Laserfiche WebLink
s. <br /> /lPPLICAT14�1 FOR CONSTRUC7 .ON PERMIY <br /> rn�e,re,�,�� everett <br /> cin oF � <br /> everett <br /> BUILDING DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> DEMOLITION f=' COMBINATION �UIL-0ING MECHANICAL ; PLUMBING u SIGN <br /> OWNER M�ILaDDRESS LITV ZIP PHONE <br /> '=�;a1�1=( _�i�C�a��� �oZ�_ �L��cke� 9v�i�ifl �3 � i �Sl-�y$� <br /> TENRNT MFIL RDDRE55 CITY ZIP PHONE <br /> •- >) �c�n �c'ccV-��r ��"�i�4-x�-� �30�o frrrKer��c,u� �ao i s'✓<^no�l ��30 ( <br /> ARCHITECTOR SIGNER MAAADDRE55 CITY 21P PHONE � <br /> I-�z, ��� o� Thrt�y�,1 �.e.i, I��a� ��. ('I . tc�- C�.�� r3�-�l � � l � y' o iz �i��o <br /> GENERA� TR�CTOR � IA�ILADDRE55 �` CITV 26 PHONE LIC NSE• <br /> ��0�_Cc�U F���• i � I'l� -�tn� e U s �?&t1� � sl- 1 i ,lr 'i <br /> MECHANICALCONTR�CTON M1IAILFDOHE55 GTV ZIP PNONE LICENSE� <br /> PWMBiNGCdJiR�GTOR MRILAODRE55 CITY ZIP PHONE �IrENSE� <br /> CI 455 OF WORI( <br /> ��' NEW G ADDITION }�LTERATION �=! REPAIR �.J DEMOLITION : WOODSTOVEIFRPL INSERT [1 BUILDING RELOCATION <br /> TENAN•IMPROVEMENTORINTERIORI EMODEIONLY 7 � CONiACTPER50Nr1NDPNONENO. <br /> CONfR�CT PRICE OF WORK: (-� � L' � , 'U�/ <br /> DESCRIBE WORKAN�SWAqE FOOTR E INVOlVEO <br /> 4'_I�CUI�- �l1'�Y��lF�fli�l� ��C(y�� _ <br /> PflOPOEEDUSEOfBUILDING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> �--Q� �``�'a' C:�I �-U�C� �1 tj�l (:I� p APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> LE.iALDESCRIPTIONOFPROPERTY�SNONTlBELOWORATTACHFOURCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or_ o�ocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCT�ON.THAT I AM AUTHORIZED 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 18.27 RCW AND 296200 WAC. <br /> SIGNRTUHE CONTRRCTOPORAUTNORIZEDAGENT OATE <br /> PROJECTADORESS �� � �. � �� - .� //(�'/i��� <br /> SiAPPLIC TS CITV BUSINE55 LICENSE N0.AND B ISME55 NAME <br /> / <br /> PLUMBING ME ANICAL <br /> NO. TVPE OF FUCTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—P✓HNDLG UNITS—H.P. <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M ; <br /> SHOWER CLOTHES DRVERS � <br /> KITCHEN SINK&DISP VENTILATION FAN � <br /> DISHWASHER � RANGE HOOD —r <br /> LAUNDRVTRAY WATER HEATER � <br /> CLOTHES WASHER � WOOD STOVE ; <br /> URINAL � METAL FIREPLACE 8 CHIMNEY � <br /> DRINKING FOUNTAIN ; FIREPLACE INSERT ; <br /> FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS ; GAS PIPING � <br /> ROOF DRAINS—RAINLEP7ERS � EXHAUST FAN —T— <br /> SINK(SERVICE—BAR,ETC.) � � <br /> � <br /> � , <br /> � <br /> � <br /> � , <br /> SUB TOTAL $ ; SUB TOTAL $ <br /> PERMIT $ � PERMIT $ � <br /> TOTALFEE $ � TOTALFEE $ <br /> FRONTSETBACK REARSETBACK SIDESETBAL.( PIANCNECK UMBER FEE ,/f RECE `.'O. <br /> � I <br /> USEZONE LOTAFEA VACANTSITE FEES VALUATION FEE <br /> C`, ❑ VES �NO BUILDING L '�' I��'� <br /> tYPE0iC0l15CALlOWABIE TYI'EOfCONSi.ACNRL accuvu¢r MO�vrnvFllwtuN�.n <br /> caouv � <br /> � PLU4BING ' <br /> i <br /> SIZE OF BLCG. NOAF STORIES BASEMENT � <br /> s'�(�d T. ~r .l YES ❑ NO MECHANICAL i <br /> OCCUPANGYLOAD FIFESPRNKLERSREO'D MEIGMTlIM1TATION OTHER i <br /> I Z ��yCYES ,1 NO STATE BUILDING SURCHAFGE � <br /> REASON FOR SPRINKLERS <br /> STATEENERCVSURCHARGE ' <br /> RPPLIGATIONALC.BY PLANSAPPROVEDBV CITYOFEVERE7T PUBUCWORNS � <br /> ��p LOCAL SALES ' <br /> V'� � �� • TAX CODE IS 3105 TOTAL ,-rj''�;=j <br /> � <br />