Laserfiche WebLink
`, .'.. . , . .-..� •.I� � "`....1"��: .�_�.:..�_..�...u�'r���'1�MwLl •. _ \ ... ..... c. _ i.�f..�::R <br /> _... .v� . __ ._ ..�.rt�.. �.. . ..[. .. a_ ,. . ... a . ' <br /> ''� � <br /> APPLICATIOI��'+fOR CONSTRUCTI�►�� PERMIT everett <br /> �M Ewqres� <br /> TO BE COMPLETED IN INK—PLEASE PRINT � � <br /> CITV OF ` <br /> everett HEATING SYSTEM: U GAS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259•8810 <br /> ❑ DEMOLITION I.1 COMBINATION I I BUILDING I_l MECHANICAL �I"PLUMBING CI SIGN <br /> OWNER GOUAFD MAILADORE55 CITV ZIP PHONE � <br /> zZ ., __ _�-1„ 371�1 Nor�o�! E'd��e� 9k2o� ,���sz -/sn�� <br /> TEN�NT M�ILAUURESS CITV 21P PMONE <br /> ARLMRECTOIiDES�GNEfl MAILADONE55 CITY ZIP PHONE � <br /> ' GENERAI.CONTMCTOR MAILA�DflES CITY 21P PHONE LICENSE <br /> 2�N w � SS Fl�.x� gu<<�Q.z f 47a5 'f����ok<���e t°C. Sud�+aw %x� C�� 9Y2Su �i�.✓AiG—/e�H7 , <br /> MECHMIILALLONTRACTOR MAIL�DORESS CITY 21P PNONE LICENSE/ <br /> � <br /> PLUAIBIINO1C.ONTRACT/OR^ MAILADDflE55 Cf L . CITV ZIP r PrHONE LICENSE• / � <br /> LJH I f C 6145� �� VML✓.(�4 SNo�DN,� l�2SU 'J�o 6 -(ol �S lV� /7'P �p/77 QQ : <br /> CUSS OF WORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION _ REPAIR I.�.I DEMOLITION f-1 WOODSTOVEIFRPL INSERT ❑ BUILDING RELOCATION <br /> p�ry CONT/AG�TIPERSONANOPHO�J��E\NO <br /> GONTNACTPRICEOFWORK " . Q� l hJG� ye �CAFF�l1/'ei� 335—/�lf7 !' <br /> �ESCRIBE WORK ANO SOUARE POOTAGE INVOLVEO <br /> oa � N N� ��vsr � <br /> PROPOSEDUSE BUILDING 1 HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS <br /> `� �� �v APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.All <br /> LE(iALDESCRIPTION�PR EfiTV(SHOYM BELOW ORATfACM FOURCOPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNINO THIS TYPE OF ` <br /> �or F �� e�ocK � oF (�oI � �� ��aT� NOT. THBLGRANT�NG OF A ERMITy00ES NOT RIESUME TO OI�VE �. <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV � <br /> � �9 f� ���,� LU� �5/ ,q,v� S��v'�G OTHER STATE OR LOCAL UW REOULATIN6 CONSTRUCTION OR THE <br /> PERFOHMANCE OF CONSTRUCTION.THAT I AM AUTHORIZEO BV THE � <br /> !1 � OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH i <br /> 3S �e �.� Y' .S APPLICATION IS MADE AND I COMPLV WITH THE STATE � <br /> CONTRACTORS LAW 1B 27 RCW AND 296200 WAC. �I �'9 / <br /> SIGNATUREOFCONTRAGTORORAUTHORIZEUAGENT TE � <br /> ' /� { <br /> i <br /> 37/5' Norf-o�. �'rP,r-z`� X � , <br /> PROJECTADONESS � <br /> �PPLIC�NTSCITVBUSINESSUGENSE BUS SNMIE � <br /> PLUMBIN6 MECHANICAL I <br /> � NO. TVPE OF FlI(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE � <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. � i <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ' � <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M � �� <br /> SHOWER ' CLOTHES DRYERS ' � <br /> KITCHEN SINK 6 DISP � VENTILATION FAN � �. <br /> DISHWASHER � RANGE HOOD � F <br /> LAUNDRY TRAY ; WATER HEATER ' ��� <br /> CLOTHES WASHER � WOOD STOVE � R <br /> URINAL ' METAL FIREPLACE 8 CHIMtJEY ' j <br /> DRINKING FOUNTAIN i FIREPLACE INSERT i � <br /> l <br /> FLOOR DRAIN � HEAT PUMP ' (. <br /> BACKFLOW PREVENTERS � GAS PIPING � ! <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN � ( <br /> SINK(SERVICE—BAR,ETC.) � � <br /> , '. <br /> � <br /> 1 �l'� ' 1 "T • <br /> � 1 . <br /> 1 � <br /> 1 <br /> T <br /> 1 <br /> SUB TOTAL $ .�� - SUB TOTAL S � <br /> PERMIT $ ii � - PERMIT 3 � _ <br /> TOTALFEE $ ' � "OTALFEE $ � � <br /> FOR OFFICE USE ONLY: � <br /> FRONTSETBACK REARSETBACK SIDESEiB�CK PLANClIECKNUMBER FEE RELEIPTNO. � <br /> i <br /> I. <br /> USE20NE LOT�REA VAC�NTSITE FEES VALUATION FEE <br /> i <br /> BUILDI�IG ' ' ' <br /> iYPFOFtOHiS.AILOWABIE 1VPEOiLON51.AC7WL o[[UitNCY NaOfW:RIMGuxrtS i � <br /> 4q01P PLUMBING �� � o U � <br /> SIZEOFBLDG. NO.OFSTOflIES BASEIAENT MECHANICAL � <br /> i <br /> OLCUPANGY LOAD FIRE SPRNNLERS REO'D MEIGMT tIMITATION ADDITION�L PLAN CHECK i i <br /> � <br /> OTNER i <br /> REASON FOR SPPINNLERS i <br /> STATE BUILDING SURCHARGE � ' <br /> � i <br /> INTAKE BY PL�NS APPROVED BY CITY OF EVEflE1T PUBLIC WORNS i i <br /> LOCALSALES , ! <br /> TAX CO�E IS 3105 TOTAL �S—,d d 1 <br /> { <br />