111ES M1%.00C.LO�D <br /> f ��, MECHANICAL <br /> iOTHER <br /> I FIRE SPRINKLERS REOUIRED O VES O NO S7ATE BUILDING SURCHARGE <br /> � �' STATEENERGYSURCHARGE <br /> � APPULAf10N�CC Ov PLAN9CNECNEDBY APVR.FOBISSU�NGEBY PUBLICWORK$ <br /> i . � TOTAL <br /> � . ppppEFTYLOINELOCATONSANDRELATEDEASEMENTISINGALL <br /> � <br />