Laserfiche WebLink
� •'� <br /> ,,•�•. <br /> APRLI(��� :�N FOR CONSTRI�TII'9N <br /> � � �ERMIT <br /> 1 Ihe Everpreen <br /> � CITYOF everett <br /> ' everett e I <br /> `� BUILDING DEPARTMENT <br /> `{ 259•8810 l'O BE COMPLETED IN INK— PLEASE PRINT � <br /> 1 <br /> pN'NE MRILAOUFE55 GITY ZIP PMGNE , <br /> �; �°�/a� �'- S�ri7�7 Pa.2ox �s"9a ,(/� 5%��.,s Gs3-�o�..5- ; <br /> � ENANT AILAODRE53 GITY ZIP PHONE <br /> � , ;r� <br /> : i <br /> y� MGMITEGTURDESIONER /MRILr1D�flE59 CITY ZIP PMONE�,,/ � ' <br /> 'I �7n7 8 S/Y7i�/, �G'i�i`' /�/Ff, I//nc /8u �7I <br /> � 0 EMLCONTflACTOR MAllA0DRE55 CITY ZIP PHON: UCENSE• <br /> A <br /> MECNRNICALCONTfUCTOR MRILAOOPE55 CITY ZIP PHpNE LILENSEt ' � <br /> I <br /> �� PLUMBINGCONTFRGTOR MRILpODRE55 CITY 21P PMONE LICENSE• � <br /> 3 I� CUS FWORN . <br /> 9 �W ❑ AODITIGN ❑ ALTERATION ❑ REPAIR G OENOLITION ❑ WOODSTOVE/FRPL INSERT ❑ BUILDING RELOCATION i <br /> � TLNANTIMPROYEMENTORINTEflIOR/R/EMODELONLY CONTRLiPER50NI•N�PHONFNI � �� <br /> GONTRACTPRILEOFWOHK 'J'y�OD �`_ <br /> �,� OE9GRIBEWOFKANDSOUAPEFOOTAGEI VOIVED <br /> � �P i. i ? �r � �aSrT � ��I <br /> j PROP09ED seoFumL �Na �Q IHEREBYCERTIFYTHATIHAVEFEADANDEXAMINEDTHISAPPLICATIONAND <br /> ;j S/i7 q/� F¢i.�i�j� //.f $ KNOWTHESAMETOBETRUEPVOCOHR°CT.ALLPROVISIONSOFLAWSAND <br /> ,J LEOAI�ESCRIPTION UF PROPERTY�SHOWN 9E OW 011qTfpCH iOUR WPRS� ORDINANCES GOVERNING THIS TSPE OF WORK WILI.BE COMPLETED WITH <br /> a �l WHETHERSPECIFIEOHEREINORNOT.THEGRANTINGOFAPERMITDOESNOT <br /> < �qps��� / CJ.�./C� PRESi'METOGIVEAUTHCRITYTGVIOLATEORCANCEITHEPROVISIONSUF . <br /> '�I Loi�_ e�OGn oF — ANYJ'iHERSTATEOFlLOCALLFK'REGULATINCaCONSTRUCTIONORTHEPER• <br /> 'j�' FORMANCE OF CUNSTRUCTIOIJ.THAT I AM AUTHORIZED BY THE OWNER OF <br /> ,y � THISPROPEfiNTOPERFORMTHEWORKFORWHICHAPPLICATIONISMADE �. <br /> � � . AND I COMPLY WITH THE STATE CONTRACTORS lAW 18.27 RCW AND <br /> 23f+.200 WAC. <br /> — � Su�iN/,1UPEOPfCNiq>CiORORAUTHOFI2EDNGENT DATE <br /> 1' ��////y/� / /�� <br /> �-1 PRQIECTADDRESS -- �" '��� ' ""-��� /D � � <br /> � '��� ���� ^ � � AP ILANT GITYBUSMESSLICENSENO.ANDBUSINESSNAME <br /> � J A <br /> ,� PLUMBING MECHANICAL <br /> :� NO. TYPE OF Fi%TUflE Ol ITEM FEE NO. TYPE OF EOUIPMENT FEE � <br /> � WATERCLOSET(TOILE"q — !VC—A/HNDLGUNITS—H.P. <br /> �'1 . BATHTUB � FORCED AIR SYSTEMS—B.T.U. M EA <br /> i ...c.: _ <br /> ��y .4VRTORY�6VASHBASIN) - � � UNITHEATERS—B.T,U. M <br /> �� 3HOWER CLOTHESORYERS <br /> � � KITCHEN SINK 8 DISP. — VENTILATION FAN <br /> a <br /> ,;J _ DISHWASHER — RANGE HOOD �'� <br /> .j LAUNDHYTflAY — — WATERHEATER iI <br /> j CLOTHES WASHER 'ilpUJSTOVE <br /> � URINAL METAL FIREPLACEB CHIMNEV <br /> ��� DRINKING FOUNTAIN FIRBPLACE INSERT I <br /> j� FLOOR DflAIN HEAT PUMP <br /> -1 BACKFLOW PREVENTERS GAS PIPIN.i <br /> �i ROOF DRAINS—RAINLEADERS E%HAUST FAN <br /> �;,�i SINK(SERVICE—BAR,EfQ) <br /> `i <br /> ;� <br /> � <br /> A <br /> � I <br /> o� <br /> � .. <br /> � SUBTOTAL 3 � — _ SUBTOTAL S <br /> '� PERMIT 5 = _ PERMIT S <br /> TOTAL FEE $ TOTAL FEE S <br /> �y FRONTSETBr1CK REARSETBACK SIOESETORGN PIANCHECK UM�EP FEE RECEIPfNO. <br /> ',s ��n � <br /> .,� USEZONE LOTAPEA vaCnNr5i7E FEES VALUATION FEE <br /> 'y 1�1'ES ❑ NO <br /> '� TYPEOFGON9T. OCGUPANCYOROUP NOOFDWELLINGUNIiS BUILDING �y r�j �b <br /> ��� AIIOwAeLE/AC7UnhTf'�1� e�J� � C PLUAIBING �5 � <br /> Y� 1'f r� <br /> EIZEOF6��0. �n NO.OFSiOR�ES BSMT. OCGLORU iyy r/1 <br /> ,7 I�f / `T 'y I Y �A MECHANICAL _ M '� � <br /> i GGi � � N [�V «Ll <br /> �'� .��GA-ai MEIGMiLIMI�TAfTION OTHER <br /> � FIRE 9PPINNIERS REOUIFEO ❑YES NO Z Q � <br /> STATE BUILDING SURCHAFGE <br /> � STATE ENERGV SURCHARGE l 5� <br /> APPLIGATIONPCGBY PLANS PR.OY PUBLICNlORKS ~ <br /> � '.n �' <br /> �'u\ I Tora� ; �.1� <br /> 1 . <br /> .j <br /> .ca-;a�, .. ��'- , . . . .., _�_... .. . _:�� . __ __ ' .. .,._ ,. .. . , .� � , . .., . ___ _. ._. <br /> .�at'n.im. , ��. <br /> � �•:.. . _ . _ ti . <br />