Laserfiche WebLink
a <br />�� �� <br />APPLI�..�TIOPI FOR CON�TRVC�"'ION <br />PERMIT <br />fM1e Everpreen <br />CITY OF <br />everett everett <br />BU�LDING DEPARTMENT � <br />259•8810 TO BE COMPLETED IN INK— PLEASE PRINT <br />OWNER MAII��DNE55 �ITY ZIP P�IONE <br />FYances L. Strand 2727 Vir inia Everett 98201 252-7637 <br />TENAHT MqILRO�RESS CITY ZiP PNONE <br />AHCNITECTOFDESIGNER MAIUDDNE55 CITY ZIP PHONE <br />pENERALGONTRACTON M�RADDPE55 CIiV ZIP PIICYE .ICENSE• <br />�erett B1drs. Inc. 5606 �erRreen Way �erett 98203 353-7161 EUIItES',301PH <br />MECNANICAL CONTR�CTON MML AOORE55 ptY tlP PMOHE �ICENSE � <br />PLUMBINO CONTPACTON MAIL AOORE55 CItY 21P PMONE LICENSE � <br />❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL INSEflT �� bUILDIi10 RELOC4TION <br />IENANTIMPROVEMENTOFINTCPIORPEMODELOhIY LONTAGiPER50NAHpPHONCNO <br />:ONTPAGTPPICEDFWORI[ 4,846.50 Dan Mann 353-7161 <br />, on entire house (18 sq. <br />�or eiocK or <br />f#�/3n�- 633- <br />2727 Virginia <br />PLUMBINO <br />NO. TYPE OF FIX <br />WATEf/ CLOSET (TOILE <br />BATHTUB <br />LAVATORI' (WASH BASI <br />SHOWER <br />KITCHEN SINK6 DISP. <br />DISHWASHER <br />IAUNDRYTRAY <br />CLOTHES W4SHER <br />URINAL <br />ORINKINO FOUNTAIN <br />FLOOR DRAIN <br />SINK <br />TYPE OF C-0NST. <br />♦LLOWABLEIACTUAL <br />- 0/4�% <br />�erett 98201 <br />— RAINLEAOERS <br />— 9AR.FTC1 <br />FIRE9PPINNLERSREOIlIREO ❑YES <br />TOTAL <br />FEE S <br />❑ res u r�o <br />i ntnttlr ctH I IrY THAT I HnVE READ AND EXAMINED THIS APPUCATIUN AND <br />KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAW3 AND <br />ORDINANCES GOVERNING THIS TVPE Of WORK WILL BE COMPLETED WITH <br />WHETNEF SPECIFIED HEREIN OR NOT. THE GRANTING OFA PERMIT DOES NOT <br />PRESUM� TO GIVE AUTHORITV TO VIOLATE OR CANCEI THE PROVISIONS OF <br />ANV OTHER SiATF OR IOCAL LAW REGULATINO CONSTtiUCTION OR T1E PER� <br />FORMANCE OF CONSTRUCTION. THAT t AM AUTHORIZED BV THE OWNER OF <br />THIS PROPERN TO PERFORM THE WORH FOR W HICH APPLICATION IS MADE <br />AN� I COMPLY WITH 7HE STATE CONTRACTORS LAW 182� RCW AND <br />296.200 WAC. <br />SiGNRUFEOFCONTR�GTOHOR�UTNORREOAGENT OATE <br />x � _ ' � _ �-.� r� �i ,_ <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C—lVHNDLG UNI75— H.P. <br />FORCEO AIR SYSTEMS— B.T.U. M EA <br />UNITHEATERS—B.T.U. M <br />RANGEHOOD <br />WATEF HEATER <br />WOOD STOVE <br />METAL FIREP�ACE 8 CHIMNEY <br />PIREPLACEINSERT <br />GAS PIPING <br />E%HAUSTFAN <br />' NOO'rOWELLINQUNRS BUILDING <br />PLUMBII7G <br />esMr. occ �oeo <br />❑ r MECHANICAL <br />n ru <br />HEIGNTUMIfATION OTHEFi <br />STATE BUILOING SURCHARGE <br />� STATEENERGVSURCHARGE <br />� Pl1BLIC WORKS <br />TOTAL <br />SUB TOTAL <br />PERMIT <br />TO7AL FEE <br />0 <br />— _ i <br />� <br />S <br />E � <br />E <br />ECE�Pf HO. � <br />FEE � <br />_ � <br />i <br />A <br />