Laserfiche WebLink
� r,r;. <br /> � APPLIGATI�:H FOR CONSTRUC1�r�N PERMIT � <br /> rn�Ere�,.e,� everett <br /> CITYOF e. <br /> everett ` <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> � ❑ DEMOLITION ❑ COMBINATION �!-BUILDING �ECHANICAL Ol'pLUMBING ❑ SIGN <br /> .y OYMEfl M�ILAODPE55 GT\' ZIP PM(k!E <br /> � 9 ni/�c GC� 98oiZ 338-/5�8'G <br /> , Nt�K�&FT�1c�'l.�iCO /GUL Se i GJ.lri c'F A'�i� <br /> TENANT M�ILAppPE55 cirv zm rHor�e <br /> � ARf.HITECTORDE5IGNER MAILAO�PESS GTY ZIV PHONE <br /> 1 <br /> a <br /> �} OENERQCONTRACTOR MAILADORE55 CI1V ZIP PNONE LICENSE� <br /> 1 /�6fL7N'ri?B3T'� Coi2� cSN-sN '�. /l�/i2Ti6/C".a/�$Sd� <br /> `� MECNRlICALCQiTPACTOR MAI��DDRESS CITY ZIP PHONE UCENSEI <br /> _� J�ID/2/20I9 f�3l7"i�Jb— <br /> ' PLIIMBINOCONTRACTOR M�ILAODRE55 CITY ZIP PHONE LICENSEI <br /> i Tu6erscu� ,ituM��.�- <br /> �� C1A850FM/pqK <br /> ��� .�.�JEW ❑ ADDITION ❑ ALTERAT�ON f I REPAIR ❑ DEMOLITION I l WOODSTOVE/FRPLINSERT ❑ BUILOINGRELOCATION <br /> �� TENANTIMPROVEMENTORMTERIORREMODEL(NiLY CONir1CTPER50NANOPNONENO. ' <br /> � CONTRACTPPIGEOFYlORIt: etUL K/�..�N� �7�p�/�/r;/ <br /> DESCRIBE WORK�NO SOUFRE FOOT�GE INV ED <br /> �-� � o •rir�o <br /> ` - °� �a � 'Y i 3�f8-il7 <br /> �i PNOPOSEDUSEOFBUILDING I HEREBY CERTIFY THAT 1 HAVE RFAD AND EXAMINED THIS <br /> ;� r <br /> _ � ��- /�� CL� APPLICA710N AND KNOW THE SAME TO BE TFiUE AND CORRECT.ALL <br /> �1 LEMLDESCPIPTIONO PROPERT" �N WN�ELOWORAiT�CHFOURCOPIES� PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> j tor�_ e�xK_. _ oF WORK WILI BE COMPLETED WITH WHETHER SPEGFIED HEREIN OR <br /> NOT. THE GRANi�NG r,� A PERMIT DOES NOT PRESUME TO GIVE <br /> 'y �f AUTHORITY TO VIO�ATE Oq CANCEL THE PROVISIONS OF ANY <br /> !j /���5�-!t�lD+� /�/jAG� �/!� � OTHF.R STATE OR LOCAL LAW REGULATING CONSTRi1CTION OR THE <br /> r PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> 'i OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> '� APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> �' CONTRACTORS LAW 1827 RCN�AND 2g6200 WAC. <br /> .R SIGNRTUREOFCONTRACTORORAUiHON12EDApENT O�TE <br /> .1 <br /> 3 (oLv/ — 2"'v ��• s. �. x ��a.��� �, <br /> .I PRQIECTAOORESS �` /��b <br /> / <br /> � PPPLIC�NTS CITY BUSINES$UG�NSE N0,ANO BUSINE55 NAME <br /> ' PLUMBINO MECHANICAL <br /> �; NO. TYPE OF FIXTUHE OR ITEM FEE NO. TYPE OF E�UIP:AENT FEE <br /> � WATER CLOSET(TOILET) � A/C—NHNDLG UNITS—H.P. , . <br /> BATH7UB ;-- FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> � LAVATORY(WASH BASIN) UNIT HEATERS—B.LU. M <br /> 1 �� � <br /> y SHOWER � � CLOTHES DRYERS , — <br /> ,:d KITCHEN SINK 8 DISP ; -- VEN7ILATION FAN � <br /> � , <br /> � _ DISHWASHER �� � RANGEHOOD 1 <br /> LAUNDRYTRAY ; / WATER HEATER � <br /> CLOTHES WASHER �—� WOOD STOVE � <br /> URINAL � METAL FIREPIACE 8 CHIMNEY <br /> � DRINKING FOUN7AIN � FIREPLACE INSERT � <br /> � FLOOR DRAIN � HEAT PUMP ,_ <br /> � BACKFLOW PREVENTERS ' GAS PIPING � <br /> ROOF DRAINS—RAINLEAQERS E%HAUST FAN � <br /> � � SINh(SERVICE—BAR,ETC.� � � <br /> .� ' i <br /> � <br /> � —•-- <br /> : <br /> y ' � <br /> -� ' SUB TOTAL $ ' � SUB TOTAL $ �� <br /> PERMIT $ r.— PERMIT y �� <br /> �3 TOTALFEE $ � TOTALFEE $ � �' <br /> S FRONTSE]$AC�( � RE�flSET00.CN SIDESETB'CK � PUNCHECKNUMBEB FEE PECEIPTNO. <br /> �O � r� ' � <br /> 1 20 . b 5o a �/9i � 33o. �s BSJ� <br /> .r USEZONE LO7AREA VACANTSITE FEES VALUATION FEE <br /> � 1L-� 26�' i i ves ❑ No BUILDING g,2 � <br /> �1 7Y1'EOFCONST.AI�DWABIE 7VP�OfCONSL iVAI oaunxtr xoa�v[wxelmns , � �- <br /> i �Y ✓ 9Wv � PLUMBING I <br /> � SIZE Of BLDO.� NO.OF�S/TORIES BASEMENT i ^^ <br /> ��� �� VQ PoR� i I] YES �NO MECHANICAL � <br /> OCCUPNICYLO�D FIRESPRNKLERS E00 NEIGHTLIMpItATIpry OTHER /1 '.�/IO <br /> ', ❑ YES �NO � q � �� <br /> i <br /> '� RE�SON FOR SPRINKIERS STATE BUILDING SURCNqq�E i <br /> _ i <br /> ' STAiEENERGVSURCNAPGE � <br /> � APPLICATIONACC.�Y PIANS EUBY � <br /> a CITY OF EVERETT PUBLIC WORKS <br /> '1 � � LOCAL SALES <br /> TAX CODEIS 3105 Tora� � � <br /> ���5.`5.�.2iy.�.;.;-� . . . ..-. . . , . . . . . .. - .. .c�. ._ �t . . . . . � :' �. . . � , , ...;t . , ,i', -. . i� .7"?;. <br />