Laserfiche WebLink
_� � <br />� <br />fha Everproen <br />� CITYOF <br />everett <br />BUILDING DEPARTMENT <br />259•8810 <br />' �ti��z��r <br />,:-, <br />APPLIC ' flON FOR CONSTR�YION <br />PER6VIIT <br />TO BE COMPLETE'D IN INK— PLEASE PRINT <br />i/_... .s� G ��, <br />ZIP <br />everett <br />� <br />75�v /7� Au�", �=y`c rz�-rr �id'ao3 ,3.� 3 �1-98 �✓ <br />. AFCHITECTOROESIGNER MAILFppRE55 CiiY TIP PMpN <br />'' N'r�NE <br />t,U�it�+-ru�'�tis�i�r{ ��N �. uei 9f�7r�E��9� GU�eL��rv��ir.��' 9��7Y ��Y86�7>' GG,�IG!���./�� <br />a <br />PLUMBINOWNiPRCTOfi MFILAOORESS GIY LP PMONE LICENSE• <br />❑ NEW ❑ ADDITION � ALTERATION ❑ <br />fEN�NTIMPqOVEMENiORINiEliiO fiEMODELONL <br />,�i �J •��., n ��r�� Fi�;, <br />❑ DEMOLITION ❑ WOODSTOVE/FRPL INSERT ❑ Bt11l�IIJG RELOCATION <br />� � GONiPCi PERSON AND PHONE NO. <br />�`�,�`��"� �i�� lC-'ei � ifi 76' g- E�! ��% <br />riN(o Ci/!y'�o,�-� <br />� <br />LEGAL DESCFIPiION OF PROPERTY (SMOW N pELOW OR ATfACH FOUR COPIE51 <br />lOi ELOCH OF <br />.� <br />PLUMBING <br />LAVATORY ( WAS <br />SHOWER <br />KITCHEN SINK! <br />DISHWASHER <br />LAUNDRYTRAY <br />DRINKING FOUNTAIN <br />i FLOOR ORAIN <br />, BACKFLOW PREVENTERS <br />annc naeiuc— aeun ce <br />SU6 TOTAL <br />PERMIT <br />TOTALFEE <br />ALIOWPBLE/ACTUAI <br />❑v <br />❑ N <br />FIRESPRINNLERSREOUIREO ❑ YES � NO <br />FEE <br />S <br />5 <br />IHEREBYCERTIFYTHATIH�NEREADANDEXAMINEDTHISAPPLICATIONAND I <br />KNOWTHESAMETOBETRUEANDCORRECT.ALLPROVISIONS:�FLAWSAND �. <br />ORDINANCES GOVERNING THIS TYPE OF WORK WILL BF. COMPLETED WITH �� <br />WHETHERSPECIFIEDHEREINORNOT.THEGRANTINGOFAPERMITDOESNOT , <br />PRESUME TO GIVE AUTHORI7YT0 VIOLATE OR CANCEI THE PROVISIONS OF ' <br />ANVOTHER STA7E OR LOCAL LAW REGULATING CONSTRUCTION OR THE PER� <br />FORMANCE OF CONSTRUCTION. THAT I AM AU�HORIZED BV THE OWNF.R OF <br />THIS PROPERTV TO PERFORtd THE �:ORK FOR WHICH APPI.ICATION IS MADE <br />AND I COMPLY WITH THE STATE CONTFiACTORS LAW 1827 RCW AND � <br />296.200 WAC. ..�IIj'/�� <br />SIGNATUREOFCONtPPCtO1tOf1AUtNORIZEDAGENi DATE <br />/ <br />�'ti"'�����r���, lG'n�y.�C��R�`d�--, <br />MECHANICAL <br />NO. TYPE OF EOUIP <br />A/C — A/HN DLG UN ITS — H.F <br />FORCED AIR SYSTEMS — B.7 <br />UNITHEATERS—B.i.U. M <br />CLOTHES ORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE � CHIMNE <br />FIREPLnCEINSERT <br />GAS PIPING <br />E%IIAUST FAN <br />❑ ves �n�No FEES <br />NOOFOWEILINGUN1i5 BUILDING <br />PLUMBING <br />OCC lOAD <br />MECHANICAL <br />nEicr�tuMrtarioN O7HER <br />STATE BUILDItJG SURCHARGE <br />STATE ENEfiGY SUFCHARGE <br />PUBLIC WORKS <br />TOTAL <br />SU6TOTAL 5 <br />PERMIT g <br />TOTAL FEE 5 <br />FEE FECEIPTNO. <br />VALUATION FEE <br />�F::•5�'. . .��.�.,,� .. � , . _ . . .. . , . � . <br />