Laserfiche WebLink
At PLICATION FOR"""` �FLXTE„ <br /> CITYor CONSTRUCTION _ I <br /> CITY <br /> everett PERMIT <br /> BUILDING DEPARTMENT <br /> 259.8810 TO BE COMPLETED IN INK • PLEASE PRINT <br /> O DEMOLITION COMBINATION O BUILDING ❑ MECHANICAL ❑ PLUMBING ❑SIGN <br /> OWNER MAIL AROR[SEI I , .CIA �P / NE <br /> S i A2 Cum Edcntln�l - n 159 Comn,erclA C e. e Wfl. Lf1( <br /> iRCHIIECI On DESIGNER MAIL AODRES. CITY 21P PHONE <br /> hl n <br /> GLIRRAL CONTRACTOR MAIL ADDRESS CIA SIP PHONE LICENSE E <br /> t�r'Yl r Oh co.)D s STAA'.cr gAE."S2 <br /> MFUWNICAI CONTRACTOR MAIL ADDRESS CITY IIP PHONE t'Cf NSE <br /> PIUMBy1UCONIPALIOR MAIL ADDRESS CIA ZIP PRONE LICENSEE <br /> CLA"Do <br /> WORP. ❑ DEMOLITION ❑ WOODSTOVEIFRPLANSERT ❑ BUILDING RELOCATIO <br /> 0 'JEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR N <br /> VAL UA HON Of WORA'COST Of MALE BML9 PWS LABOR' <br /> Of SCniBE WORK <br /> LIST DF RwI NN I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION ANDKNOW THE SAME TO BE TRUE ANDCORRECT.ALL ' <br /> Lf GAl DFSCRIPI'O,Of PROPERTYSHOWN BELOW OR ATTACH FOUR COPIES PROVISIONS OF LAWSAND ORDINANCE SGOVERNING TH'STYPE <br /> OF WORK WILL BE COMPLETED WI EH WlIETHER SPECP'IEV HERE• <br /> �101_OLOCK OF IN OR NOT.THE GRANTING OF A PERMIT DOES 140T PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE. PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATURE OF CONTRACTOR OST AUTHORIZED AGENT DATE <br /> I,P0jEC1 AD I Ss . APPLICANTSCIIY BUSINESS LICENSE NO <br /> 7oZ� Orn ST SL- ✓UG" ! a <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET ITOILETI A/C—A,HNOLO UNITS—H P <br /> ,Z BATHTUB REFRIGERATION UNITS—HP EA <br /> LAVATORY(WASH BASH <br /> BOILERS—B T U IH P <br /> SHOWER GAS FIRED A C.UNITS—B T <br /> KITCHEN SINK A DISP FORCED AIR SYSTEMS—B T U M EA <br /> DISHWASHER WALL HEATERS—BTU. M <br /> DIS <br /> DISLAUNDRYAS TRAY UNIT HEATERS—13,T U M <br /> {' CLOTHES WASHER EVAPORATIVE COOLERS <br /> {, URINAL CLOTHES DRYERS <br /> B DRINKING FOUNTAIN VENTILATION FAN <br /> cl <br /> FLOOR OnA1N RANGE HOOD <br /> BACKFLOW PFIEVENTEnS WATER/'EATER <br /> ROOF DRAINS—RAINLEAOERS WOOD S10VE <br /> SINK(SERVICE—BAR.EIC I METAL FIREPLACE A CHIMNEY <br /> FIREPLACE INSEnt <br /> HEAT PUMP <br /> G GAS PIPING <br /> EXHAUSTFAN <br /> I <br /> SUB TOTAL tQ - SUB TOTAL - <br /> PERMIT f PERMIT <br /> TOTALFEE f _ TOTALFEE <br /> ECK PLAN N„ FESrREFEIPT VO. <br /> (nrvtl Al.. <br /> v'KnCMI St?BACK <br /> z,0SIDE SETBACK `_ V��^ _ I� <br /> 1� ZoA A ^ � � <br /> I'll ;,PR LOT ARE. VACANT 917E FEES VAVL-UATION IEE <br /> —'� "�Sa OYES ONO <br /> s <br /> '� BUILDING L <br /> tYE9.Ot LONyt ESCUPM,GY GROU NO Oi OWFLLING UNITS <br /> PLUMBING <br /> slit OF BI DO NO OF STORIES MAX OCC LOAD tSTATEBUILDING <br /> FIRE SPRINKLERS REQUIRED DYES E31,10 SURCHARGE gn SURCHARGEAI�Pt'CAIIONAf;C BY PLANSCNECKED BT APM fOR 191UANCE BY <br /> /j1/ TOTALFISAE — <br /> PROPERTY LLIINE LOCAIONSA DNSIBLE RELLAED EASEMENTISINO ALL <br /> f <br />