Laserfiche WebLink
. � _ <br /> { � .>.� <br /> ' APPLICATIOr� FOR i;ONSTRUCT�N PERMiT everett <br /> �E��� TO BE COIiAPLETED IN INK—PLEASE PRINT � � <br /> y crrr oF � <br /> . es'�� . everett HEATWG SYSTEM: GAS ❑ELECTRIC ❑ . <br /> t+d g�ILDI�:G DEPARTMENT <br /> �,�,.,, <br /> d � + 259-8810 <br /> ��� ❑ DEMOLIT:ON jX�' COMBINATION Jr� BUILDING U MECHANiCAL �PLUMBING i' SIGh � <br /> � °�rrhr�.��.7r�e�,��s� �/v,ZD /I`}�mry�. . ��� L )s3� -D -- <br /> R�� .+ �� uu�roo�'.s cm nr war+e <br /> � ��OESIGN�C, 1 At�M1/iQD[�E55 � CT' 21P PHON���—I/� <br /> ��p� £ 'r'�,�J»� irf'G�7b /.�I <br /> M�R/�DDRE55 GITY 2iP PNONE ��CENSE�•G q <br /> ►g Cy � a�ysnKcwrw�cron /,�"�,,,, �i�U/�//V/�'1�1/ ._ <br /> �o� lRilrr►arK Tl2�us. ��?�%CYc!"Xx � <br /> �� MECNNiIG1 TP�LTOR M�0./�DDPE55 CITV ZiP PNONE VCENSE• <br /> Q• <br /> �y� CRy 21P ^MONE VCENSE� <br /> � ptUM9lq fANTMGTOR MAk AD:ME55 <br /> �y OF W010( <br /> ky p �� I�NE1N ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION O WOODSTOVE/FRPL INSERT G BUILDING RELOCATION <br /> C CONT�CT GERSON AND PIIONE N0. <br /> �� � CONTMCTPRICEOiMbRI( '/p �y � <br /> G� �,TC�UL 'f,W' uc wvaveo '""� .3-�r'.3_•7"D� / <br /> �c� � 1 f.(�Cf� •�.C� <br /> p�Ep���g� 1 HEREBV CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> S) /c /1w,� �E�/�/�L^'� APPLICATION AND KNOW TME SAME TO BE TRUE AND CGRRECT.ALL I <br /> « /'n' PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> ^�q�p� w IpYOFPROfEpTy� • .y��gEWWpp TT/�CH WRCOF�E51,';/� yyORK WILL BE COMPLETED WITH WHETHER SPECIfIED HEREIN OR ' <br /> {.,,.1 g�p� OF a . NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE � <br /> '�'� AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OP LOCAL UW REGUTATING CONSTRU:TION OR THE <br /> — PERFORMANCE OF CONSTAUCTION.THAT I�1M AUTHORIZED BV THE <br /> . ` � I I� OWNER OF THIS PROPERTY TO PEFFORM THE WORK FOR WHICH <br /> � APPLICATION IS MADE AND I COMPLY WITH THE STATE j <br /> � CONTRACTORS LAW 1827 RCW AND 2962D0 WAG i <br /> SIGN�TUREOFCOHTR�GTONOR�UTHORiZEDAGENT D�TE <br /> � b. X I <br /> / � PIbJECT MDRESS � <br /> ( APPLICRNTSQiY6U51NE55LICEN5EN0 AN�BUSINESSN�NE I <br /> ' �� PLUMBINO MECHANICAL <br /> � � � FEE <br /> �� � pp, TYPE OF FiXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT <br /> r� — A/C—AMNDLGUNITS—H.P. ' <br /> C WATER CLOSET(TOILEn /..� <br /> � �� BATHT�B �� i FORCEDAIRSYSTEMS—B.T.U. M E.A. ' <br /> i, UNITHEATERS—B.T.U. M � <br /> LAVATORY MUSH BASIN)� , <br /> SHOWER — CLOTHESDRYERS <br /> i { KITCHEN SINN 6 DISP �; — VENTILATION FAN <br /> �i � � DISHWASHER � � = RANGE HOOD ; � <br /> �� LAUNDRV TRAY � WATER HEATER <br /> ' CLOTHES WASHER t' � WOOD STOVE ' � <br /> ' URINAL � METAL FIREPLACE 8 CHIMNEV �'J' 4 �� , <br /> �I ,_1�1, DRINKING FOUNTAIN ; FIREPLACE INSERT � . <br /> L � FLOOR DRAIN ��— HEAT PUMP ' <br /> ' BACKFLOW PREVENTERS � GAS PIPING . <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> 1� SINK(SERVICE--BAR,ETC.) � � � <br /> ��' � � <br /> i <br /> i <br /> � <br /> �'� SUB TOTAL S �� � i - SUB TOTAL � /�' G� <br /> PERMIT S -*' PERMIT 5 �� <br /> � TOTAL FEE E /p'_;' ' TOTAL FEE $ �- �'O ' <br /> FOR OFFICE USE ONLY: -��� <br /> REARSETB�CK SIDE6ETB�CN PIANGHECNNUMBER� FEF� RECFIPTNO. <br /> FRONTSETBAGN � / ,�n�� � 3 () �3�7n ,� <br /> . �U �7 i»71' <br /> usE zowe LOT ARE� // VACRNi 51TE�^ FEES VALUATION FEE <br /> e�� ��lb �"� BUILDING / <br /> iVVEOfCOMS.ALIOW�BIE TYPfOfLONSi.PCi11FL OCtq�Wcv n00�Dw[wx::rert5 � �� _ <br /> � . ,. ! PLUMBING <br /> SRE OF BLDG. NO.OF STORIES BASEMENT M[CHANICAL _J(J � <br /> , 1-5' � � <br /> OGCUPANCV IO�D � FIRE SPRNKLE�S RE09 HEIOHT LIMRATION AODITIONAL PLAN CMECK � <br /> I <br /> � �L,a � OTHER <br /> REA5q1 FOR SPPINKLERS /� <br /> STATE BUILDING SURCHAFGE � �)�/ <br /> IMAKEBY PLANS�PPR��EDBY CITYOFEVERETT PUBIICWORKS n / i � li <br /> J� LOCALSALES <br /> ���� qy TAX COOE IS 31D5 roui _ � �; 'i '� <br />