Laserfiche WebLink
. � <br /> ; <br /> APPLICATI6� FOR CONSTRUCT bN PERMIT eV1'`�`� ' <br /> �E�re�� TO BE COMPL^.TED IN INK—PLEASE PRINT � I <br /> ��� CITV OF — — '� <br /> everett �Hc�1TING SYSTEAI: ❑GAS U ELECTRIC U�� � <br /> BUILDING DEP4RTMENT <br /> C 259•8810 <br /> y�� -: DEMOLITION COMBINATION X BUILDING I MECHANICAL PLUMBING SIGN i <br /> '_� Q I.UR�DDRE55 CrtV 2�P PNONE <br /> 1� � /�nza2 -///i���//1'z�o. S'�- �,�0�10�.f 982D8 - 3.r� -/53� ' <br /> { M.UIG�DnES$ CITY// ZiP/' PMON[ // �� � <br /> H N� �1b'J1Q�, i/ <br /> �� GiY 21P PIIONE <br /> RPCHIiECTMDE$IGNFR MAIL'/PE55 // N �� �I I <br /> (l9il n0� <br /> p�. d r/ ��� . . � oYONE _./( L4'ENSE� <br /> OM M GENERAL Ll+�m�GTON MAII ACOPE55 D P I _ I - _ _ ' — � <br /> c^� �!(9"77� <br /> y�g� MECM�NILRLCONiRALTON MAILADDPE55 CITV ZIP FNONE LICENSE• _— <br /> ��y� I <br /> PWMBMfiCONLRAGTON MAiL�DORESS Ciiv ZIP PIqN[ IIGENS@/ <br /> M � — <br /> � � cussoFvronK � <br /> � i <br /> � � StNEW � � ADDITION �. ALTERATION _� REP41R -�� DEMOLITION N100DSTOVE/FRPL INSERT ._�. BUILDING REIOCATION <br /> ��r� /)l � 3- � /J CONTACiPEP501 AND NENO <br /> �� CONTRACTPRICEOLWORK ,L i� .� ���2 - 3�3 /5'3� i <br /> OESLRiOE ORNeNOSWAREf%Jinf[M OIVED � <br /> '�no��w��..��I�� � I HEREBY CERTIFY THAT I HAVE READ AND E%AMINEO THIS I <br /> �/ APPLICAI iON AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> ' �ece�oescairr: r+oFrnoveeivis�o�vr+ee�owoanrrncxvouncories� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISNPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ��of e�ocK aF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AU�i HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR 1"HE <br /> PERFOFMANCE OF CONSTRUCTION.TFIAT i AA1 AUTHORIZED BY THE I <br /> OWNER OF THIS PROPERTY TO PERFOFiM THE WORK FOR WHICH � <br /> _ APPLI(:ATION IS MADE AND I COMPLV WITH THE STATE i <br /> CONTPACTORS LAW 1827 RCW AND 296.200 WAC. <br /> ' SIGNATW[OFC.�NiRAGLORORRI�Tll�q2[ORf.[Ni DNTE �/��/5� � <br /> ./e `�'JI/ e]1/J / ///I � w.rl <br /> / .. � PHQIECTJ �D�NESS�Q(�4 V�'�J�/��SSiI. ��� � ,I���`v�.L(q ,W.'!!/•- � '� <br /> ( APPLICANlaB.'urm.iMESSLiCEpSE ANDefusi�+E55NAME �I <br /> I �� <br /> � MECHANICAL <br /> I PLUMBING <br /> 1 � NO. TYPE UF FIXTURE OR ITEM _ FEE NO. -^^^^^ TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� AiC—NHNDLG UNITS—H.P. <br /> � ��, BATHTUB '""S—B.T.U. M E.A. � <br /> � � LAVATORV�WASH BASW) M --� <br /> SHOWFR /J — <br /> i ��1 KITCHENSINKSDISP _ .��� J��� //_ �. <br /> DISHWASHER <br /> \/�/(�- '�-� 7 <br /> � LAUNDRYTRAY �� ..� � <br /> ' � CLOTHES WASHER '��ti,Gi,� /-� e� <br /> ' URINAL � :HIMNEY <br /> i '�t _ <br /> DRINKING FOUNTAIN � <br /> � �� FLOGR DRAIN � ��� �� <br /> i <br /> � BACKFLOW PP.EVENTERS G /- c�, <br /> _ ROOFDRAINS--RAWLEADERS ,niC.� �`'� — � <br /> SINK(SEflVICE-9AR,ETC.) � <br /> �� ---T— <br /> .� <br /> !�� <br /> ' � SUBTOTAL SU�TOTAL S ' <br /> PERMIT S _ PERMIT S <br /> TOTALFE[ S TOTALFEE 5 �— <br /> FOR OFFICE USE ONLY: <br /> FRONTS[IDACN REARSC10nCK SID[SETBPCK PLANL��ECKN�M9ER FEEq RECFlPTNO <br /> � � / JS.��.� / .3. 40 �p�'U�lS <br /> use zorve �01 an[n vncnrut 5tte FEES VALUATION FEE � <br /> _� BUILDING �1�2�� /l / "�"� <br /> lYPE01CONi5AllOWABIE nM1'EOIC0��5lAGI�AI oc[pCuc+ hOMtlxul�v:um:s <br /> PLUMBING <br /> -u - <br /> SiZ[OFBLDf,. NOAFSTORIES O�SEM[NT MECHANICAI <br /> S • J <br /> OCCUPANcvLOAo rin[SPPNrcLERSPW'o MEIGMiLIMITATIQf! ADDITIONALPLANCHECK <br /> ti Nu � onieiv ' <br /> � <br /> PEASOr�FORSCRMfiLEFS <br /> STATE�UILDING SURCMAflGE __�� � S`� <br /> INT4NE�V PlANS APPROVEDDY CITY OF EVERETT PUBLIC WORK$ T <br /> I� LOCRLSALES — <br /> �l 3/3/q2 TAX CODE 15 3105 Torni y,�' ; 5 Z� <br />