Laserfiche WebLink
� -� ",_, b/' <br /> /� <br /> j APPLICATI�ii� FOR CONSTRUCTrON PERMIT <br /> � . everett <br /> : ��E��� e <br /> i - everett <br /> � BUiLDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> , 259•8870 <br /> O DEMOLITION I I COMBINATION ;�BUILDING �,k'i�7ECHANICAL �LUMBING Cl SIGN <br /> p ILADDRESCi CITY 21P PH01c <br /> Y���l1����' � S��, 7.>t���'��-l�C'1� '���3�<6 <br /> . TE ANT M>I�AOLHbSS �TY 21P PMONE <br /> .����� <br /> At/R�CNViECTOR�ESI ER//�� MAIL�ODRE55.}I j�/J J ��1Y ZIP PMONE `/` <br /> �. / /�G/� A� C-f/�L=TAN�S i"'r,C. ,v(����— � S �'Y cJ` � <br /> . GENEfjKG��TR�C�R MAILADORE.:S CITY ZIP P ONE ����� �`IC�5 � ���� <br /> � � t <br /> ' E MMlIC�LCON � T t1 MRIL�DDRE55 CIIYI IIP PHONE LI ENSEt <br /> �� l2/�`i,(,�� � �!.t�.f/LG�ho���`i7 7��r �3�� ��C'/7�/��� <br /> P 'IN�CONTRACTOR Mr11L RDDfiESS CIiV ZIP � PHONE LICENSE 1 <br /> �jbEr��u�,�� �;2�1 �t1,�'�s�un��,�-r ���'�-���°fs:�7 f3/���5 f--�? <br /> � cussoFwoarc <br /> � �1j�NEW I I ADDITION I I ALTERATI0�1 I i REPAIR I I DEMOLITION I I WOOOSTOVE/FRPL INSERT I I BUIIDING RELOCATION <br /> `ENANTIMPROVEMEN�ORINTERIORREMOOELONLY /� SY� CONi� PEI150 RNpPMO ENO �f/ <br /> . CONTR�CT PRICE OF WORN:� �� / ' . ) � ��✓ L`L��! ��i/ �/��� <br /> , DESGRIBE WORK A�O SOURRE FOOtp NVOLYFD }D � <br /> �� <br /> � rqOPO5EDU5EOFBU'LDIN I HEREBY CLRTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> S APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> � �ea�� A�PT oc rnor RTY�SIIOWN OF.L Of1�TiRCHFOURCOPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or eiocK or NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �� AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR�OCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BY THE <br /> � OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 7827 RCW AND 296.200 WAC. <br /> � u1GN�TUREOFCONR4C7 RORAUMORIZEDAGENT DATE <br /> _ '�-G�-Q..rti ( ral _ X _' • ry <br /> � PNOJECTADDRESS <br /> . /� ��� — �n� /1� � APf'LIGRNTS IiYBU51N[SSIICENS O.ANDBlI51NE5SNAME <br /> �lia (J <br /> PLUMBIN6 MECHANICAL � <br /> �, NO. TYPE OF FI%TURE OR�TEM FEE N0. TYPE OF EOUIPMENT FEE <br /> �. WATER CLOSET(TOILET) — IVC—A/HNDLG UNITS—H.P. � � <br /> BATHTUB FORCEO AIR SYSTEMS—B.T.0 OM E.A. � _ <br /> � LAVATORY(WASH BASIN) � ^ UNIT HEATERS—B T.U. M � <br /> SHOWER �_ CLOTHESDRYERS � <br /> ' KITCHEN SINK 3 DISP i^ VFNTILATION FAN <br /> ' DISHWPSHER HANGE HOOD <br /> ; LAUNDRY TR�Y ;� WATER HEATER ' <br /> ' CLOTHFS WASI IER � '� WOOD STOVE � <br /> URINAL ' METAL FIHEPLACE 8 CHIMNEY '� <br /> DRINKING FOUN7AIH i FlFEPLACE INSERT i <br /> � FLOOR DRAIN � HEAT PUIdP ' <br /> � BACKFLOW PREVENTERS GAS PIPING �f- r � <br /> ', ROOF DRAINS—RAINLEADERS � EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) � � <br /> . ----r—— � <br /> — � <br /> � <br /> � <br /> � <br /> i . SUBTOTAL $ '�'-' SUB70fAL $ ' �' <br /> 'ERMIT $ PERMIT $ �— <br /> ' TOTALFEE $ ' � TOTALFEE $ � <br /> fRONTSETBACK 9EARSETBAGK SIDESEID�CN PLANGII�CN MBER FEE_ �_ � RECEIPTNO <br /> �(1, ZU� � , . �/ 3�tlr � <br /> T^__ <br /> USEZONE wrnnen �ACANTSITE FEES VALUATION FEE <br /> � Q"L � YES I 1 NO pUILDING O <br /> i � � <br /> lYPE0F0.� v5CAl�WABIE 7YPEOpCON51.F UAL urer¢r xoaPvutMauxns � <br /> ' �/ ,� / v �q3P � PLUMBING i� <br /> �— i <br /> 52EOFBLDO, NO.OF tORIES � Pn T IAECHANICAL ' <br /> o s4.Fr. No — � <br /> � <br /> OCCUPANCYLORD FIRESPpNKLERSREOD N IONTLIMIT�1 �N OTMER i <br /> � I.I YES �NO Z� STATE BUIL�ING SURCHARGE � <br /> REASON FOA SPRINNLEAS <br /> ' SiAiEENERGVSURCHARGE i <br /> . APPLICAiION AGC.BV PlA Rp�'R�D�Y CITY OF EVERETf PUOLIC WURKS � i � <br /> 0� LOCAL SALES ,�j^ <br /> TAX CODE IS 3105 TOTAL � �1 <br /> --,.�,.-.. � . . . _ . <br />