Laserfiche WebLink
��/�� i� ^ ��. <br /> APPLICATIOI. FOR CONSTRUCTIvN PERMIT <br /> everett <br /> tlre Evergreon <br /> CIT!OF � <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> ❑ DEMOLITION Ci COMBINATiON ❑ BUILDING ECHANICAL Ci PLUMBING ❑ SIGN <br /> OWNER MRILADDRES � �Y' 21P ��P=ON ry <br /> )� <br /> (� <br /> TENANT A AD�RE55 /�� ZIP PHONE <br /> f/L <br /> ARCHITECT OR DESIGNER MAIL AODRESS CITV 21P PHONE <br /> E ' L O iTHACTOR M IL AD S I 21P� PHO ^ fGC{ii t <br /> � 5 7� <br /> ME ��CALCONT Ci MAILADDf E 5 CITY IP` � P E LICENSE� <br /> �/ <br /> PLUMBING CONTRRCTOfl MAII AO�PESS CIT' 21P PHONE LICENSF 1 <br /> CLASS OF WOHK <br /> ❑ NEW ❑ ADDITION�TERATION L] REPAIR L'J DEMOLITION L! WOODSTOVE/FHPL INSERT CJ BUILDING RELOCATION <br /> 7EN�NT IMPROVEMENT OR IM1TEPIOR REMOD O V I/�' CONTACT PERSON AND PHONE NO. <br /> CONTRACTPRICEOFWORK: v <br /> DESCRIBE NAND RRE AGEINVOLVED ' ry� <br /> T <br /> PROPOSEDUSEOFBUILDIN I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRU�qND CORRECT.ALL <br /> LEG�L DESCRIPTION OF PROPERTY(SHOWN BELOW OR ATfACH FOUH COPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or e�ocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO 41VE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY TME <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. /3/,ly <br /> SIGNATUflEOFCONTRACTOROflAUTHORIZEDAGENT DATE � <br /> PRQIECTADORESS �� � �"'—� <br /> �'r' RP �IC�NTSCITYBUSIIE SLP NSENO.ANDBUSINESSNAME <br /> PLUMBINO MECHANICAL <br /> N0. TYPE OF flXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� � A/C—A/HNDLG UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T. . E.A. ' <br /> LAVATORY(WASH BASIN) � UNIT HEf�TERS—B.T.U. M � <br /> SHOWER ' CLOTHES DRYERS � <br /> KITCHEN SINK&�ISP : VENTILATION FAN ; <br /> DISHWASHER RANGE HOOD � <br /> LAUNDRY TRAY ; WATER HEATER ' <br /> CLOTHES WASHER � WOOD STOVE i <br /> URINAL ' METAL FIREPUICE 8 CHIMNEY ' _ <br /> DRINKING FOUNTAIN � FIREPLACE INSERT � <br /> FLOOP DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOf DRAINS—RAINLEADERS � EXHAIIST FAN � <br /> SINK(SERVICE—BAR,ETC.) � <br /> � <br /> � � <br /> � � <br /> _ � <br /> � <br /> T <br /> I � <br /> SUB TOTAL $ ' SUB TOTAL $ O ' <br /> PERMIT $ � PERMIT $ / �*�--- <br /> TOTAL FEE $ TOTAL FEE $ �7 : <br /> FRONTSEiBACN REARSE�BACK SIDESETOACK PLANGHECKNUMBER FEE FECEIPTNO. <br /> 3s'� <br /> USE20NE LOTAREA VACANTSITE FEES VALUATION FEET_ <br /> ❑ YES �� N� BUILDING � <br /> 1YPEOFf,ONSTALLOWABLE TVPEOFCONSi.BCTUAL ottursxtr Noorrnvauxcunrts �— <br /> °paP PLUMBING i <br /> SIZEOFBLDG. NO.OFSTORIES BASEIAENT MECHANICAL �� UU <br /> ❑ YES ❑ NO � <br /> OCCUPANCVLOAO FIFESPRNNLERSREO'0 HEIGHTLIMITATION OTHER i <br /> r � <br /> I. 1 YES .7 NO STATE BUILDING SURCHARGE � <br /> REASON FOR SPRINNLERS i <br /> STATEENERGYSURCHPRGE � <br /> i <br /> APPLICRTION ACG BV PLANS APPPOVED BY CITY OF EYEREIT PUBLIC KOF.•;5 i <br /> LOCAL SALES ------ <br /> TAX CODE IS 3105 rorn� _ J S;e�� � <br />