Laserfiche WebLink
. �. �li .� . .�. •1. <br /> /�rl / <br /> i <br /> `,-ePPL1i�ATION FO:. � � e�e�e„ <br /> fht Everprs�n C O�J ST R U C lf I O N � <br /> an cF <br /> ever�tt PE RI�A I�' <br /> TO BE COMPLf:TED IN BLACK INK— PLEASE PRINT <br /> BUILDING DEPT. <br /> 259•8745 � Ct7MBINATION ❑ BUIL�ING ❑ MECHA�ICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAILAOONESS Cltt ZIP PI:OfIE <br /> Lessley Construction, Inc. 18204 IIothell Everett Il�ay N2 Rothell 481-886G <br /> APCIIITECTOPOESIGNEfl MAILAODHESS GILV ZIP 1'Hf�fIE <br /> Impression Design 2229 Jackson Everett 98203 355-3200 <br /> G'NEPNL CONiRACTOR MAIL A�OFE55 CIN 21P PllOti[ LICEf15E• <br /> Lessley Cor�struction, Inc. I.P:SSLIi�210PK <br /> MECHRNICRLCONTRACTOd MAILAOORE55 CITY 21P 1'1101![ lIC[IISE♦ <br /> Same <br /> PLUI.IBINGLONTpACIDfl MAILAppfle55 CIIY ZIP PIIONE LICENSGr <br /> Robinson Plumbin� 607 S.E. Everett Mall IJav Everett 98204 743-9858 I <br /> c�nss or woan <br /> C`�., NEW ❑ AODITION ❑ ALT[RATION ❑ REPAIR ❑ DEMO�ITIJN ❑ WOO�STOVE/FRPL.INSERT ❑ BUILDINIi flELOCATION <br /> VAWATIO�N/p WORK�COSTOFM�T/E1FI�ALqSPLOS�ABOl�4 <br /> yT�/��� l 'O`t !/VC, ` _ <br /> ❑ESCPIpE\YOn <br /> New Residential dwellina <br /> 115E OF BUILOINCa <br /> I HEREBY CERTIFY THAT I HAVC- READ AND EXAMINED THIS AP� <br /> sin�le family residence PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.AIL <br /> IEGAL0E5CRIPTIONOFPPOPEflTY�SMOWNOEIOWOflPTTRCNiOUNCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> 9 Silver Lalce VisC� OFWORKWILLBECOMPLETEDWITHWHETHERSPECIFIEDHERE� <br /> ior—eioc�_oF IM OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TG VIOLATE OR CANCEL THE PROVISIONS OF � <br /> ANYOTtIER STATE OR LOCAL LP.W REGULATING CONSTRUCTION <br /> — OR TH[ PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OF CONTRFCTOR OR AUTMORIZEL AGFNT DATE <br /> X - / / '�-;/ �i (, <br /> ; �, <br /> � " ; <br /> PflOJECTA0�RE55 �PPLICr1NT5CIiYpI15WES5lIC[NSE NO <br /> aoG!- ' l�r. .E <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TUflE FEE NO. TYPE OF EOI�IPMENT FEE <br /> _� WATERCLOSET�TCILET) L OD _ AIRCOND. UNITS—HP.EA. <br /> �� OAT:iTUB UV RFfRIGE(7ATION UNITS—H.P.EA_ <br /> LAJATORY�WASH BASIN� J� �OILEAS—H.P.EA. <br /> � SHOWER GAS FIREO AL.UNITS—TONNAGE EA. <br /> KIiCHEN SINK 8�ISP. � � ORCED AIR SYSTEMS—B.T.U. M FA. <br /> �ISMWASHER � U WALL HEATERS—B.T.U. M <br /> � LAUNDAYTRAY UNIThiEATERS—B.T.U. M <br /> CLOTHES WASHER � ^ EVAPORATIVECOOLERS <br /> � WATER HEATER 7 �_ CLOTIIES DRYERS <br /> ORINAL VLNTILATION PAN � fLO <br /> DRINKING FOUNTAIN RANGE HOOD <br /> � FLOORORAW — AIR.WNDLINGUNIT— QF.M. _ <br /> VACUUM OREAKERS STOVE <br /> — ROOF DRAINS—flAINLF.AOERS �dETAL F'IREPLACE 8 Cf11MNEY <br /> —' SINK SERVICE—BAR,ETQ '— �4'OOOSTOVE/FIREPLACE INSERT <br /> SUB TOTAL O SUB TOTAL 5 i �� <br /> PEflM111T 5 —� PERMIT 6 <br /> TOTAL FEE S jU TOTAL FEE S �? �� <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPl". PERSONNEL <br /> FRONTSETBACN REAFSETBACK / SIpESEiBAC/�N / PLANCMECHNUI.1UEf1 � P GII[CHF[E <br /> �ill d /.. � �� O�^ FEE ' __ � fiECpIPiND� <br /> V l/ <br /> USEZONE }}}��� I.OTPfl[A CANTSIiL <br /> � / ES UNO FEES ���Uf.fION FEE <br /> ttPEOFGONST. OCCl1PANCYGROUp NO.OFDWGIIINGUNITS' <br /> �� – ' / � BUILOING 5 QO <br /> SREOFBL�)[' NO.OFSTOHI'S MA%.OLC.I.OAO —`,� <br /> �y�.0 �d,/"r /�i - 3 PWMBINu Q'v <br /> / <br /> IdECMANICAL �r� SC. <br /> FIRE SPRINKLEF:S REOUIRED ❑YES D�NO <br /> ' OTNER <br /> PENALTY <br /> APFl1Uii0NACC OY PUNSCIIECNE�BY FPPR FORISSIi:NCFBY <br /> TOTAL 3 - �� <br /> VJ��� / 1 4' / <br />