Laserfiche WebLink
� �,�. . <br /> APPLICAT14�1 FOR CONSTRUCT��N PERMIT <br /> everett <br /> �E�� e <br />, cm oF <br /> everett � <br /> BUILDING DEPARTMENT ! <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ,2(f BUILDING I 1 MECHANICAL C!PlUM81NG ❑ SIGN <br /> ONNER MAILADDRESS GI1Y ZIP PMONE <br /> (� 6AYL� 7c�10-EI�ST6iZ n��n ���=�s-�r "f�LOI 2S1 Z`�LS <br /> 7ENANT MAILAUDflE55 ��n' z�P P�E <br /> ARCHITECTORDESN'iNEfl M�R�DDRE55 CITY IIP PHONE <br /> OENEMICONTR�CTOfl MMUDDRESS CITV 21P PMHONNE IILEN5E1 I <br /> I�/r�D L..tcr �+ 'r771 -J�ti;r,�,w IY�tNW.^.n0 `�i3v�� l�ll-S63S WEIh7��b14BRN <br /> IAECNANIGILCANTMCTOR M�ILAUURESS CITY ZIP PNONE LICENSE� <br /> : <br /> XUYBKN3CONTRACTOP MAIL�ODRESS CITV 21P PHONE IIGEN5E1 . <br /> � <br /> ClA43OFNVliK ' <br /> ❑ NEW '�ADDITION '6(1 ALTERATION I-] REPAIR ❑ DEMOLII�ION CJ WOODSTOVEIFRPLINSERT ❑ BUILDINORELOCATION � <br /> TENANTIMPROVEMENT0111NTE�!OflREMWELONLY RSQ �Q.N. LONTACTPERSONANUPNONENO. <br /> �.���„�: �� � A�� r� ��3s-8'7Z7 <br /> DEBCRIBE WdIK AND fidIARE FOOTAOE INVOLVED ` <br /> i Z�d P =r, ` <br /> rnovoseouseoFeuwoxw I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> F L -y�En�� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL �, <br /> LEpµ,pE$Cp�p7pNpF ppppEpTY($HOWN BELOW OR ATTACH FOUR COPIES) PROVISIONS OF LAWS AND ORDINANCES OOVEHNINO THIS 7VPE OF t <br /> �or Z I'2. �� �((�'�7 � k�v WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR � <br /> �L. NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO QIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW HEGUUTIN6 CONSTRUCTION OR THE �: <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOR¢ED BV TME � <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WMICH i <br /> APPIICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LA 1827 RCW AND 296200 WAC. iy <br /> ' S16N}�l1RE�THAC R)RAUT REDAOENT DA'ZZ�-$p• ki <br /> x Jn W - ` <br /> rnaecr�ow�ss I�J`L•� I.J�I�O.GUNST/L!/G7/0�1 COc �. <br /> Jf�� �S FlQoJ� APPLIC�NTSCITYBIISINESSLILENSENO.�NDBU5INESSH/UAE <br /> PLUMBINO MECHANICAL � <br /> N0. TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE �� <br /> WATER CLOSET(TOILEn � AIC-AMNDLG UNITS-H.P. � i <br /> BA.'HTUB ' FOP' �D AIR SYSTEMS-B.T.U. M E.A. ' <br /> LAVRTORV(WASH BASIN) � l -ATERS-B.T.U. M � <br /> � � CLG,��ESDRYERS � �. <br /> SHON ER <br /> KITCH6N SINK 6 DISP ; VENTILATION FAN � <br /> DISHWASHER � RANGE HOOD � <br /> LAUNDRYTRAV ; WATERHEATER ' �. <br /> CLOTHES WASHER � WOOD STOVE � <br /> URINAL ' METAL FIHEPLACE 8 CHIMNEV ' � <br /> DRINKIN6 FOUNTAIN i FIREPLACE INSEflT i <br /> FLIAR DRAItI � HEAT PUMP ' <br /> BACKFLOW PREVENTERS ; GAS PIPING ' t <br /> ROOF DRAINS-�RAINL'cADERS E%HAUST FAN � ! <br /> SINK(SERVICE-BAR,ETC.) ; � � <br /> I <br /> ; <br /> , � �i � <br /> i � i <br /> SUBTOTAL S ' SUBTOTAL S ' ` <br /> PERMIT S � PERMIT S � �. <br /> TOTAL FEE S ' TOTAL FEE E ' E� <br /> FRONTSEiBACK, RE�ETBACK SIDESETBA�� PLANLMEC 17UMBER FEE 7S RECEIPTNO. �� <br /> 7 � k <br /> USE ZONE �ot�n� VAC�NT SITE FEES VALUATION FEE 1 <br /> S <br /> — J�X �� (-1 YES NO BUILDING � 3 �O"0 1 <br /> TYPEOiCONSLALLOWABLE ttPfOfCONST.ACIIUL OCCUMNtr 4uaDw[UiNGUNIfs � ' �, <br /> � � a I PLUMBING i E <br /> � , <br /> SIZEOFBLDO. NO.OFSTORIES BASEMENT MECHANICAL � I <br /> Z Z ❑ YES !0 NO � � ' <br /> OCGUPANCYLOAD FIRESPPNKLERSREO'D MEIGMTLI�ION �THER O�Jy� C� � � D <br /> ❑ YES � NO STATEBUILDINGSURCHARGE ��D <br /> REASON fOR SPpINKLERS � <br /> STATE ENF.flGY SUflCHARGE i ' <br /> � <br /> APPIIGATIONACC.BY PLANSAPPPOVEDBY � <br /> CITY OF EYEflETT PUBUC WORNS , <br /> �A r^ Q� LOCAL SALES —;— <br /> /►��/V l. 7 TAX CODE IS 3105 TO7wL 6 0 <br />