Laserfiche WebLink
i <br />��<<�« ' <br />APPLICATION F�1R CONSYRUCTIti�l PERMIT I <br />��„E„ro,�„ TO BE COMPLETED IN INK—P�EASE PRINT � <br />CITV l,� <br />everett I HEATINGSYSTEM: GAS UELECIFIC 'J _ __� <br />BUILDING DEPAR7MENT � <br />259•8810 �/� <br />fl DEMOLITION COMBINATION /�HUILDING XhAECHANICAL �PLUMBING SIGN <br />OWNER M�tl 101iE55 GIIY 2iP �IIONE <br />�,���c�_� ���� s�P, P�l 1��D6 .��y fv ��� <br />TEN�NT MN��ppqESS CIiY bn P1roNE <br />�PCNITEC1di0E516NER M�IIADDRE55 <br />CONiR�C10R MAIL�ppf1E55 <br />M�II �DDNE55 <br />Cliv !IP <br />cnr im <br />�.��/� <br />C�iY 2iP <br />p1Y 71P <br />PNOhF. <br />PHONE <br />I>0, <br />PIIpNE <br />PIIONE <br />IICENSE � <br />�✓Jn�c�- <br />IICENSE � <br />, �NEW I I qDDITION �'� A�TERATION '� � qF.PAIR �' �EMOLITION � I WOODSTOVE/FRPI INSERT I i BUILDINO RELOCATION <br />I J��)�Qd�� CONI�C t PE�SON ANp �IION[ Iq <br />CONTN�CT PPICE OF WO�N L/, �7 �j V �_�L� _ <br />DE$CNIBE WORIt Ay(� SOU�RE fOOtA(iE INVOIV ' <br />IOi�{o PIOCN <br />PPOJECT�DONE59 <br />as-� <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />URINKINO FOUNTAIN <br />FLOOR DRAIN <br />� <br />DRAINS—RAINLEADERS <br />FOR OFFICE USE ONLY: <br />FRONi6ET6�CR 11EANSEIBALN <br />20' 2D' <br />USE 2d/E ior enee <br />_ � <br />IYP[OfGvS�ILOW�BIf .M01[0'SfAG <br />N � N <br />9�ZE OF BlDO NO OF IIORIES <br />��s�( t H�lU�or <br />7GCUP�NCYLOAp fIqES�PNMlE11: <br />N /d- nr� <br />INT��PlAHS �PPROVED BY <br />m q� <br />FEE <br />SIDE SEIP�CN <br />S' <br />VAGNL SitE <br />I HEREBV CERTIFV THAT I HAVE READ AND EXAMINEC 1HIS <br />APPLICATION AND KNOW THE SAME l0 BE TRUE AND CORREGL ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PHESUME TO GIVE <br />AUTHORITV TO VIOIATE OR CANCEL TNE PROVISIONS OF ANV <br />OiHER STATE OF LOCAL LAW REGULATIN6 CONSTRUCTION OR THE <br />PERFORMAN:E OF CONSTRUCTION. THAT I AM AUTHORIZED BV THt <br />OWNER OP THIS PROPERTY TO PERFOFM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 1B27 RCW AN� 29G200 WAC. <br />SN'iNALU�CONfqACtOnOR�U111pqIZEDAGENi pAIE <br />ll��'•-��"1 �/' <br />xi <br />����-� A�s�.�ES����DJB SMESSH�M°a� -�ys <br />MECHANICAL <br />NO. TVPE OF EOUIPMENT FEE <br />AJC—IVHNDLG UNITS—H.P. <br />� FORCED AIR SYSTEM�—B.T.U. M E.A. � <br />UNITHEATERS�—B.TU, M � <br />/ CIOTHESDRVERS —T <br />GAS PIPING <br />EXHAUSTfAN <br />BUILDING <br />r�N(r �oppMt1�N01fiili <br />�1P3 ' PlUM01NG <br />F.uENi MECHANICAL <br />�����,,�'� AU�IiIONALPLANCHFCK <br />8, <br />01HER <br />STATE BUIlDINO SURCNAR(;F. <br />CITY OF EYER6TT PUBIIC WOfiNS <br />S�� LOCALSALES <br />TAX CODE IS 3105 ror�� <br />�. . , -m: . ...-s- . . .. <br />8 <br />�—r� -----�'+— � <br />_ � <br />i <br />-�- I <br />SUB TOTAL g �r � � � � <br />PEFMIT S —i' <br />TOTAL FEE $ <br />RECEIPT NO <br />3�G�2 U 56�1 <br />VALUATION FEE <br />Is4 QGr.I Unr Inr� <br />, / <br />1 _ qi <br />1 ,,• <br />