Laserfiche WebLink
' �•,��iil �. .. <br /> � APPLICi.;�`t10N FOR CONSTRV�:TION <br /> , <br /> � PERMIT <br /> fhe EverDreen cverell <br /> GTY OF � <br /> ` everett <br /> ' BUILDING DEPARTMENT <br /> � 259•8810 TO BE COMPLETED IN 1NK— PLEASE PRINT <br /> � MRILApOflESS Q7Y ZIP PMONE <br /> 1 OWNEN <br /> /7�t{�e Co.��r�.�/ 3Sz4 /B.I�����.f�� f�n/���o,� 98'.2z3 GS.3-(o�8'.Z. <br /> � TENANT M�ILA�ORESS CITY 21P PHONE <br /> Cf�iu C_� <br /> ! <br /> � ARCHI7ECTORDESIGNER MFIL�ODf1E5S GITY 21P PMONE <br /> ' OENEMLCONTRACiON MAILADOIlE55 CItY 21P PIIONE LICENSE� <br /> i <br /> �esi q,� T�c�+ /y32/ ,2n�iYve�na�.���rc� ?;/rrr� ���e ��171� 2S2 -Q��G�MA,tayAarxJh <br /> I MECHPNICAL ONTPACTOR MRILADORE55 �Y 21P PIIONE LILENSE• , <br /> I <br /> ! <br /> � PLUMBINOGONiPAG70R MFILAUDRE55 CIiY ZIP PNONE LIGENSE• <br /> 1 __ <br /> j CUSSOFWONN <br /> � ❑ NEW ❑ ADDITION ❑ AITERATION (7EPAIR ❑ DEMOLITION ❑ WCiC1DSTOVE/FRPLINSERT ❑ BUILDINGPELOCATION <br /> A TEN�NiIMPROVEMENi081NTERIOFPEMODELONLY GONIACTPE�SON�NOPHONENO <br /> � fANTR�CTPBICEOFWORK �.3S�D�CS� _/J1J_,� �C�—`l�U1El— <br /> � OESCfl19EWORKANDSOUAPEF00TAGEINVOWED <br /> ' �� -l� <br /> ��� �'���,�1 zo�x y,r �o.� . <br /> � YROPOSEOUSEOFBUILDIN� --��7 IHEREBYCERTIFYTHATIHAVEREADANDEW+MINEDTHISAPPLICATIONAND <br /> � � *��^ '�P,.�C� KNOW?HESAMETOBETRUEANDCORRECT.ALLPROVISIONSOFLAWSAND <br /> LEpALOESCflIPTIONOFPROPERtt�SHOWNBELOWOPATIACNFOURCOPIES� ORDINANCESGOV[RNINGTHISNPEOFWORKWILLBECOMPLETEOWITH <br /> � WHETFIEF::PECIFIED HEREIN OR NOT.THE GRANTING OFA PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE FROVISIONS OF <br /> lOT_._ BIOCK oF pNYOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTIONORTHEPER� <br /> � FORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE OWNER OF <br /> � THIS PI70PERN TO PERFORM THE WORK F07 W HICH APPLICATION IS MADE <br /> AND I COMPLY WITH THE STATE CONTRACTORS LAW 18.27 RCW AND <br /> 296200 WAC. <br /> �' � SIGNPTUNEOFCONTRACTOBOFAUiNOPIZEDAGENT DRTE <br /> �, /� � �I �L��C-..�-C� �C� <br /> i sr �� a ,.r ,� � <br /> QIEGT�OORE55 ppP��CANTS GITY BUS W[55 LIGENSE NO.AND�USINE55 N�ME <br /> � <br /> 1 <br /> PLUMBING MECHANICAL <br /> � NO. TYAE OF FIXTUfiE OH�TEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 7 WATERCLOSET(TOILEn NC—A/HNDIGUNITS—H.P. <br /> i � BATHTUB fORCED AIR SYSTEMS—&T.U. M EA <br /> � LAVATORV(WASH BA51�) UNIT HEATERS—B.T.U. M <br /> � SHOWER CLOTHESORYERS <br /> � KITCHEN SIFKB DISP. _ VENTILATION FAN <br /> i DISHWASHER RANGEHOOD <br /> � LAUNDRYTRAY WATERHEATER <br /> CLOTHES WASHER WOOD STOVE <br /> �� URIIJAL METALFIREPLACEBCHIMNEY <br /> � DRINKING FOUNTAIN fIREPLACEINSERT <br /> � FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> � ROOF DRAINS—RAINLEAOERS [XHAUST FAN <br /> 's SINKISERVICE—BAR,ETC.) <br /> � <br /> i <br /> S <br /> � SUBTOTAL 5 SUBTOTAL S <br /> PERMIT $ PERMIT S <br /> ��. TOTAL FEE $ TOTAL FEE 8 <br /> � FRONTSElBACK REAHSETBACK SIpESETBA N PIANGHEC NI1MOEfl FEE PECEIPfNO. <br /> � z„ � � - .s� kq a ��3 a��j a3o <br /> usezoxE IOTRREA VACANiSITE FEES VALUATION FEE <br /> �� �r�J �X�Z O, ❑YES L�UO <br /> �� � BUILDING � <br /> � 7YPEOFGONST. OCGUPPNCVGPOIIP NO.OFUWElLINOUNITS <br /> I ,u�owee���ci •i � PLUMBIIJG <br /> �'-n� �Z-3 <br /> '� S12EOFBLDO. NO.OFSiORIES OYi. OCGlOAD MECHANICAL <br /> 9Gp Z' �c" <br /> NE�IfGMQIIIMIiRTION OTHER <br /> FIRESPRINKLERSREOUIREO O YES 4CN0 v V _ STATE BUILDING SURCHARGE <br /> STATE EI�ERGY SURCHARGE <br /> APFLICNTIONACGBV PUNSRPPROY PUBLICWORKS <br /> 'I � � �_U TOTAL <br /> C t,'nC-��� ri�- Gas w��l FPf �pv,�ttf �,y' "�rcec� ti�r d- Itc�t <br />