Laserfiche WebLink
\ % w� <br /> APPLIC/�TI�N FOR CONSTRUC1�bN PERMIT <br /> everett <br />� e <br /> rM E�aryrnpn <br /> arv or <br /> , everett <br /> I BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259-8810 i I 1 pLUMBING ❑ SIGN <br /> ❑ DEMOIITION I I COMBINATION f 1 BUILDING ' MECHANICAL _ <br /> O!N�TIER� MIIILAUU11E55 cnv/ Iir r��or�e �/ <br /> Gcl �QI/�E.S �� 1�oX 7�(%�[�-.���•If1I1G.bcu ����' 7�7 &'`! �� <br /> TEN/WT M�IIADDNE55 / GiY Z�� 1`IIONE <br /> f.qCNI1EGTORDES�OhEN MRILADD�ESS CITY 21P PMONE <br /> pENENK COM�R�CTO� MAR ADDNE53 CITY 21P• P110Mc UCENSE I <br /> (�Il �V�� <br /> MECNANIGILLCONiR�LiOfi A1A0.�DDRE55 GfY ZIP P110NE LICENSE� <br /> PlUMBMOWMiRAGiOn MAILAUDRESS GTY ZIP PHONE UCENSEa <br /> LU55OF WO�K <br /> ❑ NEW I-1 ADDITION 1 1 ALTERATION I.I REPAIR �DEMOLITION I I WOODSTOVE�FRPLINSERT I 1 BUILDINORELOCATION <br /> TEN�NT IMOROVEMENI U11�MERIOfI REMODEL ONIY CONiACT PERSON�tlU 1'110NE NO <br /> CONtR�CI I'RICE Of WO�h: - <br /> �DE�SCH�BE,M'ORK AMD SWj 9 n�00i'GE�NVCE� � � <br /> � 1 ��',,L-,I� �rt <br /> vnoroseouseoceu�ton+o I H[RFOY CERT�FV TNAT I HAVE FEAD AND EXAMINED THIS <br /> � � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT.ALL <br /> IEGALDE5�41PTIONOfPf10PERTY�SHOWr1BELOWO��TT�G��FWRGOPIES) PROVISIONSOFLAWSANDOFDINA4CESGOVERNINGTHISiYPEOF <br /> WORK WILL B[ COMPLETEO WITH WHETHER SPECIF�ED HEREIN OR <br /> ioT e�ocK � NOL THE GRANTING OF A PERMIT DOES NOT PFiESU��E TO GIVE <br /> � �����Q AUTHORITY TO VIOLATE OR CANCE! THE PFOVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICA?ION IS MADE AND I COMPLY WITH THE S7ATE <br /> CONTRACTORS LAW 1827 RCW ANG^96200 WAC. <br /> SIGNNUREOFCOHiR�C10ROR�UtNOR12EDA6ENT DAiE <br /> �_���1�f� <br /> PROJECT�DOPELS �PpLIG�NI S CITV DUS�HE55 LIC[NSE N0��Np BOSME55 N�ME <br /> �� �' R �� � <br /> PLUMBING MF.CHANICAL <br /> yp, TYPE OF FI%TURE OR ITEM FEE N0. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A�C—NHNDLG UNIiS—H.P. <br /> BATH7UB ' FORCEO�IR SVSTEMS—B.T.U. M E.A. ' _ <br /> LqVpTORV(\NASH BASIN) _i—_ UNIT HEATERS—B.T.U. M �� <br /> SHOWER � CLOTHESDRYERS � <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASHER RANG[fi00D <br /> LAUNDRVTRAV ' W�T[R HEATER <br /> CLOTHES WASHEH —� WOO�STOVE ' <br /> URINAL METAL FIREPL^.CE 8 CHIMNEY ' <br /> DRINKING FOUNTAIN FIREPLACE INSERT � <br /> FLOOR DRAIN � HEAT PUMP � <br /> 8/�CKFLOW PRCVENTERS i GAS PIPING �_ <br /> ROOF DR�INS—RAINLEADERS EXHAUST FAN ' <br /> i <br /> SINN(SeRVICE—BAR,ETG) � <br /> � <br /> � <br /> � <br /> � <br /> —r— <br /> i <br /> SUB TOTAI $ _ SUB TOTAL $ <br /> -- PERMIT $ PERMIT S _ <br /> TOTAL FEE $ TOTAL FEE $ —T <br /> FRONTSETBACK RERRSETBAGN SIOESF.TB�GN PLANCHEGNNUMOER fEE <br /> RECEIPT NO. <br /> USEZONE IOTAREA vncnNrsite FEES VALUATION FEE _ <br /> � <br /> I 1 YES I I NO pUiLDMG <br /> lYVFO�CoxSi.�LLOw�BIE rrPEofCONSr.GLiWI omur•Ntr xoaD'Mu�xouxns <br /> GR0j0 PLUMBINO <br /> _ � <br /> SIZFGFBLDO. NOAFSTORIE5 BASEMENT MECHANICAL <br /> I I YES f I NO ; <br /> OTHER ' <br /> OCCUPANCYIO�D FlqESPRNKLERSRE00 HEIGNTLIMIIATIDN ���'\ <br /> I I YES ( � NO STAIE BUILDING SUI7CHARGE � ��{ _' <br /> ---�'� <br /> REAaOH FOR 6PRINNLERS � <br /> STATE ENEfiGV SURCHAI7GE � <br /> � <br /> �PPUCATIONRGQb�I PL�NSRFPROV[DOV CITYOFEVERETT PUBLICWORKS i <br /> I LOCAL SALES �� ) <br /> TAX CODEIS 3105 TOTAL <br />