Laserfiche WebLink
APPLICATIO�OR CONSTRIICTIC�1�1 PERMIT everett <br /> ma Ererpreen TO BE COMPLETED IN INK—PLEASE PRINT � <br /> f,ITV OF <br /> everett HEATING SYSTEM: GAS ❑ELECTRIC U <br /> BUILDING DEPA'aTMENT <br /> 259-8810 <br /> I I DEMOLITION i I COMBINATION ' BUILDING � MECHANICAL I i PLUMBING I SIGN <br /> ER MNI�D RESS CI�Y (P PM NE <br /> ,� ;_ -� _ 3c��1 �1�C' -��w� z.� c - � v-� o��� �- ��J <br /> TEN T MAILApORE55 CIfY ZIP PIIONE <br /> RflCHRECTOR�E51GNEfl MRILqDDflE55 CIIV ZIP PIIONE <br /> GENEHALG TRACTOR MNLAD�RESS CIIY � / ZIP IIONE ^ UCENSEI <br /> YALLEY NATURRL GA3, �Nc. ��fl Z-L� N [�>� L'� �^`3�`�l l <br /> MECHANICALQB�S{SLF-3SS•PDOO�nR4$�2BM14 ���Y Z�P PIIOHE LICENSEt <br /> 2605 MCDougell <br /> PLUMBINGCONiRr���S� WUINeMttlA�9AtN11 r.uv �m ruor+e LICENSEI <br /> ��ASS OF WOOK \/_- <br /> I I NEW ! I ADDITION J�AL1+���iION ' � REP�IR ' UEMOLI710N � ' WOODSTOVEiFRPLINSERT ! i BUILDINGRELOCATION <br /> ``, ���� cor�inci rensoH nr�o rimur uo <br /> CONTRACTPflICEOFWORK � 1 ' <br /> DESCRIBE WORK ![150 � FOO ��GE�IN�VOIVED (/'�� � <br /> � // / //� �t-1, Cu � �— _--__ — <br /> .4u�� <br /> PROPOSEOUSEOF9UI�DING 1�,.—• _ - I fiE^F.BY CERTIFV TFIAT I HAVE READ AND EXAMINEU THIS <br /> �� / _ APPI.ICATION AND KNOW THE SAME TO BE TRUE AIJD CORRECT.ALL <br /> LEGALUESCRIP710NOfPODPFf1IY�5��OWNf)[LOWORNIACIIFOUf1C01'If.SI y,�ORKSWINL BE COMPLENED WDfN WHET ERVSPECNFIEO�HE EPN Oii <br /> �ar ����K or NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTI�ORITY TO VIOLATE OR CANCEL THE PR041SIONS OF ANY <br /> OTHEF STATE OR LUCAL LAW FEGULATING CONSTRUCTiON OR THE <br /> -- PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF TIiIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I CQMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> SiGNl.lUREOFCONIRAGIOROR�UIH�HREDAGENT OATE 1 / <br /> // <br /> �riY-i i <br /> - ��1 i�l � ��l')()Cd-kC� �.�' <br /> PRPIECTAODAE55 ��� ( ��� , /�/ / � � <br /> i APPLIC�NISCI1VPUiIN ti5110EN5E O.eNOPU51NE55N�ME <br /> �� � <br /> PLURIBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. 7�YPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � NC-NHNDLG UNITS-H.P. � <br /> BATHTUB ' � FORCED�IR SYSTEMS-B.T.0 E.A. ' <br /> LAVATORY(WASH BASIN) --�— UNIT HEATERS �B.T.U. M � <br /> SHOWER � CLfJTHES DRVEFlS : <br /> KITCHEN SINK&DISP ; VENTILATION FAN ��_ <br /> — — —+._. — _-- - , <br /> DISHWASHER � RANGE HOOD <br /> LAUNDRYTRAY ' � WATERIIEATER _ � <br /> CLOTHES WASHER __ �— WOOD S70VE <br /> URINAL __�_ MEIAL FIREPLACE 8 C411MNEY __ --'— <br /> _ ______-_._.._'_____.-.—.-__ _ ._ __. _ ._ ...________..___'__ <br /> DRINKING fOUNIAM FIRGPLACE INSEfIT _ ,__�_ <br /> FLOOR DRAIN� -__-- -_�---'��--�� - �HEAT PUMP_-- ' <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF DRAINS-FlAINLEA�ERS <br /> --' � EXHAUSTFAN ' <br /> _ , <br /> SINK(SERVICE-BAR,E?C.) � <br /> — - � <br /> � <br /> — � � <br /> — � <br /> � ' <br /> —�- , <br /> SUB TOTAL $ ; SUB TOTAL $ �l0 ' <br /> PERMIT $ � PERMI7 $ /3 � <br /> TOl"�LFEE $ TOTALFEE $ ' <br /> FOR nFFICE USE ONLY: <br /> FRCNTSE18r1CN fif6fi5EL0ACH $Ip[SFIO�CN PI�NCBFCNNU1dFIF11 fEE �ECEIPiNO. <br /> USEZONE ioinnen VAC4NfSIlE FEES VALUATION FEE <br /> BUILDINC ' <br /> irr[orcaxisumwnmr imrorcunsi.ncmni nni�.�s. xa�+oNru�xc�unis ---- <br /> r.nixiv pLUM01NG � <br /> SIZEOffILOG NOAFSIORIES �ASEMFNf MECIIANICAI. S) � <br /> � <br /> OccUPnNcrl.Un� nn[SPnuHLGnSn[mt uE1GrtLi6f11NioN ADOIIIONAIPLANCIIECK — � _ <br /> 011l[❑ <br /> i <br /> —----i— <br /> nFnsoN ron srnn�Ki.ens � <br /> STATE BUILDMG SUf1CHARGE � <br /> - — � <br /> wmrcenr r�nnsnrrraovennv CITYOFF.VERETT runucwonKs � <br /> LOCALSRLES <br /> TAX COOE IS 3105 70TAL S�, � <br /> _1___ <br />