Laserfiche WebLink
� �'> : <br /> i �--� .. <br /> APPLICATION FOR CONSTRU�TION <br /> PERMIT <br /> t�e EverOroen <br /> CITY OF everett <br /> everett e <br /> BUIL�ING DEPARTMENT <br /> 259�8810 TO BE COMPLETED IN INK— PLEASE PRINT <br /> � ONNE�i M�R�OORESgJ �SE I� G1Y 2iP PIIONE <br /> AOd�/�H �j�CC- �sn3-sZ••�. _E BJ�L_TT 9� Q3 252-/b5S <br /> IEN�NT M�IIAppRE55 dtY Z�P P40NE <br /> MiGwY�W1DE8�GNER M�II�CDRE55 � Clrv IiP M�ON[ <br /> -�o,u�/.G'. /3iryiaNT �S29-G3�S��,C"G'-� Yi _�, 353-�735i <br /> OENERILCOH/iR]��G�T�Oft � M R�OD�E55 Crtv DP PIIONE 16EN5E• <br /> MECM�N�CALGONiFFG10�������A�Ofi[55 C�1V I�P PNONE LIGENSE• <br /> PLUMBINOCONiR�CiOF MML�DDRESS CiiV 2iP {'MON[ L�GENSE• <br /> CUSS OF WJPN <br /> � NEW ❑ ADOITION ❑ 4LTERAiION ❑ REPAIR ❑ DEMOLI110N ❑ WOODSTOVFJFfiPLINSERT ❑ OUILDINGRELOCATION <br /> TEN�NTIMiNWEMENTORIN1ER10/BREMOOELON�IY�/LY.., � / COH1PCiPF(iSONnNDF110NEND <br /> �TP�CtPRICEOFWORK lL�� / .y !J � _—� /'; '/��� <br /> DE RIBEWORRAN090U�REFOOI�OE OLVED � <br /> ��1 `Q� l�� {' l�'Cl) E- _ :�I�E'.'1 L{'L — — <br /> PROP09E�USE Of BUilDINO 1 HEREBY CERTIPV T Hh71 HAVE READ AND E%AMINED THIS APPLICATION AND <br /> �7 KNOW THE SAME TO BE TRUE AND COFRECT ALL PROVISIONS OF LAWS AND <br /> ���s'RIPiIONOFFROPEPTY�SHOWN BEIOW O��IUGII�OVRCOPiE51 ORDINANCES GOVERMINU TNIS TVPE OF WORK WILL BE COMPLETED WITH <br /> � �— `c WHETHERSPECIFlEDNEREINORNOT.THEGRANTIN60FAPERMITDOESNOT <br /> loT BtoGK � of .Xd��f ����TS qNVOTHER$AiEORLOCOAL,LAW EIGULATINGCO STRUCTIONOVRTIHEPERF <br /> FORMANCE OP CONSTRUCTION.THAT I AM AUTHORIZED BY THE OWNER OF <br /> THIS PROPE�7TV TO PERFOfiM THE WORK FOR WHICH APPLICATION IS MADE <br /> AND I COMPLV WITH THE SfATE CONTPACTORS LAW 1827 RCV� AND <br /> . 296200 WAC. <br /> SIGNAiU OfCOH1c�p10RnOAU1110RIIE0�GENI O�1E <br /> ` X' �d���d��-l�- �-$B <br /> ' VRQIECT�DORESS pPIGANIACI1Y005w[SSI�GENSErf6�NDBU51NE55N�ME � <br /> � 5����w !.!/e E �,rz� �^r � <br /> � PLUMB�NO MECNANICAL <br /> ' NO. IYPE OF FI%TURE OR ITEM FEE NO. 7YPE OF EOUIPMENT FEE <br /> WATERCLOSET(TOILEn I (7Q_ _ aC—WHN�LGUNITS—H.P. <br /> , BATHTUB FORCE�AIRSYSTEh15—B.T.U. MEA <br /> , 7 LAVATORV(WASH BASIN) _��C UNIT HEATERS—B.T.L'. M <br /> SHOWER �j�_ CLOTHES DRYERS <br /> � KITCHEN SINKB DISP. SJ VENTILA710N FAN S <br /> , DISHWASHER cj C(} RANGE HOOD <br /> � IAUNDRYIRAY _� WnTER HEFiER _ <br /> ' Cl.0iHE5fJASHER PdO0D5TOVE <br /> URINAL METAL FIREPLAC[8 CHIMNEV <br /> ' ORINKINO FOUNTAM FIREPLACE RISERT <br /> � FLOOR ORAIN HEAT PUMP _ __ <br /> �. 6ACKFLOW PREVENTERS GAS FIP_NG __ <br /> , ROOFDFAINS—RAINLEADEFS •.%HAUSTFAN � <br /> � SINK�SERVICE—BAR,ETC1 �_ -- — <br /> SUBWTAL 3 2 SUB70iAl 5 � <br /> ' PERMIT 5 PERMIT 5 <br /> IOTAL FEE 5 70TAL FEE 5 <br /> FRONTSETBACK M�d� HERNSlT9�CN SIOFS t�<GN VIANCNE NNUMBEP FEE �� NECEIPTNQ. <br /> �f-� 3° 25' 7S' `� � � �'�`_ `-l�-r' — <br /> usezon� LOI�PEA v�cnHrsne FEES VALUATION FEE <br /> �9 /6 GG s� �ES �"� -- / <br /> _ / BUILDING �j� ��_ _ �Ul � <br /> TYPEOFCON9T OCCUPANCYGFOUP NO.OfDWElUNOUHiIS ---� —' -- <br /> nuoweB��?��t /J_ 2 � PLUMBING _ � <br /> /� 7 <br /> srzEoreioo LG noorsronics osur. occiono —� <br /> 21�d 7! � � _ MECHANIGIL _.—______ _—__ _ _ __. <br /> (i N p�y <br /> - UEi0111UMI1�IION OTHEF7�.� y. 3� _ yZ2.•so 7c� yV <br /> �----- ------— <br /> vineSrniNrciensneomne0 0 �es N�_ STATEBUILUINGSURCHARGE �� �Q <br /> STATE ENERG�SURCHARGE � <br /> �PPLIC�TIONACGBY PLAN9APPN.BY � PUBLICWORKS `'v <br /> � �(� TOTAL , � <br /> .. . . '_�'" -. . . <br /> ' ""'a... ._,._ ._ . ., . . . � <br />