Laserfiche WebLink
�; <br /> .I,N' <br /> APPLI �� ION FOR CONST '�'``CTION <br /> � PERMIT <br /> tM Ewrymn ' <br /> CITV OF <br /> everett <br /> ; everett e <br /> BUILDING DEPARTMENT <br /> ' 268-8810 TO BE COMPLETED IN INK— PLEASE PRINT <br /> � EH MAI�ADDBESS CITY IIP VMONE � <br /> Harold Prekker 1432 Maple Everett 98201 259-7122 ' � <br /> TENNIT MAILAO�RE59 CITY ZIP PHONE <br /> I <br /> I <br /> ARCIIrtEC70R0E810NER �IAIL�DDNE59 CITY 21P PNONE <br /> 1 <br /> OENFMLCAN1R�CfOR M�IL�DORE55 CITY llP PNONE 4CEN8E• <br /> Everett Bldrs. Inc. 5606 Evergreen Way Everett 98203 353-7161 EVEREB*301PH <br /> � MEp1�NIGLLCqNTRACTOR MAILADORESS GTY ZIP PHONE ' LICENSE• <br /> � <br /> ' RUMNN�CANTMCTOR MAIL�ppHE45 CITY ZIP PHONE ���N�� <br /> CLAl70FMORN <br /> ❑ NEW I,}� ADDITION ❑ ALTEMTION REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPLINSERT ❑ BUILDINORELOCATION <br /> 7[fNNT IMPIIOVEMENT OR INTERIOq pEMODEI ONLY CqNT�CT PER90N�ND PHONE NO. <br /> writn�crraiceoFwonK � Q x '.-` Dan Menn (353-7161) <br /> DElC111�E WORKAND 80UME FOOTAOE INVOlVEO <br /> 24 x 26 garage <br /> FlIO/0lFA U!F OFlU�LOINO <br /> � � IHEREBVCER�IFYTHATIHAVEREADANDE%AMINEDTHISAPPLICATIONAND <br /> KNOW TME SAME TO BE TRUE AND CORRECT.ALL PROVISION9 OF LAWS AND <br /> LEOILLDElCNIPiqNOFPROPERTY�8N01YN8ELOVIORATTI�NFOUflCOPoES� ORDINANCESGOVERNINOTHISNPEOFWORKWILLBECAMPLE7EDWIiH <br /> WHETHERSPECIFIED HEREIN OR NOT.THE�RANTINOOFA PERMRDOES NOT <br /> � 3C ��K ZBO oF Everet[ Div T PRESUMETOGIVEAUTHORIIYTOVIOLATEORCANCELTHEPROVI$ION90F <br /> ANV OTHER STATE OR LOCAL LAW REOULATIN6 CONSTRUCTION OR THE PEfF <br /> FORMANGE Of NSTRUCTION.THAT I AM AUTHORI2E0 BY THE OWNER OF <br /> ACCC. li 4387-280-003-0208 THISPROPER'(YT ERFORMTHEWORKFORWHICHAPPLICATIONISMADE <br /> AND I COMPo WI THE STATE CONTRACTORS LAW 1827 RCW AND <br /> 288.200- <br /> NATUREOFC T GiOR RAUtHORI2ED�0ENT D�TE <br /> ����pE� APVLIC U E LIC 5 NO.�NO S ♦ <br /> 1432 Maple Everett, Wa. 98201 <br /> PLUM�INO MECMANICAL <br /> N0. 7YPE OF FUfTU11E Oq ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> - � WA7EHCL09ET�TOILEq A/C—NHNDL6UNITS—H.P. <br /> �T�T�B FORCED AIR SYSTEMS—B.T.U. M EA <br /> UVATOPYryYA9HBA91M UNITHEAT[RS-6T.U. M <br /> �- BHOWER CLOTHESDRYERS <br /> KIYCMEN 81NK 6 DISP. VENT�LATION FAN <br /> DI8MWA8HER RANOE HOOD <br /> LAUNDRYTRAY WATER HEATER <br /> CLOTHES WABHER WOOD STOVE <br /> URINAL METAL FIREPLACE d CHIMNEY <br /> DRINKINO FOUNTAIN � <br /> FIFEPLACEINSERT <br /> FLOOR DRAIN NEAT PUMP <br /> BACKFLOW PREVENTERS pqg p�p�ryp <br /> ROpF DRAINS—MINLEA�ERS E%HAUST FAN <br /> SINK(9ERVICE—&1R ETC.) <br /> Y I <br /> SUBTOTAL S SUBTOTAL S I <br /> PERMIT S PERMIT S � <br /> TOTAL FEE S TOTAL FEE S <br /> FRp/T8ETd1CK, RFARg�� SIDESETB/�fN r{ANCME KNU��� FEE � IIECEI�i� � <br /> LA <br /> L� S <br /> ue[io �or�nEn y�CANi51ijjj FEES VALUA710N FEE <br /> �� �.�r O YES �[NO <br /> � ���� � ` BU�LDING <br /> 'YPEOFCON9T, OCCU ANGYOROUP NO.OFOWELLINOUNITS � <br /> K��«,��N � ^ � �. - � <br /> PLUMBING <br /> 612EOFBLW NO.OFSTORIES BSMT. OCGLOAD ' <br /> G� S� � °� �� MECHANICAL ��. <br /> NEIOCXTIyMIT�TION OTHER � '� <br /> FIPEBPRINNLERSflEOUIRED o ve9 0 �J STATE BUILDING SURCHARGE <br /> STATE ENERG'!SURCHARGE I <br /> APGLICATION ACC BY PL�N9 APP//i� � I <br /> �ti PUBUC WORKS <br /> "W TOTAL <br /> � <br /> ST!J7.LS...».Jd>";�157'.�'R'i4tT:,�r.?'.�.?b �r- ., ._. . �:�or,. .., i",:1��5'i:.'��T �I����.a:�." a r " '"' . . i <br />� s. , ..,.. ...r._ ':n:li�'.� <br />