Laserfiche WebLink
APPLICAT�1.►N FOR CONSTRUCTION PERMiT <br /> everett <br /> �he 6rvC�ecn � <br /> cirv or <br /> everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259-8810 <br /> f 1 DEMOLITION f=� COMBINATION i I BUILDING I ' MECHANICAL I i PLUMBING f7 SIGN <br /> OWNER IAAILPD�R[55 C11V PP PNONE <br /> �GNf�j' . /vl�a,o� �/sb N /�7r^` �37o SGbTfLf tJ� 36�-7500 <br /> iENPNT MAIRDOPE55 C11Y 211' PHONE <br /> ABLHIIEGTOROES�GNER MRILAD�RE55 LITY ZIP P��4� <br /> ��� C11Y Z�p �NONF LILENSE/ <br /> n GENER�LLONiRACiOR M4tlADDRE55 <br /> �'roH M[C1IANICALGP'�1RACiOR MIILP�DRE55 GIiY Z�P PHONE UGENSE� <br /> 9 H[!� <br /> ya3.' PLUNOINfGONIRAGiOfl UniL��DRE55 Ci1V PI' i'H�!:E LiCENSE� <br /> L 02 .Sws 7N ST 'K /3 �i�vw�T W< z.SZ•25 2 Z Y�Sui.aVf /.�`7 AG <br /> K �7 �f ,a f�sTS�Y£ � <br /> �7�1 cussoFwonK <br /> � 1-w-�� I 1 NEW ❑ �DDIiION I 1 AU"ERATIOIJ I_7 REPAIR IJ DEMOLITION I 1 WOODSTOVEIFRPL INSERT I 1 BUILDING RELOCATION <br /> (A H CONiACi�[n50N nH�P��ONE rlO. <br /> y r 1ENANTIAICROVEMENiOR�NiE�IORREAIOUELONLY <br /> .��' O�' CONIRAGLCNGEOFWORK: <br /> IjrJ �ESCRiOEN'ORNAN�SOU��Ef001P:cII1YOLV[0 � <br /> O �-+ _. <br /> �1 C]C7 �LGvyB,.�G jax �u�.0 t✓�-7SR Mt>T�S <br /> H LT70 rr�oroseouseovouaon+e I HEREBV CERTIFY THAT I :+AVE READ AND E%AMINED THIS <br /> �• �? ��^ APPLICA?ION AND KNOW THE SAtdE TO OE TRUE AND COflPECT.ALL <br /> �/�� " PR^VISIONS OF LAVJS AND OROINANCES GO�'ERNING THIS TYPE OF <br /> � y z iecni�cscnirrauovrnovenrv�s�owHoe�owonnnnc��rounco�ies� YJORK WILL BE COIdPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �..�y �or o�ocrc or NOi THE GRANTING OF � PERM19T DOES NOT PRESUME TO GIVE <br /> � AUTHORITV TO VIOIATE OR CANCEL THE PflOVI510NS OF ANY <br /> y H OiHLF7 STAT[OR IOCAL LAW REGULATING CONS7RUCTION OH THE <br /> O C7� PER�ORMANCE OP CONSTFiUCTION.THAT I AM AUTHORIZED B�THE <br /> 3, r <br /> OWNER OP THIS PROPERTY TO PERFORId THE WOF7K FOR �hHICH <br /> [z� [il APPLICATION IS 1dADE AND I CO6�PLY WITH THE STATE <br /> y Q� CON7RACTORS LAW 18.27 RGW AND 296.200 WAC. <br /> s�crie�w�eoi ca��n�cionon�un�onir[onc[r�r onic <br /> rRo�LcinDunF55 ,� � . ����� <br /> f.l"LICANIu CIIY 011�lllf.$i l ICCIIiI.tl'J NIU I1lISINE$S tlAl�[ <br /> � 7] 1 i �. L�ir. fi�._L-C .Cil✓ . <br /> P W MOING IdECHANIC�L <br /> ..� ,� NO. TYPE OF FIXTURE OR ItEM FEE NO. TYPE OF EOUIPMENT FEE <br /> I � WATBR CLOSET(TOILET� _ ti�C-kHNDLG UNITS-H.P. <br /> +.� _ - <br /> BATHTUB FORCLU AIR SYSTEMS-B.LU. M -CA. <br /> LAVl.TORY(WASH DASIN� _ UNIT H[ATEfiS-I3.T.U. M __ <br /> '�"� SHOWER j _ CLOTHESORVEiiS —� <br /> "" ! KITCHEN SINK 8 DISP , VENTILATION FAN <br /> _—T-—. . —� <br /> DISITYlASHER RANGE HOOD _ <br /> .� � LAUN�RVTRAY __�___ �YNEHHENGR 1 <br /> � � _ CIOTH[S NUISHER _ �'✓�U STOVE __;__ <br /> URINAL IdEIAL PIREPCACE 8 GHIMNEY �_ <br /> DRINKIP'G FOUNiA1N i _ f-IRLPLACE INSf 9T _� <br /> '"' � _ FLOOR D(iAIN —; _ HEAT PUh1P _ <br /> '� ! O�CKFLOW PREVFNTERS __T__ GAS PIPIN3 �_ <br /> ROOF DRAINS-RA�NLEADERS [%HAUST FAN <br /> SINK(SERVIGE-�AFi.ETC.) � _ .—- ,— <br /> i ;�'1 Q - . 1� S '- -- � <br /> --1--� ��-� rt� <br /> �-- - <br /> - - - � <br /> _. - - ; <br /> ��w SUBTOTAL $ �- SU�TOTAL $ __ ' <br /> -- r-'-;— — PERMIT 8 � <br /> PERMIT $ /O y� — — <br /> TOTALFEE $ — TOTALFEE 5 <br /> � rinNartcnuuMocn rcr nccemir+o. <br /> • rnor+rsetoncn n[nns[tonek sm[s[toneK <br /> us[zor+e �ornnen vncnr�rsnE FEES VALUATION FEE �_ <br /> I 1 YES I I NO �UIIOINC ' <br /> occur.rc. xoaexiu�ncvus -- — � <br /> 1VP�OfLON51.�tlOWAOIE IYPEOfCONSL�LN�I. �pwv <br /> PLUM�ING /.Sl i�a <br /> siz�oco�oc. no.orstonies nnse�a[r+i MECHANiCAI _ <br /> I.I VES I I NO <br /> OCCUPdNCYIDAD fIRE51'IiNKlERSR[OD MEKN�UMIiP110N OTHLR �_ <br /> 1 <br /> O YES I-1 NO S7NEOUILDINGSURGNARGE i <br /> —__�— <br /> f1En50N i011 SPPINNLEf15 <br /> STA7G GNEIIGV SURCIIAHGE <br /> i <br /> prrucnnor+ncc.ov rin�+snrrnweoor CITYOFEVERETT runuCwo�ks '' <br /> a <br /> LOCALSALES <br /> TAX COUE IS 3105 rorn� /� �ov <br />