Laserfiche WebLink
.-� <br /> ;��y /4PP�ICATION FOR CONSTRUCTI �N PERMIT ��'erett <br /> n„E1T1�,BB11 TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITV OF <br /> everett HEATING SYSTEM: ❑GAS r]ELECTRIC ❑_ <br /> DUILDING DEPARTMENT <br /> 259-8810 <br /> f I DEMOLITION f_1 COMBINATION I 1 BUILDING 1-t'�iAECMANICAL I� PLUMBING I� SIGN <br /> °�R �• M�IL�DDNESS GITV IIP PHONE <br /> T�OV�17E7.,�E . �I�J �FtG�E EVT <br /> TE T tAAll•y�e E5�5 � GTY ZIP PNON@ <br /> 7�Fux�e IJuFsru� �vic� <br /> �RCN'iEGiqiDE5N3NER MAI.�DbHE:. CITY ZIP PHONE <br /> GENERKCd/ifUCTOR Mwk ��DDRE55 CITY ZIP PHONE UCENSEI <br /> �.L�M�Kiti7 l6Z� E�IsT[� I�aEE �E71 981oZ �Z�-IIZa <br /> ^�L�HMl•n:�LCONTHAGi/M MAILAODRE55 I CITY ZIP Py�;E� �IC SE/ <br /> F�VMv�D ��E 1973P� 144� AU� 1UE �,c7A.,liL 9�'o7L `tE�S-�7 I�VMJFpprt� <br /> MUTABMGCONiR�CTIXi MAILADDPEtS GITY IIP PHONE LICFNSEI <br /> QASS OF WJfiK <br /> O NEW ❑ ADDITION I�ALTERATION 1 I REPAIR ❑ DEMOLITION I�.l WOODSTOVE/FRPL INSERT ❑ BUILDING RELOCATION <br /> GONTR�GT PpICE OF WORK <br /> Z�`S CONUCT PERSON�ND PNONE NO. <br /> OE IBEM/ORKIINDSOU RE�OOI�GEINVOLVED <br /> �E-�D �r��11lC.i-�S �t7l.��JM.�'� Q�� -$ST <br /> r ouseaeuti mc I HEREBV CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> �'?'�'(_ APPLICATION AND KNOW THE SAME TO BE THUE AND COHRCCT.ALL <br /> LEGAL[�SCRIVIANOFPROPERTY(SNOYM i-'LOWORRTTApIFOURCAPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL 8E COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or e�ocK _ oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME. TO GIVE <br /> /1 �y �/ ' 1 AUTHJRITY TO \'IOLATE OR CANCEL THE PROVISIONS OF ANY <br /> ,\ f-C'^C'TP��I I�C�J '-'t CL�Ie�� OTHER STATE OR IOCAL LAW REGULATING CONSTflUCTION OR THE <br /> _— — '�'- PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV ?O PERFORM THE WORK FOR WfiICH <br /> - — APPLICATION IS MADE AND I CCMPLV WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> SIGN���TRAGT�OR��12ED�GENT ��iE 7_1d_�L <br /> rN <br /> PR0.1EC7�ODRE ( � "�`���y ` •� �T. caz4ia� <br /> �'/_ ��L /l..E �PPLIGANTSCITVBUSINESSLIGENSENO.�h00U5ME55NAME <br /> !7 � .�� ^V <br /> PlllM91NQ MECHANICAL <br /> NO. � TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMEN7 , FEE <br /> WATEfI CLOSET(TOILET) A/C—A/HNDLG UNITS—H.P. <br /> f:yATHTUE ; FORCED AIR SYSTEMS--B.T.U. M E.A. <br /> LAVATOHY(WASH BASIN�. � UNIT HEATERS—B.T.U. M I <br /> SHOWER � CLOTHES DRVERS � <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN ; <br /> DISHWASHER � RANGE HO00 i <br /> LAUNDRV THAV ; WATER HEATER � <br /> CLOTHES WASHEF � WOODSTOVE � <br /> URINAL METAL FIREPLACE 6 CHIMNEV � <br /> DRINKING FOUNTAIN � FIREPLACE INSERT ; <br /> FLOOR DRAIN HEAT PUMP � <br /> BACKFLOW PREVENTERS ; GAS PIPING ; <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN � <br /> SINK(SENVICE—BAF,ETC.) ; ' <br /> � <br /> � � <br /> � - � <br /> � � <br /> � � <br /> SUB TOTAL S ; SUB TOTAL S <br /> PERMIT S PERMIT S <br /> TOTAL FEE $ TOT•AL FEE S �O �r <br /> FOR OFFICE USE ONLY: `— <br /> F110NT SETBACK REAR GET[1ACK SID'e SETBACK PL�N CHEGK NUMBER FEFr _ RECEIVi ND. <br /> 3�3�;� �-o �jnss <br /> USE ZONF. �ot neen v�cnNi stte FEES VALUATION FEE <br /> �UII.�ING i <br /> TYP[O�f.ONfS.A�lOW4PlL iVPCOlGONS1.PGilUL rcl.imeNcr NoaoWtwNCUrin6 — i <br /> rna�o PLUMDING ' <br /> � <br /> s¢c�xmna. uo.orstome; On;CUCNi ��[CHANICAL � <br /> CLCUPANGY 10�� f111F.SPfiNNL[RS fiEC'D NE�GN7 LIMIU710N �DDITIONAL PIAN CHEGH j <br /> � <br /> _ ' <br /> bT}fEA ��. 'u / .��'_ y� � � <br /> REAGON FOP SPRINKLLfiC — , — ——�— <br /> STAIE fiUILDIHG SURCHARGE ; <br /> wTnKe ov r�nNs rraoveo er CITY OF EVERETT runuc woRKs � <br /> /�„ LOCAL SIILES <br /> '�y TAX CODE IS 3105 ror�� �o <br />