Laserfiche WebLink
'�... �. ... . . . : . , ' � ....._:_ ..:.�t '.. 1 �.L 91.�.� _._ _. ,... ... ' � . . . �.... . _ . _il.. �. A�.....Y..A.. <br /> . . . �.. . .. . .,�, . .. <br /> �\ I.� <br /> APPLICir:,t10N FOR CONSTR4::TION �,.,,_r � <br />� PERMIT ��� <br /> .., <br /> th�Evsrprosn e��ere[t � .���_-;� <br /> CITY OF � <br /> everett -��� <br />;� BUILDING DEPARTMENT <br /> 259•8810 'f7 BE COMPLETED IN INK— PLEASE PRINT :��' . <br /> OWNER M�IL�DORE55 LITY ZIP PHONE .•._,{ <br /> � �.xo�,('� o�rhD -�'{,v 132.� Ma,r�l �--�i1�rg� yR1Ul ��5�- 1 7 h z ,''"`= . <br /> 7EN�Ni � MAIU��RESS � GIIP 21P PHONE � <br /> 1 � 1��^ Q � CITY ZIV PHONE-- - <br /> � MCMrtECT�NDE5IGNER M�I`�ODHE55 '^ `_ <br /> � MAIL�DDRESS CITY 21P PMONE LICENSE• <br /> OENER� GONiRACTOP <br /> MEC A N OR M�IL�D�HESS CITY ZIP PNONE LILENSE• � <br /> � � �1 > >- <br /> ! �� �7pq M�IL��DRE55 GITY 21P PHONE IICENSE• <br /> ��Y <br /> ( C1A930FNOPN�//_ , '���•� . <br /> ! ❑ NEW 110 ^O�ITION ❑ ALTER�TION ❑ REPAIR ❑ �EMOLITION ❑ WOODSTOVFJFRPL INSERT ❑ BUILDING RELOCATION V,'_-�� <br /> C TEryNITIMP110VEMENTORINTEflIORPEMODELONLY p�(/ GONTACTPENSON�NDPNONENO. " <br /> /O !2 7 ._ A `•4. <br /> OpNiR�CTPRICEOFWOFK 'IIIJ �� J . :•:4�.`. <br /> DE9CRIBE WORK�ND 80U�PE FOOT�OE INVOLVEO ^(�O <br /> ��' <br /> 1 . L`� <br /> ypo D EOFBuuDiN ' IHEREBYCERTIFYTHATIHAVEhEADANDEXAMINEDTHISAPPLICATIONAND , <br /> • KNOWTHESAMETOBETPUEANDCORRECT.ALLPROVISIONSOFLAWSAND . - <br /> LEML�EBCRIPTIONOFPBOPENTYISNOWN BELOW OHATT�GH FOURGOFIE9 ORDINANCES GOVERNING THIS iYPE OF WORK WILL BE COMPLE7ED WITH - �� <br /> WMETHERSPECIFIEDHEREINORNOT.THEGRANTINGOFAPERMITDOESNOT ' <br /> �pi �1.�,�BLocK�. oF � F `� �'��' � � ANVOTNERSTATEORLOCALLAWREGULATNOCO STRUCTIONORTHEPEFF _ <br /> ` FORMANCEOfCONSTRUCTiON.THQIAMAUTHORIZEDBVTHEOWNEROF , :�'�'''F <br /> 4 + � ,� ,� G�O THIS PROPERTV TO PERFORM THE WORK FOF WHICH APPLICATION IS M�DE s <br /> �' AND I COMPLY WITH THE STATE CONTRACTORS LAW 1827 RCW AND • <br /> �'F' <br /> � T 296200 WAG � � - <br /> � SIGN�TUREOF TP�QORORAUTMORi2E��0ENT UATE � ' " <br /> i� <br /> � � a ��� x `- ;'� <br /> I PPOJECTADDFESS � � � �FPUG�NTS Y 115 5 LIC SENO�NpO INESSN�ME '�`' <br /> � �'� <br /> � PLUMBIN� MEtH11NICAL �"r'�•�� <br /> i � <br /> NO. TYPEOFFI%TUREORITEM FEE NO. TYPEOFEOUIPMENT FEE _'i� <br /> WATEF CL09ET ITOILEn A/C—AIHN�LG UNITS—H.P. <br /> � 8JITHTUB FORCED AIR SYSTEMS—6T.U. M EA , ' �`� <br /> ' UVATORYIWASHBASIN) UNITHEATERS—BT.U. M _,,� <br /> I SHOWER / CLOTHESDRYERS ; <br /> � KITCHEN SINKB�ISP. VENT�LATION FAN � � !-`E,''�� <br /> ' UISHWA9HER _ RANGEHOOD � -.- y� <br /> UUNDRYTRAV WATERHEATER ; ?� <br /> CLOTHES WASHER WOOD STUVE i <br /> � URINAL METALFIREPlACEBCHIMNEV ,��� <br /> DRINKIN6 FOUNTAIN _ FIREPIACEINSERT ' � <br /> Yi.,. <br /> FLOOH DRAIN HEAT PUMP � � _ <br /> BACKFLOW PREVENTERS _ GAS PIPING '. ';., <br /> ROOF DRAINS—RAINLEADERS _ EXNAUST FAN _ __ �.'� <br /> — .r i <br /> SINK(SERVICE—BAR,ETC) <br /> ,:y <br /> �' 1 <br /> --7 � .l <br /> SUBTOTAL E SUBTOTAL S ` ;:���-+ <br /> PEPMIT 5 PERMIT S ' <br /> TOTAL FEE a � � �t�- <br /> TOTAL FEE S RECEIPf NO. � <br /> FPONTSETBACI( REARSEfBACIt SIDESETBACN / PIANCHE NUMBER FEE � � ;:'�-'�T <br /> � ZA� � � �y� �S : .•,p�6 <br /> usE2o E LOTARE� WC�NTSITE FEES VALUATION FEE � � ,tC'�, <br /> �� O D ovEs (YFlo BUIL�ING �� � �y� <br /> i�,_ a � <br /> 1YPEOFCANST. PANGYQROUP � NO.OFOWELLINOUNITS � . <br /> eu � PLUMBING <br /> gi=€ no.o 5 T. OLC.LOAD IAECHANICAL `.�� <br /> �f � A, �,., <br /> - � HEIGNTLMITATION OTHER ' ''`� <br /> FIPESPpINNLERS REOUIRED O VES NO STATE B ILDING SURGHARGE � � �•��� <br /> STATEENERGYSUFCHARGE ' _ � ��{ <br /> .5 <br /> .�PPIIGTIONACGB'� PUNSAPPRBV PUBLICWORKS �� �� <br /> � � TOTAL �' ��'''^'. <br /> � <br />