Laserfiche WebLink
S".�:i <br /> AP�LIC:ATI�rV FOR COPISTRUCTiON PERMIT <br /> iheEvorgman �• � � everett <br /> CIN OF � <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRIN'T <br /> ❑ DEMOLITION 17 COMBINATION �BUILDING I I MECHANICAL 17 PLUNIBING ❑ SIGN <br /> OWNEH MAILADOflE55 CITV 21P PHONE <br /> C.rOShu ��ol�nes � h� . I(�oo� (�l,il Cr�k,61�5. d61�IICu� , ���A 'I�S -u13i <br /> TENANT MAI�ADORE55 CITY 21P PHONE <br /> ARCHITEGTOROESIGNER MAILAOORE55 CITY ZIP PHONE <br /> GENEflALCONTflACTOfl MA'LADDRESS GITY ZIP PHONE LICENSEN <br /> sa�� CR�S/3CH� i '1 i LP <br /> . MECHANICRLCONTflACTOfl Mr1ILA�ORGSS CITV ZIP PHONE LICENSEi <br /> PLUMBINGCONTRACTOR MAILAD�RESS CITY ZIP PNONE �ICENSE:1 <br /> CLASS OF WOflK <br /> � NEW ❑ ADDITION ❑ ALTERATION l-I REFAIR I._I DFMOLITION IJ WOODSTOVE/FRPL INSEqT ❑ BUILDING RELOCATION <br /> TENANT IMPROVEMENT Oq INTERIOP REMODEL OtlI.Y CONTFCT PERSON AND PHONE N0. <br /> CONTRACT PPoCE OF WOAK: �� � Y O �y S -O,��' <br /> DESCAI9E WOflN AND SOl1ARE FOOTAGE INVOlVEO <br /> I�ec.k o� S F 2 �0 � <br /> aaoPoseouSeoFnwtmr+c . I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUt AND CORRECT.ALL <br /> LEGALDESCRIPTIDNOFPROPEOTV�SMOWNOELOWORATTACHFOURCOPIES) PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or_�,_ BLOCK oF �. � � — NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AU-i FIOHITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY ThIE <br /> OWNER OF THIS FROPERTY TO PERFORM THE `NORK FOR WHICH <br /> APPLICAT�ON IS PAADE AND I COMPLY WITH THE �TATE <br /> . CONTRACTORS LAW 18.27 RCW ANO 296200 WAC. <br /> SIGIJATUflE0FG011TRFCTORORAUTHOPI2EDAGENi OATE <br /> X ,,. / <br /> --%' �. <br /> PROJECTA��flESS �� � - � � � <br /> ^ �S _ �. C v�� ,��� APPLICAIlTS pTV B1151NE S LICENSE NO.AND BUSINE55 NAIAE <br /> d� G <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OP EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � NC—AlHNDLG UNITS—H.P. �— <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.LI M ; <br /> —�— <br /> SHOWER ' CLOTHES DRYERS �— <br /> KITCHEN SINK 8 DISP � VENTILATION FAN ; <br /> � RANGEHOOD � —r— <br /> DISHWASHER � <br /> � <br /> LAUNDFYTRAY ; WATERIIEATER � <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 ORAINS—RAINLEADERS � EXHAUST FAN � <br /> — _,— <br /> SINK(SERVICE—BAR, ETC.) ; ' <br /> — � <br /> � , <br /> � � <br /> — � <br /> � ; <br /> � , <br /> SUBTOTAL $ ; SUBTOTAL $ ; <br /> PERMIT $ � PERMIT $ � <br /> — —r— <br /> TOTAL FEE $ ' TOTAL FEE $ <br /> FRONT SE7BACH REAR SET�ACK SIOE SET�A�K PLAN CHE H NlIM11BER FE REf,EIPT NO. <br /> 3'" ` a������13 �� �� <br /> usezor�� �oTn EA VACANTSITE FEES VALUATION FEE <br /> '� I] YES �NO gUIL�ING . � r— <br /> iYPEOfC@ISi.ALLOWABIE lYPEOFCON51ACiUnL acuv�ncr r�aorownuxcuxns - — <br /> cnou � pLUM01NG <br /> � � <br /> i <br /> SREOFOLDG. NO.OFSTORIES BASEAtENT MECHpNICAL i <br /> � I.I YES NO , <br /> OCCIIPANCYLOAD FIRESPHNKLERSFlEOD HEIGHTLIMITATION OTHEF j <br /> �— <br /> _� ❑ YES Or NO _ STATE BUILDING SURCHAflGE � <br /> REASONFORSPflINKLERS —i— I <br /> STATEENERGYSURCHARGE � . <br /> APPUCATIOHACC.BV PLAHSAPPROVEDBY CITYOFEVERETT PUOLIGWORK$ � <br /> �� LOCAL SALES ; <br /> TAX COOEIS 3705 Torn� � <br /> i <br />