Laserfiche WebLink
� <br /> ' APP�,1�1�1't�N FOR C�NST�CTION <br /> , <br /> � PERMIT - <br /> � fhe Everpreen everett I <br /> CITY OF � <br /> l �everE:�tt <br /> ` BUILDING DEPARTMENT � <br /> ' ^c59-8810 TO BE GOMPI.ETED IN INK— PLEASE PRINT <br /> , OWNEP MAILNODRE55 GI1Y 21P FNONE <br /> 1 �� <br /> : C�Z(^ �1j1/ Nt'-'^ .•.i /s✓ C. <br /> y TENANT � MNIFDORE55 CIiY 21P PHONE <br /> � ��Cl'C� L�-t.L C�!< </L G'!-viJ i�tl� CA� efr w.l 9�t"/:L � lf.SG"Z ✓' .Z <br /> � ARGMItECTORUE510NER MRI�qDORF.55 C��� LIP PMONE <br /> � � _ C �2C.5B/��� � 7� .C /_ <br /> ,� OENER�LCONTR�GTOR MRIIAppRESS C:TY ZI" PIIONE LICENSE� <br /> \ <br /> MECNAIUCRLGONTRACIOR M�0.:OOPE55 GItY ZIP PIIONE LICENSE• <br /> � � <br /> PL6MBINOCONiRRGiOR MAILAOORE55 CITV 21P PMONE LICENSE• <br /> � <br /> � CUSSOFWORK <br /> + � NEW ❑ ADDITION ❑ ALTERATION ❑ F7EPAIR ❑ �EMOLITION ❑ WOODSTOJE/FRPLINSEH' ❑ BUILDINGRELOCATION <br /> TT.NANT IMPqOVEMENT OR INiERIOR HEMOUF'I ONL\' I CONiACT PERSON PNp PHONE NO. ' <br /> !� CONTRAGTPRICEOFWORK � � f��C�C /2 S 1��/ 7�.SD�Z � Z <br /> � DESCNIBEWOPNFNOSOURREFOOTAOEINVOLVED <br /> (�' / <br /> S i N G I C _s—A�M i l'/ <br /> PqOPOSE�USEOFBUIlDIN4 � IHEREBYO[RTIFYTHAT�HAVEREADANOEXAtr1'NEDTHISAPPLICATIONAND <br /> f KNOW THE SAME TO BETRUE AND CORRECT.ALL PROVISIONSOF LAWSAND <br /> lE0AL0E5CPIPiIONOFPROPERTY�SHGWNOELOWORAi1ACNF0UH:OPIES� ORDINANCESGOVERNINGTh!ISTYPEOFWORh:WILLBECOMPLETEDWITH <br /> i WHETHERSPECIFIEDHEREINORNOT.THEGRANTINGOFAPERMITDOESNOT <br /> PRESU`AE TO GIVE AU iHORI7Y TO VIOIATE OR CANCEL THE PROVISIONS OF <br /> � Lor� OLOCN__ CF ANYOTHERS7AiEORLOCALLAV�'REGULATINGCONSTRUCTIONORTHEPER� <br /> � I]o/ 1-0RMANCEOFCONSTRUCTIOM.TNATIAMAUTHORIZEDBYTHEOWNEROF <br /> ! THIS PROPERN TO PERFORh1 THG WORK POR WHICH APPLICATION IS MADE <br /> ' _ _ AND I COMPLY WITH THE S'ATE CONTRACTORS LAW 1827 RCW AND <br /> 296200 WAC. <br /> ' S1(]NATUREOFCONiRAGIOf10q�U1110PIZE�RGENi OATE <br /> ; -- � ,— • �-��-�� <br /> i ---��,K�—�HucK_L..GB�sev <br /> PROJCCTAUDPE55 -� pp�5 I� USiNESSLIL[Y.�f� ' AI <br /> Pe'�R�il°SCto�tfy fiomes, Inc. <br /> ' PLUMBING MECHANICAL <br /> :1 '— <br /> NO. IYPE OF FI%TUflE OR ITEM FEE NO. TYPE OF EOUIPMENT _ FEE <br /> �� WA7ERCLOSET(TOILEn ' A/C—A/HNDLGUNITS—H.P. __ <br /> 3ATHTUB �� ^— FORCED AIR SYSTEMS—O.T.U. M EA <br /> � �!•.JATORY(WASHBASIN) — UNITHEATERS—B.T.U. M <br /> i SHOWER — CLOTHESORYERS <br /> I � I<ITCHEN9INK&OISR _ VENTILATIONFAN <br /> � UISHWASHER �"' RANGE HOOD <br /> t IAUNDRYTRAY WATERHEATEIi <br /> � CLOTHESWASHER � WOODSTOVE _ <br /> ' URINAI METAL PIREPLAGE 8 CHIMNEY I <br /> ,+ DRINKING FOUNTAIN FIREPLACE INSERT I <br /> j FIOOR DRAIN HEAT PUMP <br /> ,� BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—f7AINLEADERS EXHAUST FAN <br /> 5 <br /> ! SINKISERVICE—BAR,ETCJ <br /> + _ <br /> ,' —_ <br /> � ' <br /> J <br /> ,' SUBTOTAL 9 — SUBTOTAL <br /> �� ' PERMIT S PERMIT 5 <br /> `� TOTAL FEE $ TOTAL FEE <br /> FRONi5ET0ACN REARSETBACK SIOESETBAG � PIANCHECKNUMBEN FEE �O HECEIPTNO. <br /> �� �� 20 ' � ' 3 ' ; � " � aas-��- 3�1s� aS73� <br /> , <br /> 5 USEZONE LOTAREA �pCRN� ITE <br /> � �_ / Q�8 �7 o re^, ❑ rvo FEES VALUATION <br /> ; � �— BUILDING �7� ',.j � <br /> i TYPEOFCONST. OCLUPANCYGROUP NO.OFOWELlING11N115 <br /> � <br /> FLLOWABLE/FGTUA f PLUMBING � <br /> 1 <br /> .� 32EOFBL00 ' NO.OFBiONIES BSMi. OCGLO�� <br /> .' /��3 SF� � �N �/ � MECHANICAL � <br /> /v �� ME10111LIMITALION OTHER <br /> � FIRESPNINN�EPSREOWf1E� ❑YES HO �� / STATEBUILDINCaSURCHARGE �� <br /> 1 <br /> �� STATE ENERGY SUP,CHARGE _ _ <br /> APpLIL,:TION AGC.�Y PLAY9 APPR.BY 'J�F, <br /> � PUBLIC WORKS ��,J <br /> � � /�'1 '� TOTAL <br /> � . <br /> '•, <br /> ; D � <br /> "S�.'PnS[RLCr{.T.aR.9P.�1i,� .t.-, :....�1-A+ ,. ._-... -: f�.�,,..:. ...�."_.,. _ . " <br /> ., . .... .. ... .. . � . . . . . . _. . . . . . . . . . . . ., . , .Si�.S'. dY'A.`. <br />