Laserfiche WebLink
APPLICAYIL.�1 �UR COMSYRUGT �Oly PERMIT <br /> ����«�« <br /> n�,�t,,•„ro,�,� � <br /> cnv or <br /> everett <br /> BUILDING DEPAR�MENT <br /> 259 88�� TO BE COMPLETED IN INK—PLEASE PRINT <br /> DEMOLITION COMBINATION �CBUIIDING MECHANICAL PLUMBING SIGN <br /> OYJNER I.IAIL AD�AE55 � CitY JIF PHONE . <br /> IV��.( ba l P(��e :�-y .1-.2- d4ks E�r �rB.zoY �S'� � 9�� 9 <br /> T[N�N� MA:LADDRE55 GITV ZIP PnONE <br /> Sa�e� <br /> ARCMRECTOfl0E51GNER IaAiIR�DPE55 � CIT' ZIP PHONE <br /> �(7� , �/������ ('/ <br /> t�l I <br /> � 1[SNERnLCONTBACiOR R�AiL��DRE55 CIiY ZiP PNONE UCEHSE <br /> �'J <br /> ��H �(,l) /1 P(� <br /> 9Hy MECMANICALCONiRAGTOR MAilA00RESS CITY 21P PMONE ULENSE <br /> I-3 �H �'WMBINGCONTRACTOR MRILADDRE55 GTV ZiV PMONE LICENSEt <br /> K n <br /> H Xl <br /> O� H� cinss or�:onrc <br /> y�.-i NEW �. �� ADOITION . AITERATION ✓REPAIR DEMOLITION � WOOOSTOVEiFRPL INSERT � BUILDING RELOCATION <br /> H <br /> zp tENANT II.IPPUYEb1ENT OR iNtE R REMODEL ONLY LOYTACT PERSON ANO PHONE NO <br /> � H C �� S0.�-� <br /> � CONTRACTPRiCEOFIYORN: �OO `� <br /> O H DEnSCRIBEWO�KANDSOVAREFOOtAG[�NVGLVED <br /> v�- �� <br /> n <br /> 4']�O raoaoseoused�ew�� I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> S, F2 4PPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> t,a..� y� �ecnio=scaiarioHocaaoveaTvisr+owr�oe�owo��nr�acNrouacovies� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> H�3 i�� �� �,�Z Bip�K SS� oc VJORK WILL BE COMPLETED WITH WHETHER SPEGFIED HEREIN OR <br /> � � �O NOT. THE GRANTING OF A PERId1T DOES N0T PRESUME TO GIVE <br /> p,.i AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> O Cy W OTHER STATE 07 LOCAL LAW REGUTATiNG CONSTRUCTION OH THE <br /> � �� PERPOFM1IANCE OF CONSI'RUCTiON.THAT I AA1 hUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORAI THE WOR'. FOR WHICH <br /> xHU) APPLICATION IS A1ADE AND I !'O�dPLY WITN THE STATE <br /> y �y CONTFACTORS LAW 1827 RCW AN�?96200�^1AC. <br /> .,�crinr,�nror�cc+rnn;.�ono�,�u'Nonc��ncur oare <br /> aaaccrneoaess X!=_�"�'�'!_a�.✓—�— <br /> hf+�pCAqi5Q1Y[�ligryl95l'."C�lSL40 FNI]00511i[55NJ}E <br /> �va a o�,��E s <br /> PWMBING MECHANICAL <br /> '� � NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> �`; WATERCLOSET�TOII.ETI _ _ AC—RHMDLGUNITS—H.P _ <br /> BATHTUB FORGED AIA SVSTEMS—B.T.U. Id E.A. ._ � <br /> ,�. � _ LAVATORV(WASH BASIN� _ UNIT HEATFRS—B.T.U. M <br /> � I _ SHOWER CLOTHESDRVERS <br /> KITCNEN SINK&DISP VENTILATION FAN _ <br /> DISHWASHFR RANGE VIUOD <br /> LPUNDRYTRAV WATER HEATER _ <br /> ^s CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLA�E 8 CHIMNEV <br /> ��� DRINKING FOUNTAIN _ _ FIREPLACE INSERT <br /> .�'� I FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS ; GAS PIPING <br /> ROOFDRAINS--RAWLEADERS r ERHAUSTFAN <br /> ' !`�' SINK(SERVICE—BAR,ETC.) _ __ � <br /> 1� <br /> '^ � _ _ _ <br /> r ; SUBTOTAL 5 —� SUBTOTAL S <br /> PERMIT S --r— PERMIT 5 . <br /> TOTALFEE S TOTALFEE 5 <br /> • (HC11t5°iBACK flEA115CipACh Si�ESLipALN �L�YC��ECNNII1APEfl �[[ �EGEIPTNO <br /> usc_on� IOTARE� VACANLSRE FEES VALUATION FEE <br /> - YES . NO BUILUMG <br /> I�rl!04[OIISCALIOWABIE tYPFOfCONSf.PCIORI �«rvqcr mwvniiuntu�.�K — --- <br /> ���}��� PLUIdBING <br /> 9.T.GFF�LDG. NOAFSTOOIES DAS[MENT MECNANICAL <br /> YES NO — — <br /> OCCUi'ANCYLORO FIqESPNNNLER5RE00 ��EIGHTLIMItAT10N OTHER <br /> �. VES . ' NO STATE BWLDINGSURCHARGE <br /> — --�T— <br /> Nf n50H�OR SFRINNlERS <br /> STAi[ENEiiGV SURCHARGE <br /> ni�rucnnowacc ov PlANSRPPf10VEDdr CITY OF EVERETT PU�LICWC!iK5 <br /> LOCALSALES � <br /> TAX CODE IS 3105 TOTAL ' <br />