Laserfiche WebLink
� <br /> APPLICATION FOR CONSTRUCTI.�N PERMIT everett <br /> �E�ro� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> atv oF <br /> everet� HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-B810 <br /> �EIIAOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL G PLUMBING ❑ SIGN <br /> OMMER MAILMDRE55 CITV ZIP PHONE <br /> � �} J e�Hso�, / 9va � �'�'I+��S� 1=,� �id �o� 33�- ybr3o <br /> 7E�µ7 MAILADDFIES'.' CITY ZIP PHONE <br /> �R/CH+ITEGTORDESIGNEF MRILADOFE55 CITY ZIP PHONE <br />' GENE{W.� , OR MAILAUDflESS ' CIT' ZIP PHONE LICENSEI <br />' Gpl=F,vw (�oNsf /7/5 io�y;'/ SS r`� q2�o.F 33.f-a�ly G�4txN�r �o�/,r3 <br /> MECIUNIC�LCON TOR MAILADORESS GITV 21P PHONE IICENSEI <br /> PLUMBINGCONTRACTOR MAILAUDRESS CITY ZIP PHONE LICENSEI <br /> ClAS50F WOHK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR vOEM0UT10N ❑ WOODSTvVE/FRPL INSERT ❑ BUILDING AELOCATION <br /> CONT�CT PERSON AND PHONE NO. <br /> CONTRALT PRICE OF WONK <br /> OE IBE WORK�ND SOUARE FOOTAGE INVOLVED <br /> �2 : , �r- - � � � <br /> PflOPQSEOUSEOFBUILDING I H REBY CERTIFY THA I AVE READ AND EXAMINED THIS <br /> 9PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGAL DEuCRIPTION OF PflOPERTY ISHOWN BELOW OR ATT�CH FOUR CJPIES) �ROVISIONS OF LAWS AND ORDINANCES GOVERNINC,THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or e�ocK oF NOT. THE GRANTING OF A PERMIT DOES NOT �RESUME TO GIVE <br /> /, AUTHORITY TO VIOLATE OR CANCEL THE PitOVISIONS OF ANY <br /> �s f �j ;J �r J�1' (/,f„1 T,/'u��3. OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 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 /> ' SIGNANRE OF CONTRACTOR OR AUTHORIZED�GENT DATE <br /> , - ; <br /> /0 3l z x <br /> PflQ1ECTADURESS y�l � � <br /> . ' /h ✓e � PL ANTSCITY IESSIICEN BUSINE NAME <br /> � <br /> � , PLUMBINO WECHANICAL <br /> � Np. TYPE OF flXTURE OR ITEM PEE NO. TfPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILE'f) � A/�AIHNDLG UNIT�H.P. � <br /> BATHTUB ; FORCEDAIRSYSTEMS--B.T.U. M E.A. ; <br /> LAVATORY(WASH BASIN�� � UNIT HEATEqS—B.T.U. M � <br /> SHOWER ' CLOTHES DRYERS ' <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN � <br /> DISHWASHER � RAN�E HOOD � <br /> LAIINDRYTRAY ; WATERHEATER ' <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--RAINLEADERS � EXHAUST FAN � <br /> SINK(SERVICF—BAR,ETCJ I � <br /> , � <br /> � � <br /> � � <br /> i � <br /> � � <br /> SUB TOTAL S ; SUB TOTAL $ ' <br /> PERMIT $ PERMIT $ � <br /> TOTAL FEE $ ' TOTAL FEE 8 ' <br /> FOR OFFICE USE ONLY: <br /> FflONT SETB�CK REAR SE7BACK SIUE SETBRCK PUN CHECK NUMBER FEE HECEIPT NO. <br /> USEZONE LOTAREA V�C�NTSITE FEES VALUATION FEE <br /> BUILDING � � <br /> TYPEOFCONTS.ALLOWABLE 1YPFOiCONSC/�CTUAL acuv�N[r neorowFuixGUNi�s � <br /> tnwv PLUMBING i <br /> . SIZE OF BLDG. NO.OF STORIES BASEMENT MECHANICAL � <br /> i <br /> OCCUPANCVLOAD FIRESPRNKLERSREO'0 HEIGXTLIMITATION A�DITIONALPIANCHECK � <br /> i <br /> OTHER ' <br /> REASON FOR SFRINKLERS <br /> STATE BUILDING SURCHARGE i � <br /> INTAKE BY PUNS APPFOVE� r CITY OF EVEflE1T PUBLIC WORKS i <br /> � �G ��"' LOCAL SALES 5� <br /> � .� P f,;, TAX CODE IS 3105 TOTAL <br /> ��� <br />