Laserfiche WebLink
j <br /> APPLICAT �ON FOR CONSTRUCTION PERMIT � <br /> ��E�*ro��� everett <br /> cirv or � <br /> everett <br /> t3UILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN iNK—PLEASE PRINT , <br /> i � DEMOLITION COhIBINATION BUILDING iJ MECHANICAL [.i PLUMBING C- SIGN <br /> �A • M�It�DDRC55 CItY ZIP PHONE <br /> f��S�s�h�L1- —9�.Lw.asf�n����-�r�� a5-a - 158�-- <br /> TEN�N7 MALL AJDRE55 L�7V ZIP 7NdiE <br /> •RCNREGTlN10E51GNEF M�ILADPRE55 p!TY )IP PHfNJE <br /> GFNERALCJNTR�GTOq M�II ADDRE55 CIiY 21P pNpN[ !IGENSE� <br /> 'JECHAN�C/�L CONT�N�DPES�'I� )/I L G IO(1Q C.!/• 1�Il r ''�N[ ' UCENSE e <br /> �1•a.l � r r �t�3��s3� �uc�,r.�. 1�I� <br /> ' PllMBMGCONTR�CTOf1 4aILADDilE55 CIT� 21P PNpNE IICEN5E1 <br /> GLA55Oi VM1�11N --- <br /> ❑ NEYJ �ADDITION i 7 HLTERATION [� REPAIfl i] DEMOLITION [.l WppDSTOVPJFF,PL INSLFT L7 BUILDING RELOCATION i <br /> TENNIT Mi'ROVEN�NT OR MTERqq REM7DEL ONLY CONTAC7 PERSON�NO PNONE NO. ! <br /> CONTXACT PRCE Oi WORK: g�3•�� � <br /> DESCHbEVIJnKAND50WNEF at�6EINY0lVED � <br /> ��� � I�I <br /> vnoroseouseoF nowc 1 HEREBY CER7IFY THAT 1 HAVE READ AND EXAMINED THIS i <br /> APPLICA710N AND KNOW THE SAME TO BE TRUE AND CORHECT.ALL � <br /> iEwt SCRIPT ov Pao TY�uHOWNBEIOW ONQT�CNfOURG01'IE51 PROVIS�ONS OF LAWS ANU ORDINANCES GOVERNINCa THIS�VPE OF <br /> iot eiocK p� 1tiORK WILL DE COMFiETED WITH WHETHER SPECIF�ED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE ! <br /> AUTHORITY TO ViOLA7F Ofi CANCEL THE PROVISIONS OF ANY � <br /> OTHER STATE OH LOCAL LAW REGU�TING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PqOPER7Y TO PERFORM THE WORi. FOR WHICH ! <br /> APPLICATION IS MADE AND I COAIPLY WITH THE STATE �. <br /> CONTRACTORS lAW 1827 RCW AND 29t:.200 WAC. <br /> SIGN�TUPEOfCONTR�CTOROH�UiNORIZED�GEIIT OATE ( <br /> � <br /> gbl �,�eS��r�rusfe c X�/��Q � 9-l3- 90 <br /> d. <br /> PROJ[CT 11Dp1E55 _���� � <br /> �1PPL1L�HiSCITY BUEMESS SE N0.�ND BUSINESS NR4E <br /> ��8�� � MECNANICAI p <br /> NO. riPE OF FI%TURE OR ITEM FEE NO. TYPE OK EOUiPMENT pEE '� <br /> WATER CLOSET(TOILET) P1C—lVHNDLG UNITS—H.P. � <br /> BATHTUB � FORCED AIR SYSTEMS—B,T.U. M E.A � <br /> UVATOFiY(WASH BASINj_ i�"�I7 HEAiERS—E�.T.U. M ; <br /> SHOWER CLJTHESDRYERS � <br /> KITCHEN SINK 6 D�SP � YENTILAT�ON fAN <br /> DISHWASHER RANGE HOOD � <br /> IAUNDRV TRAY WATER HEATER � <br /> CLOTHES WASHER T WpOD STOVE ; <br /> URINAL � METAL FIREPLACE R CNIMNEV i <br /> DR":�iNG FOUNTAIN FIREPLACE INSERT � <br /> F_OOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTEf iS GAS PIPING <br /> _ ROOF DRAINS—RAINL'eADERS EXHAUST FAN —T <br /> SINK(SERVICE—BAR,ETC.) , <br /> ' � <br /> � <br /> SUB TOTAL E ; SUB TOTAL 5 p � � <br /> PERMIT $ pERM1T a f, <br /> TOT�LFEE 5 TOTALFEE $ � <br /> FRpNTSETH�CK RE�RSEiBACN pIDESEiBACN P�INGHECKNUMBER FEE RECEIPiNO. <br /> use ior�e �oT�ae� VACAIIT SITE FEES VALUATION FEE <br /> i] YES �.—J NO BUILDING <br /> MEOfCONSi�IlOWABLE 1:FEOFCOHST�GIWL o[cuop[v rmorMrtwxcuxrt5 <br /> 49qIV I <br /> rwn+aiNc � <br /> SREOFBIDG NO.oFSTORIES BAS[MENT MECF'ANICAL � � <br /> C: YES C NO <br /> OCGUPNlCYlOA� FIqESPRNKlER5NE0'D NEIGHTLIMIT�TION OTHEfl � <br /> L YES f_ NO STATE BUILDING SUPCHARGE <br /> HE�SON FON SPRINNtEPS . �_ <br /> STATEENERGYSURCHARGE i <br /> APPLiCRTIONRCC BV PUNSAPPFlOVE09V CITY OF EVEhETT PUBLIC WORKS �— <br /> LOCALSAIES <br /> _ TAX COOEIS 3105 Torn� f � <br />