Laserfiche WebLink
..:. .: . ..:. .:_ . ,.... — _ .. . .. . — �:.._ ..� ,.. . ........ .,. _. . . _. .._ ,. . ,._ ..... . , . . ..,__.. <br /> ' �� <br /> "..�PPLrCAT10N �OR CONS'� RUCTION <br /> PERIIAIT <br /> fAs Enryroan <br /> GTV OF everett <br /> everett e <br /> BUILDING DEPARTMENT <br /> 259-Beto TO BE COMPLETED IN INK— PLEASE PRINT <br /> pyN p MAILADDRE55 GITY ZIP PNDNE <br /> �ll�� l_���Rl ,�L/// �i7r11-'�� 5-7;' t�,•i�7% "J�����/ Z-`_�2 � (o'7U� <br /> iEN�NT M�II�DDAESS CITY IP PMONE <br /> �MHRECTORDESIONEN M�IL�ODRE55 CITY 21P PNONE <br /> O�ICONTfl�QOR MAILADDRE55 Cltt ZIP PHONE LICENSE• <br /> � ��i2//I',�'!�% �(,,� � / ��1�r�9tj % � 1���.�<< <<%�-r� �Kz'�T 7�/J�/5`�5 i'�.Z'ruiffiT�74�� <br /> MECNIIN�C�LCONTRACTOR M,111�00RE5S GTY 21P PHONE IICENSE• � <br /> PLVMBINUGONTPACTOR MAILAODRE55 CITY 21P PNONE LICENSE• <br /> 90FNORN <br /> `' NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODS70VE/FFiPL INSERT ❑ BUILDING NELOCATION <br /> IEN�HTIMPROVEMENTORINTE ORNFp�00E/NI,Y CANT�CTPEFSON�N�PNONENO. <br /> E /CON7PACTVRICEOFNqqY.�� J C� <br /> , DEBC�RI EWjO�PKIIND t1AREF00T /EINVOL ED �� (}' <br /> �� L�C.(t�� I �L� � / l ci <br />`;y NIOPOSEDUBEOFBURUINO � � � IHEREBVCER7IFVTHATIHAVEREADANDEXAMINED7HISAPPLICATIONAND <br /> �7�"�fl� ������ KNOWTNESAME?OBETRUEANDCORRECT.ALLPROVISIONSOFLANSAND <br /> '�� IEMIUF._CPIPTIONOFPpOPENTYISNOWNBEIOWOH�TTACNFOURCOMES� ORDINANCESGOVERNINGTHISNPEOFWORKWILLBECOMPLETEDWIiH <br /> WHETHER�FEGFIEDHEREINORNOLTHBGRANTINGOFAPEHMITDOESNOT <br /> PRESUME f0 GIVE AUTHORITV TO VIOIATE OR CANCEL THE PROVISION9 OF <br /> �'��- �pr___ eiocrc oF ANYOTHERSTATEORLOCALI.AWRE�ULATINGCONSTRUCTIONORTHEPER• <br />�� �/ FORMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BV THE OWNER OF <br />�; /�Zd � i���Z a �'7 �� �..It. ,�, �J(�J �/� TNISPROPERIYTOPERFORMTMEWORY.FORWHICHAPPLICATIONISMADE � <br /> AND I COMPLY WITH THE STATE CONTRACTORS LAW 1827 HCVJ AND <br /> b�. L /� r 296200 WAC. � <br /> SC /Iy �ff �� 7C� FT �� Yl/� I��� �/ �4NAIDNEOFCONiRACTOHONAUtMOR12E��GENT O�TE <br /> 1 � �_ <br /> T/f s �n i'� �/. X �--- �'1( _ �1�.���,��7-/z <br /> PXOJECi�DDPESS �ppIIGANTS CI INESS l ICENSE NO�ItD BUSINE55 N�ME <br /> ��f( l'��i4�E `�/. ���— ( �'at1 — - �_`�, <br /> PWMBINO MECHANICIIL � <br /> i NO. TYPEOFFI%TUREORITEM FEE NO. 7VPEOFEOUIPMENT FEE � <br /> WATEH CIOSET(TOILEn A/C—A/HNDLG UNITS—H.P. <br /> i <br /> e�� BATHTUB FORCED AIR SYSTEMS—BT.U. M EA � <br /> _ LAVATORV(WASH BASM� UNIT MEATERS—B.T.U. M , <br /> SHOWER CLOTHESDRYERS ' <br /> � l KITCHEN SINKB DISP. VENTILATION FAN � <br /> � DISHWA9HER RANGEHOOD � <br /> LAUNDRY TRAY WATER HEATER <br /> � CLOTMES WASHER WOOD STOVE � <br /> � URINAL METALFIREPLACEBCHIMNEV ' <br /> � DRINKINO FOUNTAIN FIREPLACEINSERT , <br /> FLOOR DRAIN HEAT PUMP ; <br /> � BACKFLOW PREVENTERS GAS PIPING _ <br /> ROOF DRAINS—RAINLEADERS E%HAUST FAN <br /> SINK(SERVICE—BAR,ETC I _ <br /> SUBTOTAL 5 SUBTOTAL _ S <br /> PERMIT S PERMIT S <br /> TOTAL FEE S TOTAL FEE S <br /> FRONTSETB�CK NE�RSETBACK SIDESETBAGK P�NC�HU1f/[�� FEE � /„ ' NECEIPTNO.�� <br /> 20` 0 ' S� 5 5 �� '�s <br /> �..� <br /> usezoNE ior�n� WC�NTSITE FEES VIILUATION FEE � <br /> � 1 / wM ❑YES ❑NO , <br /> L d U�..�� <br /> BUILDINO 00 O <br /> IYPEOFCONST. OCCUP,INCYUROIIP NOAFDWELLINOUNITS ' �, <br /> �LLOWABLE/�GTO�L � <br /> �I PLUMBING � <br /> 512E OF LDO. NO.OF STOPIES 65MT. OCG IOAD ' <br /> p v MECHANICAL <br /> RN — ; <br /> HEIGMTLI rt�n N OTHER � ,�, p �. � <br /> FIRE9PRINKLER3PEOl11HEU ❑YES �NO /S� ' <br /> STATE BUILDING SURCHARGE <br /> � <br /> STATE ENERGY SURCHARGE i <br /> �PPLICATION�CC.BY PLANS�PP0.BY 1 <br /> � �� PUBLICWORKS �O OU . <br /> q/3 ror�� 3 S .� � <br /> I <br />