Laserfiche WebLink
APPLICATI�,� FOR CONSTRUC7 .ON PERMIT <br /> rr�E"""""'" everett <br /> �,T�oF e <br /> everett <br /> BUILDING DEPARTtdENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> DEMOLITION �OMBINATION BUILDING MECHANICA� PLUMBING SIGN <br /> OW fR M�_�O�RE55 " _—_. —_ <br /> �•'�':tXr7/ !''Sf6W'tj vm m�nnr <br /> ��6 .S'raF/�zP�e iya�iQo S�sw �t �aG E� r.�p. spao�___3��qo y7 <br /> 'FN�Nr M�n�onncss cirr rio vHnr�r. - <br /> RRCNRECTDROESKNER M�ILAODRE55 Ci1V IiP PMONE <br /> G qALCONiRACIOR M�II�ODRE55 /_rJ�� er,ttTZ��� ��P 'cC/J�/ •�1NF �ICENSE� �'C <br /> �t�i4Rc�L /�i0�o (n Lrac.l.ir� 9�'�.Zb,j 3..c�-C,779��<<i /AGR lSOCA <br /> MFCN�NIG�LL(Xl1RAC10R M LLA pT)�Rp$5 Lltv JiP PHON[ IICENSE• <br /> PIUMBINGLON1R�GtOq M�R�O�Rf55 CITY dlP PHpNF LICENSf.• <br /> CL�55 01'WORK <br /> �NEW ADDITION ALTERATION HEPAIR OEMOLITiON WOODSTOVEiFPPL INSERT BUILDING RELOCATION <br /> N�Ni IMPqOVEMENIOR INTERIOR REMOpEI(MlLY CONUCT PEBSON�NfJ PH NE N <br /> CONTR�CT PBICE OF WOpM: �qe O Q �._��-y+y�^�•� ��J I <br /> (..il� � Y � <br /> OESCRIBE MqRN�NO SOU�RE i0p �GE INVOIVED <br /> .�rc,�r Ocv/�ii•cyi /rJals�/� /�/O�n.F� <br /> PPOPOSED USE OF BURDING <br /> K � I HEREBV CERTIFY THAT I HAVE READ AND ExAMINED THIS <br /> APPLICATION AND KNOW THE SAME i0 BE TRUE AND CORRECT. ALL <br /> iEou oesceintqr�ov pqorenrv�sNowrJ Beiow onetrecHvoun coriEs PROVISIONS OF LAW$AND ORDINANCES GOVERNING THIS TVPE OF' <br /> ior BIOCN o� WORK WILL BE COMPLETED WiTH WHETHER SPECIFIED HEREIN OR <br /> NOT. iHE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �d//P � CS AUTHORITV TO VIOLATE OR CANCFL THE PROVISIONS OF ANV <br /> � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OH THE <br /> ,/ PERFORMANCE OF CONSTRUCTWN. THAT I AM AUTHORIZED BV THE <br /> �-��J�IG /Vjlfp� �e/[� OWNEF OF THIS PROPEkTV TO PERFORM THE W09K FOR WHICH <br /> — APPLICATION IS MADE AND I OOMPLV WITH THE STATE <br /> CONTRACTOFS LAW 1827 RCW AND 296.200 WAC. <br /> _ siGNRtU GOHtnnr,ronon��itr�Uq17E��OENt n�iE <br /> - X ,.�et� s��>�yo <br /> � PR(}1ECT�DDRE55 /..� ���/ S�-e� <br /> ./n�J' ��[ r�♦ �y <CA+ <br /> �70f/ �JO/�J �.�� /Q� LV' ��' <PPL�CPN6CRvflIIfiMFS51if.FNSFNOqNOBUS�NFS AME <br /> PLUMBINQ MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET) AC-MHNDLG UNITS-�HP. <br /> BATHTUB F09CE0 AIR SVSTEMS-B.T.U. N E.A. <br /> LAVATORY�WASH BASIN) UNIT HEATERS-A.T.0 M 1— <br /> SHOWER CLOTHESDRVERS <br /> KITCHEN SINK 8 C!SP � VENTILATION FAN <br /> DISHWASHER qANGE HOOD � <br /> LAUNDRVTRAV WAT[R HEATER <br /> CLO?HES WASMER WOOD STOVE � <br /> URINAL METAL FIpEPLACE 8 CHIMNEV <br /> _ DFINKING FOUNiA1N � FIREPLACE INSERT `- <br /> FI.00R DRAIN HEAT PUMP <br /> PACi:FLOW PREVENTERS GAS PIPING `-- <br /> F OOF DRAINS-RAINLEADERS EXHAIISf FAN <br /> SINK iSERVICE-BAR,ETC J — ---+— <br /> — — I <br /> T <br /> SUB TOTAL $ SUB T07AL $ � <br /> PERMIT $ PERMIT $ �- <br /> TOTAL FEE 3 70TAL FEE $ <br /> fqONi SAB\CM RE�R SETB4CM SiDE SE1tlAf.N P�aC��FCN NUAI��� �B ^ ` � RECE�yO,� ,, r� <br /> d �CJ � �l � <br /> use zor�e ior naee v�c�nr siie FEES VALUATION FEE <br /> VES NO 'T'- <br /> AUILI7INCi . . . _. -- � /(r/� —. l/^I(i�7l <br /> IYVE Of CONSI AIIMIABIF fVPf Of LONSt AC1U�I �„'���e�'�• No nawlioxr,uM��s -_ TU��" _ _ /(/O_ V <br /> r. �ro� - — - <br /> - N . � � r�uMmNc , <br /> SIIE OF BtDG NO OF STORIES BASEMENi MECHRNICAI <br /> zv az � �ES �CNo _;_ <br /> OCCIIP�NCVl0�0 FIqESPqNNlFR5PE0D HEbMi�IMIT�iION OTHER <br /> N ves x No �S ' ` ;' - <br /> STaTEBUIL01NG5UHCHAqGE IJ `� <br /> RCASONFORSPRiHXlEPS -' `2 <br /> —�Y <br /> STATEENERGVSURCHARGE <br /> �YPIiUi�BV P�ANS�PPpOy�pBY CITYOFEVERETT PU9LICWORKS <br /> /j LOCAL SALES � <br /> i �- TAX CODE IS 3105 TOTAI a ; <br />