Laserfiche WebLink
, ; <br /> '.3. .,.•; , _`• <br /> pppLlCt.�:T10NpFO�R�C'T NSTRIiCT10N <br /> evcreu <br /> Ihe Evar9reen � <br /> CITY OF <br /> everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—IPLEASE PRINT <br /> 259•8810 <br /> nmaaooness cnr zi�• m�or+e <br /> own[n �� r ZS'8� �S/� <br /> E,�7G /70S!' I'�GU C6Nf. �JS� RucKFrE�LLTz C--�iF-'��� i�� v��UHE <br /> �7��=�----n�>anooness <br /> 1ENPNT �- /.� >qn �! <br /> � r/L //7/'1K'1 /�[SC� // ����KL 6L cll':/L G'LC/L1:7�— <br /> P'�"�d� MAIL�O��E55 GItY Z�P PIICNE <br /> ♦�CNIICGIORO[SIGNER ���� 7Za_ .� o,BL <br /> 2Ecc sinc. fJY-cN/TE�TS /93Z /!'Tilvc _k=�;�c� 95: __ �- <br /> GCNERALCONIPAGIO� MML4DDRESS <br /> CIIY Zlr FIIONE LIGENSE• <br /> �,� �N 2zs y����- Tar�x°�y�� sEAm<: 9s�or asz-;�oo _ <br /> S�`�N S .u�� CII'l lIP 1'110NE LICENSE/ <br /> MEGIIRNICALCON11UCiOR �d�RA�DBE55 <br /> 7JIJDETi7n�i v� JO G J/72U9-T <br /> /7Atl�rn��' f 1H Cr-R Lo. - S l•I S�En'r/�C 98•' 76?-`�N /'1A p 9 <br /> RUMBINGGONTR�GIOR MNLAUORL55 <br /> GIiY :11•— P/IONE LIC[NSE• <br /> �-it/�a — —_ --- — <br /> cussorwonn p� <br /> ❑ NEW ❑ ADDITION p,� ALiEMTION ❑ �EPAIR _ ❑ OEN.OLITION Co�Aai OOOQ+O'�11�0`VN�SERT ❑ OUIL�ING RELOCATION <br /> TFN�YTIMPROVEMENfO�INlERIOR�[AIODELONLY �N� � �1,� � rj/lj��//�JU <br /> Nq /� / ! O� / <br /> CONTR�GT PRIGF OF WOPK 4/J O 6 O � � <br /> OESC�IBE`VORKANDSOUPREF001 GEINVOLVED <br /> i- ratG.ti L l�lG-i.� ��/)l� r+ orvS�L`19�f --- <br /> A,,,� �,�,«�:,/n,f� — <br /> P�OPoSED USE OF OUILDING I HEREBY GEFTIFY THpT I HAVE READ AND EXAMINED THIS APPUCATION AND <br /> KNOW'H[SAME TO�E T RUE AND CORfiECT.ALl PROVISIONS OF LAWS AND <br /> v i�G L s�/�LG S ORDINANCES GOVLRNING TIIIS TYPE OF WOAK W�LL BE COMPLETED WITH <br /> IEG�L0E5CRli`110NOPPROPERTYISNU4NBELOW0I1�11AGHfOU�COPI[51 WHETHERSPEGFIEDIiEREINORNOT.THEGRANTINGOFAPERMITDOESNOT <br /> PPESUME TO GIVE AUTHOHIN i0 VIOLATE OR CANCEL THE PROVISIONS OF <br /> �pT e�ocn or' ANYOTHERST�TEO�LOGALLAWREGULATINGCONSTRUCTIONORTHEPER� <br /> FORMANCE OF GONSTRUCTION.THAT I AM AUTHORIZED BY THE OWNER OF <br /> AND IRC�OMP VTWIT{�TI�iEMST1ATE GOONTR CiJORS LAWL102T7 RCW AND <br /> -----� 296.200 W�C. <br /> SIGNRIUR[OF CUNLf1AC1�11 t iN AUi���R12E0�GENI OAiE <br /> X���- � iy-9° <br /> PROJEGT�DORE55 AFPLIGANIS CItY[tUS�N655 UGCNSE NO.ANI1 BUS�NE55 NPME <br /> /33o J{o�Kc;��cccR — �' . .1. go98 /'I�a�O..•,�n�r� /7icce2 �. <br /> MECHANICAL <br /> PLUMBING FEE <br /> TYPE OF FI%TURE OR ITEM FEE NO. TVPE OF EQUIPMENT <br /> NO. A/C—NHNDLGUNITS—H.P. __ — <br /> WATER CIOSET1TOIlEn FORGED AIR SYSTEMS—B.T.U. M EA <br /> BATHTUB UNIi HEATERS—B.T.U. M <br /> LAVATORY�WASH BAS�Ni — CLOiHES DRVERS _ -- — <br /> SHOWER -- VENTILATION FAN <br /> KITCHEN SINKd DISP. RANGE HOOD <br /> DISHWASHEF — WATER HEATER — <br /> LAUNDRY TRAY WOOD STOVE — <br /> CLOTHES WASHER METAL FIREPL�CE 8 CHIMNEY — <br /> URINAL FIPEPLACEINSERT <br /> DRINKING FOUNIAIN HEAT PUMP <br /> FLOOF7 ORAIN — G�S PIPING <br /> BACKFLOW PFEVENTERS — E%II�UST FAN — — <br /> ROOFOf7�IN5—Rp�NLEADERS ---- 2 ��V fjoXC3 <br /> SINK(SERVICE—BAR.ETC) — <br /> SUBTOTAL E _J�oJ� <br /> SUB iOTAL S — S /C _ <br /> PERMIT � <br /> — PERMIT E __— — WiAL FEE a <br /> 7OTALFEE E FEE RECEIPiNO. <br /> fRONi$EIBAGN <br /> PEAIiSEiBACB SIOESLI��CK PUNCHECItNUMBEP <br /> LOT�REA VACRNISItE FEES <br /> VALUATION FEE <br /> USE 20��E �.�y@S 11 NO <br /> BUILDINCa <br /> �--�� OCGUPANCYGROUP NOAFDWRlIN6UNIT5 <br /> rvre or tor+st. PLUMBING <br /> �LLOlY40LEtPC1UM <br /> srzeoro�oc No.orsioni[s nsu�. �c���o MECF{ANICAL ��� — � <br /> ❑Y _— -- <br /> 11 N <br /> uuciit iiiaiinnoN OTHEf7 -- <br /> SiATE BUILDING SUtiC11ARGE —� <br /> nne srewHicns neoumco ❑vcs ❑ No _ — <br /> STATE FNERGY SURCHARGE — <br /> APPLIC�t10N�CGBV PLFNSAPPR.OY PUBLIC\V�RK$ / <br /> T�` ,�/ TOTAL S <br /> �� Y`� <br />