Laserfiche WebLink
r�PPLICATION F0► _ ' everelt <br /> '".E",°`"° CONSTRUCTION <br /> ��n�F � <br /> everett PE RM t t <br /> TO BE COMPLETED IN BLACI<INK— PLEA3E PRINT <br /> BUILDING DEPT. <br /> 25S•8745 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SlGN <br /> OW��ER MRILAODNESS LITY ZiP PIIONE <br /> Kenneth liarvey 2423 Lombard �verett 98201 252-8289 <br /> AAG����ECTOHDESiONER MAIL��OPESS GITV ZIP PMUNE <br /> GENER�LCONiMCiOR MRI�AD�RE55 Cltt ].IP P��ONE LICENSE• <br /> Everett Bldrs. Inco 5606 Evergreen Way �erett 98203 353-7161 <br /> MEGMANICRLCONiRRGIOB MMLR�ORE55 Cltt ZIP PHOf�[ LICENSE� <br /> LU-E.R-E[3-'�3-11L3 <br /> PLUMBINOCONiRACiOR MRILAOOfiESS JIIV LP P��ONE IIGENSE� <br /> CLRSS Oi WORK <br /> ❑ NEW ❑ ADDITION B� ALTEHATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> VRl W 1�ON OF WORK�COST Oi MpLEfVIRLS P W 5 LABOfi� <br /> 692.00 <br /> oescn�,e wonK <br /> fo��ndation repair <br /> use or auamr+c <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS AP- <br /> PLICATION AND KNOW THE SAt.tE TO BE"fRUEAND CORRECT.ALl <br /> LEGAlDESCRiPtIONOFPPOf'EPTY�SMOWN�ELOWORATTFCIIFOURCOPIES� PROV�SIOPJSOFLAWSANDORDINANCESGOVEANINGTHISTYPE <br /> OF WORK WILL B[COMPLETED WITH WHETHERSPECIfIEO HEHE- <br /> LOT_bLOCK_OF IN OR NOT.THE GRANTING OF A PERM�T DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> I.00S 12 & 13 Block 548 Plat of E�erett ANYOTHERSTATEORLOCALIAWREGULATINGCONSTRUCTION <br /> OR THE PERFORMANCE Of CONSTRUCTIO�'. <br /> SIGNqTUR�OFCONTRACTORORAUTHORIZEDFGENi DF1E <br /> X / � // <br /> � � � <br /> PROJECi��[1RE55 APPLICRNiS'LIiYBU3 E 1 � . <br /> 2423 L,ombard Eberett, Wa. 98201 <br /> PLUMBIN� MECHANICAL <br /> NO. TYPE OF FIX7UHE FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEfi CLOSET�TOILED AIR CCND. UNITS—H,P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATOFV(WASH BASIN) BOILERS—fI.P.EA. <br /> SHOWER GAS FIRED AC. UNITS-70NNAGE E0. <br /> KITCHEN SINK 8 DISP. FOFCED AIR SYSTEMS—B.T.U. M EA. <br /> OISNWASHER WALLHEATERS—B.T.U. M <br /> LAUNDRYTRAY UNITHEATERS—B.T.U. M <br /> CLOiHES WASHER EVAPORAtIVE COOLEFS _ <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOl1NTAIN RANGE HOOD <br /> FLOOR DRAIN AIP.HANDLING UNIT— G.F.M. __ <br /> VACUUM BREAKERS SiOVE <br /> ROOF DRAINS—RAINLEADERS METAL FlREPLACEB CHIMNEV <br /> SINK SEA✓ICE—BAR,ETC. �4'OODSTOVE/FlFEPLACEINSERT <br /> SUBTOTAL SUB TOTAL S <br /> PEFlMIT S PERMIT 5 _ <br /> TOTAIFEE S TOTALFEE 5 <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSQNNEL <br /> fqONi5E1�ACK riEAPSEiBACK SIpESETBACK PLANCNECKNUh10ER PUIlCHECN�EL <br /> FEE FECEIPt NO <br /> USE20NE LOTpREA yqCANT51iE VALUATION fEE <br /> FEES <br /> ❑YES ONO <br /> TYPEOFCONST. OCLUPFNCYGf10UP NO.OFOWELLINGUNITS <br /> BUILDING S <br /> S�ZE OF BlDO. N0.OF SiORIES MAX OGQ LO/U <br /> PLUMBING <br /> MECHANICAL <br /> FIRE SPRINKLERS REOUIRED ❑ YES ❑ NO <br /> OTHER <br /> PENAL7V <br /> RPPLICATIONACC 6Y PL�NSGHECHEOBY PPPR.FOflISSUANCEBY <br /> TOTAL <br />