Laserfiche WebLink
' APPLICATIt�N FOR CONSTRUCI .ON PERMIT <br /> everett <br /> Me Ereq�een e <br /> Cltt OF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259�8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> x DEMOLITION . � COMBINATION . BUILDING � MECHANICAL PLUMBING . � SIGN <br /> OWNER 1AAM1M'lPE55 CRV ZiP PNCNE �SSO'�J�/ <br /> {.�L/E N �rcn�<'� 3tn i2/ �i A�� /3d c:. D-za� /�i2KLl�7�v0 C✓R4sa3�,L <br /> IENENI Y�R WDI'E55 CIiY ZiP PMM"E <br /> I11CNI1FLIOFOESpN�P 4MlI�DFE55 GRY :P CIq11E <br /> Na.v E <br /> GCNEOML(NItH�Cipi Y�0.�D�NE$$ CItY ZIV PNq�E LICENSE• <br /> S��F <br /> MECN�NC4CWTNAC1pN Y�4�DONE55 Clry IIP F�qN[ IILENY• <br /> nia ni E' <br /> PWMBMOLWiXACiqi M/.M1�DOPESS CIiV Zil' %101.F LICEN$• <br /> �d�r� <br /> cusso�v.oFK <br /> � � NEW � AODITION ,. ALTERATION �.��. REPAIR K DEMOUTION . WOODSTOV6FRPLINSERT ! i BOILOINGRELOCATION <br /> I[N�NfIMI'POVEMENtOflINiEFAXRE400(lQsl`.Y CONL�QV'[RSONANDPIqNE1b <br /> cavrn�crvnkEawon.: �.c..`�i._- .fa0 (�F�L/!= N �.PFNGu,dr`R P71t—/`�rYU <br /> ocscnmcvrouK�Hnsou�nE�oouocn+va�vco�{ND v.B9 �/• � , tiN - � <br /> RC-MOvE- STI�//2 l.iA/1an1 n/Dti'i%�S/D� ,�ni�in/r.=. <br /> pnoroseouspweatioum 1 MEREBY CERTIFY THAT 1 HAVE READ AND E%AMINED TNIS <br /> � . APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECL ALI. <br /> i¢c��oe PiPiN1NWPP.NE11iY151pWNBEl01Y0P�IIACNiW�COVlE51 PFOVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> \VORK WILL BE COMPLETED WITIi WMETHER SPECIFIEO HEREIN OR <br /> ioi e�ocn o� _ NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE <br /> AUTHOFITY TO VIOLATE OR CANCEL iHE PROVISIONS OF ANV <br /> OTHER STATE OF IOCAL LAW REGULATING CONSTRUCtION OH THE <br /> PERFORMANCE OF LONSTRUCTION.THAT I AM AUTHOR!ZED BY THE <br /> OWNER OF TMIS PROPERTV TO PERFORM THE WOPK FOP WMICH <br /> APPLICATION IS MADE AN� I COMPLV WITH THE STAiE <br /> CONTRACTORS LAW 1827 FCW AND 296200 WAC. <br /> S�GN�i FEv`FCONIP�L10110R�tIi1�ON1. /. NL O�*L <br /> X <br /> rrwieueooness . � � '� °— Er-��� <br /> Zq � ✓/i2/- Tr �L �P1'LICIMSCIlYCU5MES5LKEN5EN AN p115��iE55NAME <br /> L. C / 1 f– <br /> PLUMBIN MECMRNICAI <br /> NO. TYPE OF FI%TUNE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILETI A-C—ANNDLG UNITS—NP. <br /> BATHTUB FORCED nIR SVSTEMS—B.T.U. M E A. <br /> LAVAiORV�WA5HBA51N� �— UNITHEATEFS—B.T.U. M <br /> SH0IYER CLOTHES�RYERS <br /> KITCHEN SINK d OISP VENTILA710N FAN <br /> DISHWASMER RANGE HOOD <br /> LALINDPV TRA� WATER HEATER <br /> CLOTHES\VASHhI� WO00 STOVE <br /> URINAL METAL FIFEPLACE 8 CHIMNEY <br /> DRINKING FOUNTNry FIqEPLACE MSERT <br /> FLOOR DPAIN HEAT PUMP <br /> BACKFLOW PREVENiERS GAS PIPING <br /> ROOF URAINS—RAINLEA�EFS E%HAUST FAN <br /> SiNK�SERVICE—BAR.ETQ) <br /> SUB TOTAL S SUB TOTAL E <br /> PERMIT 5 PERMIT 5 <br /> TOTALFEE S iOTALFEE E <br /> (110Ni5Et0ACF flf�llSClpACN SICESEiBACR pIANC�IECMNJMOER iEE AECEIWNO <br /> usaiorv[ �mnni♦ v�cu�rsrte FEES VALURTION FE�_ <br /> ��. ! VES �. NO BUIlOING �,r ; � <br /> f�T[aCON51ulOW/dlF IMOfCOMSt�CN4 ocnrv[. �an:v��.��.�:uY•t <br /> ��� PLUMOMG <br /> SR[Of ptlN: MO O(SION�ES 415EVFNi MLCNANICAL <br /> ! VES NO <br /> CC �p HOESPflNRlEPSP[d0 HCqNiIiMIi�iHNl OTNER i <br /> �• V- � ' VES �� � NO SiRi[BUILDiNG SURCHARGE — y �J"� <br /> IR> — —�T <br /> STATEENEPGVSURCMARGE <br /> �� .wi�u .cc m ww mrvm ev CITY OF EYEflETT ruouc wcaKs <br /> � �`�� �— � LOCALSIILES <br /> J <br /> TA%CODEIS3105 ror�� a � sa <br />