Laserfiche WebLink
�n� <br />�O �1 x <br />�Hxt~i� <br />Hx� <br />�H7�tl <br />�H"O� <br />V1 H <br />z <br />��o <br />��g <br />My � <br />C�y� <br />HH <br />� <br />ciCv+ <br />� � i�i <br />HON <br />�' � <br />APPLICATI�..d FOR CONSTRIJCT �ON PERMIT <br />mo c-vo�u,aen <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />�����« <br />� � <br />259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br />DEMOLITION COMBINATION BUiLDING MECHANICAL PLUMBING SIGN <br />o,� , „Sco�ES�---�r'�'Z'-23_QLiE.ar�.ur�„���� JP'z.��.3,3�•%� I <br />lENr1Ni MAILADOP[55 CILY 21P PMONE a I <br />SA�c,� � <br />MCHITECTOROESIGN[F MARApDPE55 CrtV IiP PHONE <br />5 Awc,C I <br />GEN[RAL CONTMCTOR MAil4DDRESS CITY ZIP PNONE LICENSE � <br />S/�iG � <br />MECNANICALCONTRRGTOR FIAILAppRE55 CITY ZiP PMONE UCENSE� <br />5�.��E <br />PWMOINGCONTqACTOfi _ MAILADDRE53 CITV 21P PMONE LICENSE� <br />��,� <br />ClASS OF 14CflN <br />NEW �. � ADDITION ALTERATION .� RGPAIR DEMOLITION WOODSTOVE/FRPL INSERT xBUILDING RELOCATION <br />TENaNTIMPfiOVEMENT001NtEPiORfiE�IODELONLY CO/NtACTPE�i50 ANDP��OYENO ///111 <br />CONTRACTPRCEOFIVORK: YCD���( •IVNIOY���IS� <br />OESCRIDEWO(VNANDSOUAREFOOTAGEINVOLVED � � <br />c.t.:r!... /�.s.,.r _ s: /1i�c G 7G � <br />LEGAL O[SCRIPTION OF PROPEPTV ISNOWN pEL01 <br />LOT �LOCN OF <br />PR III dRESS �O PL.AR <br />PLUMBING <br />NO. TYPE OF FI%TURE OR ITEM <br />WATER CLOSETITOILET) <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN S K 8 DISP <br />DISHWASHE <br />LAUNDRYTRA <br />CLOTHES WASH <br />URINAL <br />DRINKING FO TAIN <br />FLOOR DR <br />BACKFLO PREVENTERS � <br />ROOF D AINS-RAINLEADERS <br />SINK ISERVICE-BAR, ETCJ <br />I HEREFY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />�,�piEy-� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br />WORK WILL BE COMF�ETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF FNY <br />OTHER STATE OR LOC�L lAW REGULATING CONSTRUCTION OR THE <br />— PEFFCRMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY TNG <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1027 FCW AND 296200 WAC. <br />SiGNAil1REOFCCNiRACtOHORAUiHORiZED4GENT DATE <br />X `• <br />APCLiCn�Ji� BU. .ESSLiCEN� ANDdUSMf NRM� <br />FORCED AIR SYSTEMS-B.T.LL M <br />UNIT HEATERS-D.T.U. M <br />CLOTHES DRYEFiS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />1VOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />SUBTOTAL S <br />PERMIT S <br />TOTALFEE 5 <br />FHONTSETBRCK FEARS[iE1ACK SIOESEIBACK PIANO�ECKNUI.!OEq <br />USE20� � � LOTAFEA VACANTSITE FEES <br />� -�-{ � �, YES NO pUIL01NG <br />iVEC Oi CONSI. AILOWABIf tYPE Of COHSi ALiUAI OCLxiv�xa rn ni onm •a i•.:s — <br />coovv PWldBING <br />� � _ <br />SiZEOF�tD('i. NOOFSTORIES DASEMENT ��ECHANICAL <br />�; Znu� GN�y ( �. vEs yCNo <br />OCCUPANGY— LOAD r RRESPRl1NlER5RE0D MEIGMTlI1.11TAT10N �T����p <br />�/�Q � � YES /YNO STATEDUILDINGSURCHARGE <br />RE450N FOR SPRiNNLEPS <br />STATEENERGYSURCHARGE <br />nrrucanor�nccm PUINSAPPBOVEODY CITYOFEVERETT FU�LICV10RN5 <br />LOCALSALES <br />_� \r� TAX CODE IS 3705 Tora� <br />SUB TI <br />PERh11 <br />TOTAL <br />FEE <br />IIEC[iPT NO <br />��� <br />a <br />