Laserfiche WebLink
., � <br /> � � fM _,.—� ': <br /> ` /r►PPLICATIO�. �OR CONSTRUCT�N PERMIT everett � <br /> �E���� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cm oF }} <br /> Q eVerell HEATWGSY5TEM: GAS OELECTRIC 0 � <br /> ��G� BUILDING DEPARTMENT — <br /> 6i� 259-8810 - '°��� <br /> ❑ DEMIOUTION j� COWBINATION X BUILDING ❑MECHANICAI ,� PLUMBING ;-; SIGN � <br /> �y� .�j } ^ bYl�L JI lLA0.MDRE C. ��h-l.' �l'IK���'/� J����f SJ / DI� / / <br /> N A ° TEIUNT M�0.MOREu � C: 21P{ _!— <br /> � <br /> MGNITECTOROESqNER AM1 E55 GITY ZIP PNJHE� <br /> �u� DJU- �Ch F t�.qnnirx �rf'/�r�b � 8 �-riay <br /> '��` �fi CANTqACTC%1 AU0.ADDRE:S CITV ` 21V PMOHE IICEHSE� <br /> �v /�1/ryy)�'�T�UC. ��',1��LY�JX.C/ _ Ti�U/)')llCJ�f,� <br /> �a� � � y« <br /> NECNWiC�L�GMMITJR MAIL/�DDRE55 Cltt Z.� PMOIIE LiCF.A:E• <br /> Q►►yy• <br /> ��y� PLUMBMGCOMTMCTCNi YALADDRE55 CITV 21V PIYJNE LiLE115E� <br /> N <br /> M ov wowc <br /> «� C�NEW ❑ ADUITION ❑ ALTERATION ❑ REPAIH [] OEMOLITION ❑ WOODSTOVFJFFiPL INSERT ❑ BUILDING RELOCATION <br /> � CpNTACi PERSON 11ND PNONE NO. <br /> �� �OMTMC7�PpR�IL:E OF N1XK <br /> _. CU� �-)7L(2! 60lIMEFODT�G INVOIVED � —� 353-�Bd7 <br /> rnoroscDusE�eu o ' r ` I HEREBY CERTIFY THAT 1 HAVE READ AND E%AMINED THIS <br /> s) � �QJ1�� �ES/[;EMv APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> � p¢ nipT OF PROPEHiY� vr+ettavon n�ce WPGOPiES� PROVISIJNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> � � � � I1 � # / WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR I <br /> � e�ot�c oc �.( V�Y NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE � <br /> ' AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY I <br /> OTHEfl STATI:OR LOCAL LAW REGULATING CONSTRUCTION OF THE <br /> PERFORMANCE OF CONSTFUCTION.THAT I AM AUTHORIZED DY THE � <br /> . ��� � //i /J �� OWNER OF THIS PFOPERTV TO PEFFORM THE WURK FOR WHICH � <br /> 7J APPLICATION IS MADE AND I COMPLY WITH THE STATE I <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. , I <br /> SiGN�TUHEOFCONTRACTOPOR�UTHURiZEDAGENT OQE i <br /> )l� / 'c Sl�� X <br /> p110.IEGT ADDRESS j <br /> �t'- APPLIC�NTS tlTv BU'iINE55lICENSE N0.AND 9USINE55 NnME <br /> 1 PLUMSIN6 MECHANICAL �I <br /> N0. TYPE OF FlI(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE � <br /> � I � WATER CLOSET(TOILE1) 1>r� — N�AMNDLG UNITS—+i.P. <br /> " BATHTUB '' FORCED AIR S`.'STEMS—B.T.U. M E.A. ' ,I <br /> t �� C� , UIVATORY(WASM BASIN�� —�� UNIT HEATEF.S—B.T.U. M i <br /> SHOWER '— CLOTHESORYERS � <br /> KITCHEN SINK 6 DISP �� i— VENTILATION FAN <br /> DISHWASHER — RANGE HOOD <br /> ' � t1.UNDRY TRAY � WATER HEATER ' � <br /> _� CLOTHESWASHER ' � WOODSTOVE � I <br /> . � URINAL ' � METAL FIREPLACE 8 CHIMNEV � — i <br /> � ' DRINKING FOUNTAIN i FIREPLACE INSERT i <br /> i C1� FIOOR DRAIN ;— HEAT PUMP � I <br /> BACKFLOW PREVENTERS GAS PIPING <br /> � ROOF DRAINS—RAINLEADERS � EXHAUST FAN I <br /> SINK(SERVICE�AR,ETC.) �-Z � ! <br /> � <br /> ���� i i � <br /> I '_'_ I <br /> ,_,� SUB TOTAL $ f SUB TOTAL $ � — I <br /> �� PcRM1T S PERMIT E i <br /> 1"OTALFEE $ TOTALFEE $ — <br /> FOR OFFICE USE pNLY: <br /> FROMTSETBACK RF.RRScTBACN SIDESETBACN PUNCHECKNUMBEF FEE AEGEIPTNO. <br /> zo ' zfl ' S , „� 3-_�� <br /> USEZONE �O—t7ApRE,l. VACANT6`IT/E FEES VALUATION FEE <br /> � y /(..l� / BUILDING /L��J'rV � �/�9���C�' <br /> iYV[OFCONiSp.Ii�LIOWABIf TYPEOLLONSTALNFL ocwwnutv nuaVMuix41wn6 " <br /> U- IV U ! � ( PLUMBING � � <br /> _ SREOFBLIX3.y NO.OFSTORIE/S� BRS[MENT MECHANICAL N// ' � <br /> / � �1`-� `// '� � i <br /> OCCUP�NGYlO�� FlRESPRNKlEN5RE00 HEIGHiLIMITfTION <br /> ADDITIONAL PIAN CHECK � <br /> — /h� � OTHER ' <br /> REASON FOH SPHiNNLERS 1 �� <br /> STATEBUILDINGSURCHARGE � J { <br /> INTA1cEBY PUNSAPPqOVE08Y CITY OF EVERE7T PU9lIC WURKS � � � — I <br /> J� LOCALSALES �, ' <br /> ��3i q TAX CODE IS 3105 ror�� ��v <br />