Laserfiche WebLink
i I�-+�o -z � A s�� �,...,, ' <br /> APPLICd'TION FOR CONSTRli��'ION , <br />� Y � PERMIT i <br /> � � fhe Everprean � <br />� CITYOF everett �I <br />�` � � everett e <br />� BUILDING DEPARTMFNT <br /> I 259•8810 TO BE COMPLETED IN INK- PLEASE PRINT i <br /> � <br /> I � py�pEq 1 n1AILApORE55 Ci1V ZIP PI1�rvE , <br /> I�A�iRc- �-1v-rS�%z-�S /�1zo Nw _G.c�tim�_/3�vyibczz�z <br /> . IENANT MMLAOOBE55 CIIY 2iP PIIONE <br /> �SS� uA'�`� LrJ.� �OZ'-7 <br /> �RGHITECTORDESIGNER ��/ILAOORE55 Cllv � 21P PIIONE <br /> pENEH�LCONIP�CiOR MALL�DOl1ESS GIIY 21P PHpN[ UC[NSE+ ' <br /> �W�I.J� /'L f�-U / fIC/(.l <br /> MEGH�NICALCONiPACTOR MALLAOOt1ESS CIIY ]IP PIIONE LILENSE� <br /> PLIIMPNUCONTRACTOR MIILRO�PESS CIIY ZIP PHONE LILENSE� <br /> CtA33OF WONK <br /> NEW ❑ ADDITION ❑ ALiERATION ❑ REPAIP C OEMOLITION ❑ WOODSTOVE/fRPLINSERT ❑ BUILDINGRELOCATION <br /> �TEN�NTIMPROVEMENTORINTERIORREMO[IELONLY CONtACiPEP501lAN�PMON NO <br /> , CANIP�CTPRICEOFWORK SS OOO-�D ___ IDQECn /�e�.'G� �� Z �/G�� <br /> OE9CRIBE WORN�ND SOU�PE FOOTR�E IN—LpLVED � <br /> 1Jkw �o.�S;x��Toi✓ /.rS(,> Sca ��r ----- — <br /> PR7P09ED USE OF BUILOINO I F{EREBY CEFTIFY TF:AT I HAVE t7EAD AN�EX�MINED THIS APPLICATION AN D <br /> S ��l��- L �4`"�• �ES . KNOWTHESAME70BETAUEANDCORRECT.ALLPROVISIONSOFLAWSAND <br /> �ec��oesceirtiOr+uFveoaenrvl5r�owNeeiamonnnnc��rounconies — �RDINANCESGOVERNIN�TFIIS7YPEOFWORKWILLBECOMPLETEDV.ITH <br /> �l W HE7H ER SPECIFIED HEREIN OF7 NOT.THE GRANTING OFA PERMIT DOES NOT <br /> I' �,��£.,�; (.�/pq' /,LUT� PRESUME TO GIVE AUTHOR17Y TO VIOLA7E OR CANCEL THE PFOVISIONS OF <br /> �orJ.1� e�oce oF - ANVOTHERSTA7EORLOCALLAWRE�ULAiINGCONSTRUCTIOVORTHEPER� <br /> FOFMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE OWNER OF <br /> THIS PROPERTY70 PEf7FORM TI1E WORK FOR WHICH APPLICATION IS MADE <br /> AND I COMPLY WITH THE STATE CONiRACTORS LAW 1827 RCW AND <br /> 296.200 WAC. q <br /> SIGNALUREO�GONIRACfORORAU1110PR[DAGEHL DFfE Z�7 � I <br /> X ��� <br /> � PRQIECTADORE55 APPUCANi5GiV8U5WE55LICEN5EN0./•NpBUSINE55NPME � <br /> , --��'� �d'' �� ilJ , <br /> PLUMBIN6 MECHANICAL I , <br /> � NO. TYPE OF FIXTUFiE OR ITEM FEE t:0. TYPE OF EOUIPMENT FEE I ; <br /> . WATERCLOSET(TOIIEn � A/C-NHNOLGUNITS-H.R � <br /> � BATHTUB FORCED AIR SYSTC-MS-B.T.U. M EA <br /> LAVATORY(WASH BASIN) _� UNIT HEA7ERS-B.T.U. M <br /> �� �_ SHOWER � � _!_ CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP. _�_ VENTI� ,TION FAN <br /> - DISHWASHER ` �- RANGE HOOD <br /> LAUNDRYTRAV �_ WATERHEAIER <br /> CLOTHES WASHER WOOD STOVE <br /> , URINAI METAL FIREPLACE 8 CHIMNEY <br /> . DRINKING FOUNTAIN FIREPLACE INSERT <br /> � PLOOR DRAIN HEAT PUMP � <br /> � BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS-RAINLEA�ERS EXHAUST F�N <br /> ' SINK�SERVICE-BAR,ETC.� <br /> I SUBTOiAL 5 _��= SUBTOTAL S ��� <br /> PERMIT S PERMIT S <br /> . TOTAL FEE S —T � TOTAL FE[ 5 <br /> FRONTSEiBAGN RE,\q5Et8FCK SIOESEiBAGK PUINCHE NNIIMOE1i FEE PELEIPTNO. <br /> ZO � Zp � ,� � L c�Z� � �—}�Q�q <br /> � Usezon�'{j �ornnEn e� VACANISIiE FEES VALUATION FE� <br /> , 1�-�1 �/ � �ves n Ho � ��/� ._ <br /> TYPEOFCONST. OC U ANCYGROIIP NO.OFOtYEI�INGUNiIS BUILDING � � <br /> ALLOWABLE/RCr:u�_ � �_ � � PLUMBING <br /> _.v� <br /> � 512EOFBLDG. NO.OFSiORIES BSMi. OCCLOAD (n� <br /> , �G3 � � �� --� MECHANICAL _ �� <br /> �� �iemrttu6utnrlON OTHER <br /> �, fIRESPRINNLERSRE001PE0 ❑YES L 0 STATEBUILDINGSURCHARGE � I <br /> � S7ATE ENERGV SU(iCHAR(;E `�\ <br /> __ �Lal^— <br /> APP�ICATIpNACGBY PLANSAPPq.BY <br /> j � �� PUBLIC WORKS = <br /> � <br /> TOTAL <br /> �I <br /> 1 <br /> I <br /> '',•:', .. . , . ." �. . . . � . . . <br />