Laserfiche WebLink
�Z�S 0.�� APPLICATIC�' FOR CONSTRUCT� �N PERMIT <br /> ot P��� TO BE COMPLETED IN BLACK !NK—PLEASE PRINT �� <br /> � ��9 <br /> Ec <br /> � HEATING SYSTEM: J GAS J[LECTRIC `�' R V' G �� <br /> BUILDINGDEPARTMENT �______ _______ ____ _/aRf-:GC <br /> 259•0810 <br /> --� <br /> DEMOLITION COMBINATION )( BUILDING MECHANICAL PI.UMBING SIGN <br /> i 15V�ll q ...—.--. <br /> . .___..— _.—_' <br /> �� I.IAR �O[�RI SS (.I� -- � �----�- I ie ;I �- - <br /> --��_.?j��.l R�' - 1SD '_4 �_L�SY /�1�E—_���C�RE—L,T WR - �$203 - l-2oH 353-'��� <br /> II•:nyf I.INLAUDRESS Ciiv ll{ 1'110NE <br /> ���LHIiEL'ORpF.51GNER �-�I�pppqE55 L�IV ;�p �,������� — <br /> ` � � ( - }ryIGA('�"Tfc�' c O�a <br /> LLNEFAI LOAiR�CiOR �AAi.AODHE55 CIT1' ZIP p�qryC �'�',.v�M Y' �� • <br /> N / 1� ,��,. ..��,5�. <br /> MECN�NIC�LCONTR�CiOR MAII PDpR65 GTY _---,ip--"— P��ONE StAll UCENSE� <br /> N / 19 !���� <br /> Pl�IM01NGCONiRRCTOR MRIIA�NES� CITV �i � J� V PHONE STQFIiCENSE/ <br /> N 1 -�-�- <br /> CONiRqCt PRICE Of WORN — <br /> N ��i 22'i— <br /> �[SCRIBE WORKpN�50UpREfOOiAGEINVCHVCD p-��� � CONf�CTVERSONRNUPHONENO � <br /> � V �ARKIGF � 2 � x 3k - _D17SU / .'/�@_� <br /> PROPOSEDUSEOFBIIiIDING i HEREBV CEFTIFV THAT I HAVE READ AND EXAMINED THIS <br /> ST�Bn� APPLICATIpN AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL <br /> AT-� /� T I �.E� PROVISIONS OF LAWS AND OHDINANCES GOVERNWG THIS TVPE OF <br /> iecuoes9�qCiPti0oNOFvaovenrvciS-N�owNnE�owoAattncHrwocoriesi WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> iorL_�_-_.a._ oiock -�] o� �j UEEN NNN � NGT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL 7HE PflOVISIONS OF ANV <br /> -QIl�DJ_TlD1��=E V__ w 19 -� 2 0�_ OTHER S?ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORAIANCE OF CONSTRUCTION. THAT I AM AUIHORIZED BY THE <br /> C���—��5 � OO 1 ^DIOy� I y 7(� OWNER Of THIS PFOPERTY TO PERFOFlM THE �VORK FGR WHICH <br /> nanr.eiTnxinmuMera APPLICATION IS MADE ANU I COMPLV WITH THE iTATE <br /> CONTRACTORS LAW 18. RCW AND 296.200 WAC <br /> CON9R11GiiOq I OAN IENJER npDPE55 1ELEPNONE NUMBUi <br /> �SECf '= . /� <br /> PROJECTADDRESS - „ ��-��- � _�L._ -._--�—�� �-- <br /> so 2 - w R 9�2 0 - ' - _— � _ ,,.,� - -- - <br /> � � .-,,. <br /> PLUMBING HANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPIAENT FEE <br /> WAiER CLOSET(TOILET) A C-��A HNDLG UNITS-N.It — <br /> BATHTUB � FORCEU AIR SVSTEMS-B,T.U. M E.A. <br /> LAVATORV(WASH BASIN) UNIT HEATERS-B.T U. M <br /> _ SHOWER � CLOTHES DRYFfiS �—� <br /> KIiCHEN SINK 8 DISP ' VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNORVTRAV Wq7ER HEATCR <br /> CLOTHES WASHER __ W�bD STOVF �- <br /> URINAL ME1AL FIREPLACE(WOOD BURNING) —~ <br /> _ DRINKING FOUNTAIN FIFEPLACE INSERT ��--� <br /> _ FLOOR DRAIN � HEAT PUMP �— <br /> _ BACKFLOW PREVENTERS GAS FIPING � � �_ --- <br /> _ ROOF DRAINS-RAINLEADERS EXHAUST FAN �`. —-�-- <br /> _ SINK�SERVICE-BAR.ETC.� -- --�--- <br /> - �� - —r-- <br /> — ,' <br /> SU8 TOTAL $ ' SUB TOTAL $ � <br /> ___ _PFRMIT $ —T PERMIT � ' �� <br /> TOTAL FEE $ ' TOTAL FEE $ - <br /> FOp OFFICE USE ONLY: _ ��� � �'Q�� �t <br /> fliONiSEiPAf.N RCAf15FTflACM / SIUf5ETA4CN ---� Pl�NU1LfNHU1Pf� IFE <br /> -�-- � � �J : �i, 9� �E�E��r��_r <br /> - l � <br /> ust ror�� inrnne� . <br /> N'si� PEES <br /> _ _ VAL�IATION fEE <br /> r" ____ . VES NO yUILDING _— —T- <br /> �ararxsi HooFsrcroec «�,p,,,�. �n �,� �,,..�. 23�00 -� �2D <br /> -----—----- — -- <br /> - -- --- <br /> v�,,. —., <br /> _ ��� I _ PLUM91NG ; <br /> tiJf�O/ALDG FIPESPRiNNlEHSRF.UU B�9EMCNT� � ---- <br /> —�-- <br /> MECHANICAI. <br /> �SZ�_51�, ___NG7 VES NO — _ ___ _ • <br /> nr.�i�vnNCr�M� Finfninnuufnn �in-aq�,.�',.-.e�.... / 4PDIT:ONALPI�Nf11ECN -� —' <br /> � <br /> �,i-1�a N-� ��Z � — � <br /> i�tn•,��q -___'___'-_ __ OTHER � -. <br /> _... <br /> —--' _— ' <br /> - —_ <br /> tiiATE WILDING uURi NARGF r <br /> --- -- ,,7� <br /> �•.•'•� ��. i �ur,snr�r(iovron� . .. -- CITYOFEVERETT � rueucwo�Hs <br /> �.J N LOCALSALES _ <br /> ^�� b �Z��,� _ TAX CUUE IS 3105 TOTAL - // i �� <br />