Laserfiche WebLink
l. '�'L!. <br /> �1PiF�^�IGA� �aN FOR CONST�Ul, flQl� PERMIT ` <br /> everett <br /> everet� �i <br /> BUILDING DcPl�NTM1fEHT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> DEMOLITION COMBINATION �BUILDING MECHANICAL PLUMBING _ SIGN <br /> ��,a�r:u� rani�ncoi¢ss crtr ziv v�,oui <br /> T 4N�/�Z--C'��v����)L3o-,� /3e��,�i'l�+Ly� ,r;//. �a�eJ � �ti �ss.�.� <br /> tENANi MARAOORE55 Cliv Z�P PHONE <br /> MCNrtECiOp0E51GNEP UAILA�DflESS CITV ZIP PNONE <br /> H�� <br /> �iJ[[7 GR�En�LCONTRALTOR MAllR00RE55 GITV ZiP PNONE LICENSEt <br /> �H <br /> C�H CIiV 21P PHONE UCENSE• <br /> 9 y y 1!EGInNiCALCONTPACTOF MRIL ADDRE55 <br /> rs <br /> y �H PWMB�NGWNiPnCiOB 'AAil4DDPE55 ptY ZiP PNONE LIf.ENSE� <br /> K O <br /> H� <br /> y Hp ci ssorvr,n� <br /> '� �NEW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVE%FRPL INSERT � BUILDING RELOCA7ION <br /> (A H — <br /> x �.,3 1EN4Ni141�pOVEMENIORINiERIORRElAODELONIY ^ ''� CONIACTPERSONAf10PMONENpO A /J <br /> O H� CO PAGTPR'EOFWONK� I�1I I �`� If� \�ll/� T � 3hI •.� �C•7"�' <br /> �[SCRIpCWOFKNNDSOUAREG00iAGE�HVptVED � <br /> g .- , <br /> n�p ���;�siouseorawio�r�c I '�IEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> H � �' APPLICATION AND KNOW THE SHME TO BE TRUE AND CORRECT.ALL <br /> � N� � _ <br /> 9H ce:{�scnu�norvoFcnovE�*vu��owum.�o�:c��An�cNFoua�oPiEs PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> r H H �cr_�� eiocK �� _ NOT THELGRA T�iNG OF AD ERh11T,00ES NOT PR'ESUh EETO GIOVE <br /> gy AU7HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> M <br /> n �j�p - �, _/„��,� ., � ��y �� �ti� .. O1HER 5T17E OR LOCAL LAW REGULATING CONSTflUCTION OH THE <br /> C 5� -�LLF:�� PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> � �°� OWNER OF THIS PROPERTV TO PERFOfiM THE WORK FOR WHICH <br /> y yq� APPLICATION IS MADE AND I C01,1PLY \VITH THE STA7E <br /> H O p� CONiRAGTORS LAW 1 B2i RCW AND:?u200 WAC. <br /> ...r:niv���orcorua<c�ononnuiHoneFoz„��.� i�:ai <br /> PROJ[Gi f.'.nf Sti _ fff � ��' � ���� ...���. . .. � <br /> � � �� ���-;'.i � <br /> �� ���J�-� L � .. <br /> PLUMBING MECHANICAL .._ <br /> � � NO. TYPE OF FI%7URE OR ITEM FEE 110. TYPE OF EOUIPMENT FEE <br /> !' � WATERCLOti[T'70LLE7, _ __ "7 - _ _�G-ANNDLGUNITS-HP <br /> _�. BATHTU� _ �r _ _ _ _FORCEO AIR SVSTEPdS-B.T.U. M E.A. <br /> ,� _ � LAVATORY(WASH BASINI �;'-". UNIT HEATERS-B.T.U. M <br /> I � 3HOVJEP _ � CLOTHES DRYERS --�- <br /> � __� KITCHEN SINK 8 DISP �- � VENTILATION fAN �_ <br /> DISHWASHER r �_ qqNGE HOOD <br /> '°" + L�UND(iV TRHY / WATER HEATER <br /> !� _J CLOTHES WASHER � � WOOD STOVE <br /> URINAL � METAL FIREPLACE 8 CHIh1NEV _ <br /> ORINKING FOUNTAIN FIREPLACEINSERT � <br /> .,Y _— - --�- <br /> I ��� FLOOR DRAIN _ HEAT PUMP _ __ <br /> B�ICKFLOW PREV[NTEFS GAS PIPING <br /> fi00F DRAINS-RAMLEADERS E%HAUST FAN <br /> �""@ ' SINK(SERVICE-BAR,ETC.) <br /> � <br /> _._ �- <br /> !'� SUBTOTAL 5 —T- SUBTOTAL 5 q1;�- <br /> PERMIT S �� PERMIT S T-" _ <br /> TOTALFEE S TOTALFE[ S � <br /> . . i�u4+rs[l�� NC-nnsFLO�K S'�UESL�onCrc � � �� I�in�H�r��� ��� F���� ��[cFiPrrlo <br /> � 'I <br /> u;i.rorre iat arven vncn�+r srtc EES VALUATION FEE <br /> --�/� <br /> QJ��L �� YES NO BUII.DING __ �1�1��I ��'„ .�' .l <br /> �.�Ilirf.ONSIlQIOWABI[ IVP[DfG0651{�❑uAl ���.r�Mcr x0�/G�e�.iv.ih.i5 -- <br /> 'j- � _ I "���� � PLUM9ING _ ��� <br /> Si,-r or uLJDG NO.OF SiOPIGS BAS[M[I!T �_ <br /> MECf1ANICAL �_ <br /> I���L��1 C� � YES NO — <br /> nC<,UPANCYIOAD HRESPRNNL6RSRF�O� MEIG11iIIMIIApiiON OTHER � <br /> � VES �NO Z O ' ___, STNEBUILDINGSURCNARGE _ L � � __� <br /> �,i�..a+r nsvair�niens — <br /> StA7C:ENERGVSURCHARGE <br /> ;,rri i�-nnor�ncc ov ainu:nrrno.i ntn CIT1'OF EVERETT pUotiC WOFKS � �� '' <br /> '�. . <br /> 9,� LOCAL SALES <br /> g � rnx cooe is a�os TOTAL => >� — <br /> �� <br />