Laserfiche WebLink
xr� <br />�ay <br />� � H <br />t" x> y <br />y Y i-�i <br />� H� <br />� H'� <br />!A H <br />�7 o i=1 <br />� <br />��g <br />ij] V �] <br />�H� <br />HH <br />g`� <br />H <br />c� ii � <br />��n <br />z y �n <br />HO� <br />P.�PPLIGNTION FOR CONSTRa�CT10N <br />PERMIT <br />PVPrP❑ <br />the [vo�9men 0 <br />GTY OF � <br />everett <br />BUILDING DEPARTMENT <br />259-e8t0 TO BE COMPLETED IN INK— PLEASE PRINT <br />OIVNER I.IAIL ApOFE55 <br />C'iY ZIV PNOf1E <br />�vHN yytt,TSFIIRF 3332 N�SS/kK EVE2ETT _9_�Z°� �S�-3szi <br />iENANi <br />MAI�ApORE55 C ZIP PIIONE <br />APCNITECTOR�ES�GNEP ���IlA0�RE55 Ci1Y ZIP PIIONE <br />GENEMLGONTRFQOF FIAI�pD�AE55 GIiT ZIP PMONE LICENSE• <br />F�iFkF_TT Ru1LD�R5 /NC. 5(ooG EU�',p6�E Wh �VERETT 98'203 353-7IG/ EU-ER-ECS�30/i <br />ewnus liC[HSE• <br />i�wMBINGCONiRnCTOR ���/aADDFESS <br />I:IP�J V� Y�'Vnn <br />❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ DEMOLITION ❑ WOODSTOVEIFRPLINSERT ❑ BUILDINGRELOCAT�ON <br />TENNNt �MPPOVEMENT OR INiERIOR FEMODEL ONLY CONTAGT FERSON ANO PHONE NO _. <br />� ��7�L.¢� �T7 � C'ln�L" <br />LO iR CTPRCCO:WONK,g� 2G7. - C� <br />„«�o�oFwna..unsauAncr ��cemvo�veoRp�apF_,CF�7PqeEPoIhHs <br />�or/7f/8 s�ocK?� or <br />niViSioN ��H�� <br />PROJEGT�DDAE55 <br />�3_3z NASSAu <br />PLUMBING <br />� � NO. TVPE OF FI%TU <br />! � WATEF CLOSET I10iLET� <br />BATHTUB <br />�AVATORV (�VASH BASINI <br />� _ <br />' SNOWER <br />� s <br />KITCHEN SINKB DISP. _ <br />DISHWASHER <br />ITEM <br />I HEREBV CERTIFY THAT I HAVE READ AND EXAMIN ED THIS APPLICATION AND <br />KNO'N THE SAME TO �E ?RUE AND CORRECT. ALL PROVISIONS OP LAWS AND <br />ORDINANCES GOVERNING THIS TVPE OP K'ORK WILL BE COMF�ETED WITN <br />PRESU��ETOG�I'EEADUTHORIIN OOOLA FORCANCELTHEPFOVBI�ONSOP <br />ANVOTHER STATEOR LOCAL LAW REGULATINGCONSTRUCTIONORTHE PER- <br />FOAM1�ANCE OF CONSTRUCTION THAT 1 AM AUTHORIZED BV THE OWNER OF <br />THIS PROPERTY TO PEFPOFLI THE V10RK FOR WHICH APPLICATION IS MADE <br />AND I C01dPLY Wli�� TH[ STATE CONTRACTORS LAIV 1827 F7CW AND <br />296 200 W.�C <br />ssrvnrcr.rorco•��aac��.��:... _�n�on¢Eoaeon oN.e <br />X /-5�- 9/ <br />Af'1".ICA� ILY1�' ���1�_`�ICENSENOA'IDHIIS�NESitl4ME <br />MECHANICAI <br />FEE i NO. TYPEOFEOUIPMENT <br />L __ A�C=NNNDLGUNITS—NP <br />FOF7CED AIR SYSTEMS— BT.0 M EA <br />UNITNEATERS—BTU. �� <br />CL0IHESDRYEFS <br />VENTILATION FAN <br />RANGEHO00 <br />WATER HEATER <br />CLOTMES WASHER . <br />URINAL <br />DRINKINGFOUNTAIN / <br />FLOOR DRAIN _ <br />BACKFLOW PPEVENTERS _ <br />ROOF DRAINS— PAINLEADERS <br />SINK �SERVICE — BAR. ETC 1 <br />SUBTOTAL 3 <br />PERMIT g <br />70TA1 FEE 5 <br />; NONi SEi�4CK REFR SEiBACK 510( SC10A' K�� <br />��/ �I ��, <br />11:CZON[ LOiARCA VALFNi.Ii <br />,p / �� �� YCS �NO <br />y��' 6 <br />tYPEOFfArvSI. OCGU �NGYGROUP HOOGDwE�,lirvOUn� <br />PLLOWAB�AGiUAL ! _ .. / / <br />r'° � Z <br />fiRESFRINNLER5RE0UIRED ❑YES jZNO <br />METAL fIREPIACE 6 <br />FIREPLALEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAuSTFAN <br />SUOTOTAL 3 <br />FEE <br />BUILDING 3E'/ ZG � <br />_ --�_ <br />PLUMBING _ <br />MECNANICAI <br />O7HER _ <br />STATE BUILDING SURCHARGE <br />STATE ENERGV SUFCHARGE <br />PU���C VJORKS <br />TOTAL <br />FEE <br />J <br />