Laserfiche WebLink
APPLlCAT10lv FOR CON�TRUC7'I�.N F`ERMIT e��<«'« <br /> mc E�e�9��,e� TO BE COMPLETED IN INK—PLEASE PFiINT � � <br /> cirv oF <br /> everett HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> �� � BUILDING DEP�ARTMENT I <br /> y 259-8810 <br /> � <br /> q � H DEMO ITION COMBINATION !/�UILDING MECHANICAL PLUMBING SIGN <br /> 9 H V� M1!AILAD�RE55 CITV ZIP PNONE <br /> CIYNER ^/ ^O <br /> H � .`�i � GY O �. <br /> K ('] iENANT MAIL PDDFE55 CITY ZIP ^HONE <br /> H xl <br /> Ox0 <br /> � H KJ ARCHRECTOROESIG R fdAILADDFESS GITY Z�P PHONE <br /> Vl H <br /> � O� M1IAILA�DRE55 C�TY ZIP PHONE LICENSEs <br /> GENEFALCONTRACTOR � <br /> He �/',��� rti /�i7 i�Ky S� �1JE �XS'��der�s 9�asR � o1JOr � 6'/ZS�ce <br /> lAECHANIC/+LCONiRACTOR MAILAp� E55 GTY ZIG PH011E LICENSEN <br /> H/�� g .� �� ��/ �71.,� <br /> y�Y C] <br /> H PWMBINGLONTRAGTOR IANLAODRES$ CIiV ZIP PHONE LICEtJSE <br /> zy� <br /> � H y CLASSOF WORK . <br /> C7 V1 H �NEW �_� ADDITION .. � ALTERATION REPAIR L DEMOLITION . WOODSTOVc/FRPL INSERT .. �. BUILDING RELOCATION <br /> ��y ���� �� r tt �(� G'�L CONTACT PERSON�N�PHONE NO. <br /> CONTFAGTPRiLEOFWOFK r 33��— � <br /> �� � OESCRIOEWOPKANOSOUAREFOOiAGEINVOLVEO <br /> y o � c�a,rc,�� lr.q/' <br /> � PPOPOSEDUSEOFBl11LDING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> ���� APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECL ALL <br /> LEGALDESCRIPTiONOFPROPEBiV�SHOWNpELOWORATTACHfOtIRL�ESI PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISNPEOF <br /> ','/ WORK WILL BE GOMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> wr_��_ d��� S� �° NOT. THE GRANTING OF A PERMIT �OES NOT PRESUME TO GIVE <br /> �Q O� AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> T� _ t1 � v n OTHER STATE OR LOCAL LAW REGULATING CO�ISTRUCTION OR THE <br /> G: G/rSL— PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> ('�/L 7�Y U-'D� /�� 9� ��� OAPPLICAOTION'SISRMADETA DPE COMP YH WITOHKT ER STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WHC. C�ft/�� <br /> LQ� �O SIGNATUREOFC RRCTORORAUTHOPREOAGEN� <br /> X t.°7�U' 'l2/iSL� <br /> PPOJFCTAD�RE55 — <br /> A L NTSCiTYB SWESSLiGErvSENO.FNp�U51NE55NA1A� <br /> r <br /> ' ' PLUMBING MECHANICAL <br /> I N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> 1�A WATER CLOSET(TOILET) NC—AiHNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR S`!STEMS—B.T.U. M E.A. <br /> ' 1 LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWEF CLOTHESORYEflS <br /> '�' KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> '�' LAUNDRY TRAY l"lATER HEATER <br /> I / CLOTHES WASHER WOOD STOVE <br /> �� URINAL METAL FIREPLACE 8 CHIMNEY <br /> �' DRINKING FOUNTAIN i FIREPLACE INSERT � <br /> FLOOR DRAIN HEAT PUMP ' <br /> � GAS PIPING � <br /> BAGKFLOW PREVENTERS <br /> �' ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> '� SINK�SERVICE—BAR.ETC.) <br /> ' i� <br /> ��� SUBTOTAL 5 SUBTOTAL S <br /> PERMIT S <br /> ��' TOTALIFEE S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> FRONTSETOACH �EAPSETBACN SiDESEiBRCH PI�NCHE KNUM�ER FEE � LI3f RECEiPiNO.�^ <br /> � ' l d� <br /> b ' S' � <br /> usezpy@ � LOT�REA vncnHTsite FEES VALUATION FEE <br /> j . '��. N� DUILDING �7(7g(� '� <br /> iYPEOFCCNISAILOWA6LE iYPEOFL@ISLALiUAI occu�r.:v �.noro'n*.u'+i�u•..;5 <br /> �covv � PWMBING <br /> �/J � '/ <br /> SIZE OF BLOG. NOAF STOFIES BASE1dENT MECHANICAL <br /> �o � v <br /> OGCUPANCYIORD FlfiESPfiNY.LER5RE0� HBGMiUMITAiION ADDITIONALPLANCHECK <br /> u Q �,,, i5' OTHEFl � <br /> --� <br /> RGASON FOR SPRINKLERS ,f D I <br /> STATE BUILOING SUflCHARGE -� � <br /> mu�keer v�nHsnraqovEoov CITYOFEVEHETT PUBUCwoaHs I <br /> LOCAL SALES ���� ' <br /> 9� TAX CODE IS 3105 TOT�� � Q 3 ;�j(/ <br />