Laserfiche WebLink
._ _ _. _ _ - _ _ a <br /> � �. :. � <br /> � APPL�CATI�lN FOR CON�TRU�`TION <br /> � PERMIT <br /> rhe Everpieen <br /> CI7V OF evere�� <br /> euerett � <br /> BUi�DING DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK— PLEASE PRINT <br /> 39Z 9io� <br /> OWNEN MAILAO�flES$ CItV ZIP PHONE <br /> P�4ciFic ►-�-rs c CM'�c�S Cn�� /�fZO �/c� ����+-..r,.! r3�VD �Z��z <br /> fEN�NI • M�ILRD08E55 CitY ZIP PIIONE <br /> /rf.9"7va-� , �„/A 9Xo2-7 � <br /> 48CHITECTONOESIGNER MpILA00BE55 C�IY 2iP PIIONL <br /> GENEMLCOHiNFCi0f1 M/IL/DORF.55 CI1Y ZIP PIIONE �ICENSc• <br /> bw.���C 6.�/,��f� /G/,e<l <br /> MECH�NICALGONIR�QOf1 MnLLPDOli[SS CIIY ZIP PHOYE LICENSE� <br /> n�UMBINOCONiMCiOR MAILA�UilE59 GIIV 21P PIIONE LIC[NSE• <br /> GL�590F'WORK <br /> � NEW ❑ AODITION ❑ ALTEFiATION ❑ t7EPAIR ❑ DEIAOLI710N ❑ WOODSIOVE/fRPL INSERT ❑ BUII.DING RELOCFTION <br /> � tENANTIMPHOVEMENTORINiE�IO��QEMO�ELONIY CONIACiPEO50NPNDP110NEN0. <br /> CONiP�CTPRICEOFWOItK � /� QQQ� Q(� C��E-�• //,�LU['E. 31L. JIG} <br /> OE9CR10E WORKANJ SOU�RE i00tP0E INVOWED � <br /> NEw C'�.s����o,.. /�sc� SQ � '��p,C>> I(o� <br /> ' FNOP09EOUSEOFBUILOINO �j IHEf7EBYCERTIFY7HATIHAVEREADANDEXAMINEDTHISAPPLICATIONAND <br /> S/N(�C. .E �4�`I�L`7 /C �S KNOWTHESAMETOBETRUE�NDCORFECT.ALLPROVISIONSOFLAWSAND <br /> LEO�LOESCRIPTIONUFPROPERfY15MOWNBELOYlORRtIPCNf0Uf1COFIE9� �RDINANCESGOVERNINGTFIISTYPEOFWORKWILLBECOMPLETEDWITH <br /> / WHETHERSPECIFIEDHEREINOR NOT.THEGRANTINGOFAPEFMITDOESNOT <br /> / I-J �LVr'f PHESUMETOGIVEAUTHOIIINTOVIOLATEORCANCELTHEPROVISIONSOF <br /> � �oT BLOCK o�C7�EEN 40a qNYOTHEFSTATEOFiLOCALIAWREGULAfINGCONSTRUCTIONORTHEPER• <br /> FORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE OWNER OF <br /> THIS PROPERN TO PERFORM TF+�WOflK FOR W HICH APPIICATION IS MADE <br /> AND I COMPLY WITH THE STATE CONTRACTORS LAW 1827 RCW AND <br /> 296200 WAC. r �+ <br /> 516�UtUfiEOFCONTR4CTOfiO11�Ui110RIZEDA(3ENt DAi[ �Z/z0 O�� <br /> X -�a D��- <br /> PpOJECTADDR[55 pPPLIrqNi5LI1YBU51NES5UCEN5ENORNDBUSWE55NAME � <br /> �{.�1�.�- `~J� ,� V�' i��sc.�r c .�,�rt � C'��Z�r <br /> ' PLUMBING MECHANICAL � C'Cotil"i <br /> � NO. TYPEOFFIXTUREOHITEM FEE NO. TVPEOFEOUIPMENT FEE <br /> WATER CLOSET(TOILE"� A/C—NHNDLG UNITS—H.P. <br /> I BATHTUB FORCED AIR SYSIEMS—�.T.U. M EA <br /> � LAVATORY�WASHBASIN) —" � UNITHEATERS—B.T.U. M <br /> SHOWER � CLOTHES DRYERS � <br /> . KITCHEN SINKB DISP. _�_ VENTILATION FAN <br /> � � DISHWASHER _�_ _�_ RANGE HOOD _ <br /> LAUNDRY TRAY WATER HEATEfi <br /> CLOTHES WASHER �= WOOD STOVE <br /> URINAL _ � METALFIR[PLACEBGHIMNLY <br /> � DRINKINGFOUNTAIN FIREPLACEINSEqT <br /> �! FLOORDRAW HEATPUMP <br /> � BACKFLOW PREVENTERS GAS PIPING <br /> flOOFDRAINS—RAINLEADEFS EXIIAUSTFAN I�lc� /� ,t�A-,.Y�E <br /> , SINH�SERVICE—BAR,ETC.) Ffoon <br /> SUBTOTAL $ � — SUBTOTAL $ � <br /> ' PERMIT S �EFMIT S <br /> � TOTAL FEE S TOTAL FEE S <br /> FRONi5Ei8RCC (IEARSEIBRCN SIOESEIOACK ^ PUNCIIE NNUMOEIi� FEE �'j� pECEIP��� <br /> '�c.> ?� C ' <br /> , usezor+ LO�ARErI WCANISIIE FEES VALUATION FEE <br /> � �f rR ES O NO <br /> � rvPEOFCON9T. � OCGU�C G OUa - �OFOWELLiNOUN1IS BUILDING �Q�� G, '�GYI ��� � <br /> �LLOWA9lE/ACiU�I ALUMBING � � <br /> ' -tii �• 3 � <br /> $RE OF BL�O. NOAf SIONES OSMt. 000.LOAO �--- /� <br /> ' z / ❑r � MECIIANICAL (n� '"'Y 1 ' <br /> ao� r� �aJ <br /> Ti[�curuMimno�i OTHER T � <br /> FlRESPRINRlER5RE0Ul0ED OYES O�JlO __ � r /� <br /> � STATE BUILDING SURCHAf1GE �" ) <br /> CJS1 <br /> ' STAiE ENERGY SUfiChIAliGE I� <br /> � APPLIC�IION ACG 9V PLANS APPR BY J�j <br /> ` --�/� PUBUC WOFI<S ��� <br /> �1 \ � <br /> � � TOTAL �L, <br /> 38°� �� �V� <br /> I �► �l�r��� i-� '�( !�� __ <br />