Laserfiche WebLink
�in� <br />�y <br />9 H C/� <br />H �: <br />r3 z r+ <br />rC C1 <br />H �7 <br />o x c� <br />�+7 H '+J <br />V7 H <br />� O �j <br />H t7 <br />H^ t+7 U <br />y, V n <br />1 <br />�yF3 <br />H 1? <br />d y <br />O H <br />C7 b U� <br />��t <br />z H cn <br />HOcn <br />� �� <br />� � ao. <br />0� �� <br />'�+ v, <br />0 � p <br />1 6° j� <br />7�l K J�7 <br />APPLl�ATIG_] F'O!� CONSTRIlC7' )N P�R�VIIT � <br />TO BE COMPLtTED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM: !J GAS U ELECTRIC U I <br />BUILDING DEPARTA4ENT <br />259-8810 <br />DEMOLITION COMBINATION BUILDING ' MECHANICAL PLUMBING SIGN <br />o}vNer�/-��7rraro Sc,^unanooaess `Id. a�,•drcw�w.�rv zi�� riroNe <br />��,�,-..,.,,s-L'. C`i_�,', �t�/Z�f(Z t-- �� ��1- [ c/'C��77 � (ir`�. )I.�_� ; �`l%-l%J.� <br />�tLfiAHT l.INIAD�RE55 CIiV \I ZP PHONE <br />ARC�IIiEGTOR0E51GNER tdAIL�ODFESS CITY 21P PHONE <br />GENERALCOIJTR�CTOR M GtV LIP PHONE ��L1 'SS4TELIC(SEa I <br />NATUI?AL tY�'34't�?r'iiiENT CO., ItJG. <br />�c � Matna��i nr �V�i1�,l.1��;�_�I���L-. �i <br />t�cCH4NICALC9NTRACTOR_ ef hiAIL4�P�����n 9Fi201 CITY LP PNOM1E ST�TELICENb[n <br />�i p I <br />PLUtd�INGCONTflACTOR fd�ILAO�P[55 CITV ZIP PIION[ SiATELICENSFN ' <br />c�nss or v+on� <br />NEW ��✓ADDITION ^ITERATION <br />��I/ ��� <br />CONTRAGTP:iICEOPWORK /JV�.-� -� <br />D[SCRri�`E \h'ORH �NDnSOUARE FOOT�GE IHVOLVEU <br />�'L�J �t i.v� �L� � 1 <br />PBOPOSED 115E OF 9l➢L'JING <br />�-i-� � -� ���`� t � L( �, ;�� <br />IEGAL GESCRiPTION Of PROPERTV ISMOWN O[LOY/ OP A1 <br />�p1 __ �LOCK OF _ <br />REPAIR <br />`„`�Y`"� �,��_'._ :�I �� �t,��-�� �_- <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />WATER CLOSET�TOILET) <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />�ISHWASHEFi <br />IAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PflEVENTERS <br />ROOF ORAINS—RAINLEADFRS <br />FOR OFFICE USE ONLY: <br />PROYTS[T�ACH IIE�R; <br />uSEZONE <br />iv�e ov torns. nuo�� <br />SiZE OF 6lOG. <br />OCCIIPAHCY LOnp <br />RE�SONfORSPRi <br />rtirnKr ov <br />AREA <br />SUB TOTAL S <br />PEPMIT S <br />TOTALFEE S <br />sioe sETencn <br />VAGANi SITE <br />rme nr consi-ntiva� <br />❑O.OF STOfilES <br />FIPE SPRNY.LERS pEO� <br />p�nus nr��noveo ar <br />DEMOLITION WOODSTOVE/FRPL INSERT . BUILUING PELOCATION <br />I GONT�ICT PFPSON �N,� PHONE NO_ <br />i�(._� 4�./--t'.ii_II)i��, <br />��f�. �<:ti �����/l�� <br />i HEflEOY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COHREC7. AlL <br />PFOVISIQNS OF LAWS AND ORDINANCES GOVERNIN6 THIS TYFE OF <br />WORK WILL BE COMPLETED WITri WHETHER SPECIfIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PFlESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOC�L LAW REGULATING CONSTRUCTION OR THE <br />PERFOR�dANCE OF CONSTRUCTION. THAT I Ald AUTHORiZED BY THE <br />OWNER OF THIS PflOPEPTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS h1AGE AND I COMPLY WITH THE SIATE <br />CONTRACTOHS LAW 18.27 FiCW AND'296.200 WAC. <br />�Y <br />' � ! '�- �� � __ �t• � <br />— x-�= -��,--- ,— <br />so�ln vac onre <br />NO. I TYPE OF EOUIPI.7ENT � FEE <br />fi'C—NHNDLG UNITS—H.P. <br />FJRCED AIR SYSTEMS—B.T.U. M E.A_ <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WOOD STOVE <br />METAL FIREPLACE R <br />FIREPLACE INS'cRT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL 5 p�/ <br />PEFMIT S � � Oo <br />TOTALFEE S '30 !G�C <br />CHECKNl1Al0EP � FE[ � FiECEIPTNO. <br />BUIL[ ING <br />occuo,v,v r,oe�uxcur:ar•:�e <br />c�o��a rLuldalNc <br />bnSErn[Ni �,��CHANICAL <br />MEiGNiu�dRnnov �DDITIONALPLANCHECK <br />SPRIfJKLER <br />STATE DUILDING SUNCHARGE <br />CITY UF EVErlETT ruoucwoaKs <br />LOCAL SALES <br />TAX COOE IS 3105 � TOTA� <br />� <br />