Laserfiche WebLink
m 'z y <br />C � M <br />7 H V� <br />� <br />y .. M(� <br />K H 'A <br />O W O <br />� N H <br />� H � <br />z � a <br />c� , � <br />y H � <br />�� M H <br />n O N <br />C�d � iE <br />H O vNi <br />�,�_�', <br />�� �� . <br />'o <br />fho EvorBrean <br />CITV OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />.__, ,_� <br />APRLiCATlO�I �QR COWSTIRU�TIONi <br />P��MOT <br />TO 8E COMPLETED IN INK— PLEASE PR�NT <br />�� <br />•.IA:LAUGHESi '�"� J(� EL' /''P[t c.�y� (."v 9 -< ZiP " w L P11011E <br />O`NNE:� �[.:'�%C:..i.{�.J�41—� • <br />Kenmore 98028 3'�8-4747 <br />5::31.e �.merica _F•v• B:-: E'.'__ --c�r� --nP aHOHe '--. <br />TEMIi -- _-�ALLnJP. -o hI <br />�� '_ _'-- — __ _ _-- <br />PPCH.iEGTOR0E5�GNEP MAILAC�RE55 CiiY ZIG PHONE <br />GENERALGONTRPCfOP MAIL.+DDRE55 LIiY Z'P FHONE LICENSE• <br />MECNPNICALCONTPALTOF MAILA�DPE55 CIIY ZIP �MONI' LILCNi[s <br />PWMBINOCONiRAGTOF MAiLA0DRE55 GTY ZIP PMONE LIGENSEt <br />unh;n=on Plumbinc� 607 SE Everett Mall Wav Everett 98208 355-6171 ROBINP*272C2 <br />CLRSS OF WORK <br />❑ NEW ❑ ADDITION � A�TERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL INSERT ❑ BUIIDING RELOCATIOV ____ <br />CONTPACTPRIGEOFWOFK 304.00 <br />OESCFI6E WOPN AND 50 WHE FOOTAGE INVOi VEJ <br />LOT�__ BIOCN_..._._ OF <br />PLU'rielNG <br />NO. TYPEOF <br />WA7ER CLOSET Qi <br />BATHTUB <br />LAVATOFY(WASHI <br />SHOV/ER <br />KITCNEN SINKB C <br />DISHWASHER <br />LAUN�RYTRAV <br />CLOTHES YlASHEI <br />URINAL <br />fl00F DRAINS— <br />TOTAL FEE <br />❑ YES ❑ NO <br />❑v <br />❑ r: <br />Fj <br />❑ YES ❑ NO <br />I HEREBv CERTIFY THAT I HAVE READ AN' • EX.�MINED THIS APPLICATION AYD <br />KNOW THE SAME TO BE TRUE AN� CORP,E�:T. ALL PROVISIONS OF LFWS AND <br />ORDINANCES GOVERNING THIS iYPE OF WORK WILL BE COMPLETED WITH <br />WHE7HERSPECIFIED HEREINORNOT.THEGRANTINGOFAPERMITDOESNOT <br />PRESUME TO GIVE AUTHORItt TO VIOLATE OR CANC'cL THE PROVISIONS Or <br />ANVOTHER STATE OR LOCAI LAW RC-GULATING CONSTRUCTIOk OR THE PER• <br />FORMANCE OF CONSTFUCTION. THAT I AM AUTHORI'lED BY THE OW NEf7 OF <br />THIS PROPERTY TO PERFORAI THE WORK FOP W h{�CH AP�LICATION IS MADE <br />AND I COMPLY WITH THE S7ATE CONTRAC70R5 LAW 1827 FC'N AND <br />zss.zoo wnc. �� , � io /5 � <br />SIGNAiUREOFCONiRACTORO�'.At1THORIZEDPGENi 04TE <br />X �/'/ .� /.� <br />APPL A T�LItYBU51NES5L�GEN5EN0.PND8051NES5N4ME <br />MECHANICAL <br />NO. 7YPE OP <br />FORCEDAIRSVS7EMS-9T.U. M <br />UNITHEATERS—B.T.U. M <br />CLOTHESDRYERS __ <br />VENTILATION FAN <br />STOVC- <br />METAL <br />GAS PIPING <br />E%HAUSTFAN <br />SUB70TAL S <br />PERMIT 5 �� <br />TOTAL FEE 5 3O <br />JM6Eli fEE PECEIPTNO. <br />FEES VPLUATION FEE <br />BUILDING <br />PL7MBING <br />t.tECHANICAL <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE EN9RGY SURC��'•��: <br />PUBLIG WORKS <br />TOTAL <br />G6 <br />