Laserfiche WebLink
� APPLICATI� FOR CONSTRUCT JN PERMIT <br /> everett <br /> �E��� e <br /> ��� cmoF <br /> everett <br /> � � ,,� BUILDING DEPARTMENT TO 8E COCAPLETED IN INK—PLEASE PRINT <br /> yy 259•8810 <br /> ��� t:, DEMOLITION C' COMBINATION �UILDING MECHANICAL PLUMBING ! SIGN <br /> F� OWNER MARFDLriE55 CIiY 2iP PMONE <br /> ' d �_�{ � ,� ��-3�- ��S -��a� <br /> ��� �' �'�,t,! _i: Ro �er..c' l�7�c ZS 1cr 7rvd�tr,� <br /> iEN�NT �i— L.�A�DRE55 CItV 2iM PNONE <br /> �_� �P.LNITECiORDE5IGNER �AMLAOCRE55 CITY ZIP PHONE <br /> ^� GENERKLpJTR�CTOR M�IL�DDRESS pTY ZiP PMONE LICENSE• I <br /> b <br /> h k �3t✓NP v` ' <br /> QY MEGH/JiIGLLCONTA�CTOR MAILRD�RE55 CITY ZIP PMONE LIGENSEt . <br /> �M <br /> H PLUMBMGCCWTR�CTOR MAIL�ODRE55 GITY i1P PMONE LILENSE• <br /> � CUSSOFNqRK <br /> �� Cl NEW G ADDITION C � ALTERATION REPAIR ;_�. DEMOLITION i : WOODSTOVElFRPL INSERT �..7 BUILOING RELOCATION <br /> �� TENANTIMPROVEMENTORINTER�ORREIAWELONLY CONT�GiPEP50NRNDPHON[N0. <br /> �CONTMCTPRICGOFWIXIN: ` <br /> _ _ �OESCRIBEWOIIR/JlDSW�Rf.FOOT�GEINVOLVE� <br /> RRe�./n�e,�/ P.n�o <br /> P DU;E euKOMc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> ' �' f � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.AlL <br /> LEWLDESCRIPTqN �FreovenrvisHo BEIOWOR�TTACHF RCOPIES) PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> �or /� BLOCK� oc WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> � _665 NOT. THE GRANTING OF A PERMIT �OES NOT PRESUME TO GIVE <br /> X AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING COMSTRUCTION OH THE I <br /> — PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH � <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE I <br /> . . CONTRACTORS LAW 1827 HCW AND 296200 WAC. . <br /> SiGN�tUREOFCONTRRGTOFORAIITHORREDAGENT DATE �� <br /> x ,�.�,�( % ,�-�' °"°. <br /> '_ PRp1ECTMDRESS �/ •'/�' � . <br /> 1 ' �JSOS /'IP_ W •� pPP��CANT5QTv6U5ME55liCENSENO.RNOBUSINE55NAME <br /> '_' �- PLUMlINO MECM�NIC�L <br /> 1 NO. TYPE OF FlXTURE OR ITEM FEE NO. TYPE Of E�UIPMENT FEE <br /> '�� � WATER CLOSE7(TOILET) A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB FOPCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORY(WASH BASIN� UNIT HEATERS—B.T.U. M <br /> 1�' SHOWER CLOTHESDFVERS <br /> 1 KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASHER RANCaE HOOD <br /> ' LAUNDRV TRAV WATER HEATER �i, <br /> " CLOTHES WASHER WOOD STOVE � <br /> � � URINAL METAL FIREPLACE 8 CHIMNEY � � <br /> '�' DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> '�' ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> ' ' SINK(SERVICE—BAR,ETC.) <br /> � _ <br /> i <br /> 1 1 � <br /> I�' S1:8 TOTAL S SUB TOTAL $ � <br /> PERMIT E PERMIT $ <br /> � TOTALFEE $ TOTALFEE $ � <br /> FRONTSETB�CN AE�RSETUACK SIpE5ET8RCN PLANCMECNNUAIBER FE[ RECEIPTNO. <br /> USEIONf: :OTARE� vnceNrsrte FEES VALUpT10N FEE <br /> -� VES �. -. NO BUILDING ��' O �� <br /> LYPEOfLONSiAIIOW�BIE 1VCEOFCONSCACiWI ttcuw.p[r n0aqnuincuxrt5 <br /> L9W' � pLl1MBING <br /> 512EOFBL�('i. NO.p�STORIES BASEMENT MECNANICAL <br /> ^ I. i YES I.I NO <br /> OCCUPANGVIORD FIRESPRNKLERSREO'0 HEiGHiLIMITATION OTHER i <br /> Ll YES i �� NO STATEBWLDINGSUFCHARGE <br /> RE�SON FON SPRINKLERS <br /> Q�„1 STATE ENEP.GY SURCHARGE <br /> �PPLIC�TION/�CC.BV y�r�s*Knevcner CITY OF EVEREIT PUBUC WORK$ � <br /> LOCAL SALES <br /> TAX CODE IS 3/05 ro*�� <br />