Laserfiche WebLink
APPLIC�.�ION FAR CONSTRl,.;TION <br /> PERMIT <br /> me e�eroreen <br /> pTY OF <br /> everett <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259-edt0 TO BE COMPLETED IN INK— PLEASE PRINT . <br /> OWNER MAILApOPE55 piY ZIP PHONE <br /> �r/.±l�t- � T,i �IiClt�n 3n�s f;e.�.r� ��i�<eTT a%S�n/ �5:� �/c$"y7 <br /> TEN�NT� MAI�ADORE55 �ITY ZIP PHONE <br /> �RGHITECTORDESIGNER MAILADORE55 �IiY ZIP PHONE <br /> ,�/..//7 / i..7�.a�Ti:.. 1� + f3ex is�I� /.�J,r.�✓-^ ll � ,u 9.:-Z7• !S-n ��'��/ <br /> GENER�ICONTRACTOR AILAOORE55 � p�iY TIP PMONE LiLENSE• <br /> i/.�1lC�O.�.�fX �S7(�'J�' <br /> ME�NANICALCONTMGTOP MRILADORESS CItY ZIP VHONE LiCENSE• " <br /> PWMBINGCONTR�CTOR M�IL���RESS pITY 21P PHONE LiCENSE• <br /> CL1550F WORK ,�� <br /> ❑ NEW ❑ AD�ITION ❑ ALTERATION ILi" RER1Iq ❑ DEMOLITION ❑ WOODSTOVE/FRPL�NSERT ❑ BUILDIN�RELOCATION <br /> TENANT IIAPRW[MENT OR INTERIOR REMODEL ONIV� CONTAGi PEFSON eND PIIONE NO <br /> CANTR�CTPRICEOFWOFIC ��/v� <br /> DESGRIBEWORKANOSOO�REFOOTA EINVOLVEp <br /> !�Nn� P� P�r i��"1ta � <br /> PRO SEDU EO BUIL�i G <br /> Q � I H EREBV CERTIFY THAT I HAVE AEAD AND EXAMINED THIS APPLICATION AND <br /> S�((YO.NGP. � P .A� KNOWTHESAMETOBETRUEANDCORRECT.ALLPFOVISIONSOFLAVJSAND <br /> �EOAI�ESCR�PiION UF PROPERiY�SH BELOW ON ATTACH FDOfl GOPIE51 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH <br /> WHETHER SPECIFIEDHEREIN OR NOT.THEGRANTING OFA PEFIAI700E5 NOT <br /> •71g PRESUME TO GIVE AUTHORITV 70 VIOLATE OR CANCEL THE PROVISIONS OF <br /> LOT B�oCn OF ANYOTHERSTATEORLOCALLAWREGULATINGCONS�RUCTIONORTHEPER� <br /> FORPAANCE OF CONSTRUCfION,THAT I Ah1 AUTHORIZED dV THE OWNER OF <br /> S,�„` �r��¢�lf/.�r( THISFROPER1Y70PERFORMTHEWORKFORWHICHAPPLICATIONISMADE <br /> AND I COMPLV WITH THE STATE CONTRACTORS LAYJ 1837 RCW AND <br /> 296.200 WAC. <br /> SiGNniUREOFLONiPaGiOROF.IUT��OR2E�AG[NT OA1E <br /> PROJECTAO�RESS � � �' '- ��1��'!�'�"' �— �9 !3 / _ <br /> Jf APPp :_. �BUSINESSLICENS NONNOBIISMESSNAIAE <br /> w�� �l�h m J - v�t �.C� 4 <br /> PLU6IBING MECHANICAL <br /> NO. TY7E OF FI%7UR[OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLQSET�TOILEI� A/C-NHNDLG U NITS-HP. <br /> BATHTU9 FORCEDAIRSYSTEMS-B.7.U. MEA <br /> LAVATORY�WASHBASIN� UNITHLATERS-BT.II. M <br /> SHOWER CLOTHESDRYERS <br /> KITCHEN SINKB OISP. VENTILAT:ON FAN <br /> DISHWASHER RANGE MOOD <br /> IAUNORYTRAY WATER HEATER <br /> CLOTHES WASHEfi WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACEINSER7 <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPIIJG <br /> (i00F ORAINS-RAINI.EADERS E%MAUST FAN <br /> SI NK(SERVICE-BAR,ETC.) <br /> SUBTOTAL 5 SUBTOTAL S <br /> PERMIT S PERMIT $ <br /> TOTAL FEE S TOTAL FEE S <br /> iRONTSETBALK REARSETUACH S�OESEiBRLK PlANC11EL1(N M9EN F[E (a, AECEIVfNO. <br /> �9 a isia -� <br /> usezor+e �ornaen VACANi51TE FEES VALUATION FEE <br /> ❑VES 4.A0 <br /> � BUILDING /y/� <br /> TYP[OFCANST. OCCUPANCYGROUP NOAFpWEILINGUlUTS vTi <br /> �tLOWABLE/�CTUFL <br /> ]�— —Z ,Q_ 3 / PLUMBING <br /> 512EOFOLOG NO.OFSTORIE &SMT. OGC.LOAO <br /> �9� / ❑r 8 _` MECHANICAL _ <br /> MEiGHTLIMITAT10N OTHER <br /> fiRE SPHiNNLENSR[OUIREO ❑ves ❑ STATE BUILDING SURCHARGE 3 � <br /> STATE ENERGY SUFCHARGE <br /> _APPLIC�TIONAGGBY PL�NSAPPRBY <br /> '",� PUBLIC WORKS <br /> I" � �`� TOTAL S <br /> 0 . <br />