Laserfiche WebLink
APPLIC�4TlO� FOR COt�r$TRUCT�N PERM1� <'`"`'" <br /> ,,,,r�,:�,�,,,, TO BE COMPLETED IN INK—PLEASE PRINT � <br /> ��.�oF `—r�� �%�wf— <br /> everett �EATINGSYSTEM: ❑i;AS JELECTRIC J __� <br /> BUILDING DEPAflTMENT <br /> 259-C810 <br /> �� �" DEMOLITION COMBINATION BUILDING MECHANICAL : PLUMBING SIGN <br /> CN41E A M�IL RDDRESS C V LIP PHONE ']f�� � ,�/�1 <br /> n x �/��/' ,�',E'Di9 � ' �-rT�i f'��' ' �¢�� � <br /> .. �'d� t9 - �.T/_ <br /> � y y TEN�N AILA� CITV lIP i'NCNE � ��� � <br /> H � � �yry� ,,/,y 3 !� J .� 'dA <br /> y N na`c�[Lt O[�i�NE MAiLADDRE55 CITY ZIP ���� � <br /> K (] <br /> H h7 <br /> G[NER�/�{q/+TPRCTOR MALLApDRE55 CT' ]iP PNONE IiCENSE� <br /> �Y� l�"I.C)/-.Vt_J <br /> �a�;,�,ar:�c:,�c.-.::nacron Gui�won[ss cm 7ia w+o'+E uteuSE• <br /> Q �-I � PlUMBMGGONTR�LTOR IMIIA�DRC55 CITV ZIP PHONE LICFNSE� <br /> � � 8 <br /> �• n CL0.550FWOiiN <br /> zy � � NEW '�DDITION �� AITERATION �. . FiEPAIR ._ DEt10LIT10N �. WOODSTOVE/FRPLINSERT �._, BUILDINGRELOCATION <br /> a /J� 53 CONTACT PE SON AND VHOI C N0. ,(� <br /> C y y cor+rA�cT aaice oF wonK G��� Q� U �7�"✓� <br /> H DESC [WONN�NDSWA -FOOiRGEINYOLVE <br /> � d� sr-,z. �� �_ %59 - ��Ka�f <br /> �� '�" vaoroseouseoFem�ome I HEREBV CERTIFV THAT I HAVE READ AND E%nMINED THIS <br /> z y y � APPUCATION AND KNOW THE SAME TO BE TRUE AIJD COPRECT.ALL <br /> y � �� t[G�IDESCR�PtIONOFVROPEdTY15NOVM0[LOWORATTACHiWRCAPiES� PROVISIONSOFLALYSANDORDINt,NCESGOVERNINGTH15TVPEOF <br /> WORK WILL BE COMPLEIED WITH WHETHER SPECIFIED HEREI�O(i <br /> ior eiocrc oF NOT. THE GRANTING OF A PEPMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIpNS OF ANV <br /> � OTHER STA7E OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> . PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNEfi OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLV WITH THE STATE <br /> CONTRACTORS LAW 18.2'+RCW AND 296.200 WAC. <br /> SIGNATUREOFGONTflACTOFORAUi�IDRI�EOtiP+i DnTE <br /> X � � <br /> rnan:c*aonress �� ��/ — -- " <br /> 5�a9 Q�+����W A�P��CR BUSWE ICENSEI RNOPJSINESSNFME <br /> PLUMBING MECHANI L <br /> f w� NO. TVPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> I ` WATER CLOSET(TOILET) NC—h'HNDLG UNITS—H.P. <br /> � BATHTUB FOFiCEDAIRS`:STEMS—B.T.U. M E.A. <br /> 1 � LAVATORY(WASH BASIN) _ _ UNIT HEATERS--B.T.U. M __� <br /> �=' SHOWER CLOTHE$DRVERS <br /> KITCHEN SINK 8 UISP VENTILATION FAI� <br /> � DISHWASHER RANGE HOOD <br /> LAUNORV TRAV WATER HEATER <br /> '�, CLOTHE-S WASHEF � WOOD S10VE i <br /> 1 �_ ' URINAL ' METAL FIREPLACE 8 CHIMNEV <br /> DRINKWG FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> �_t�' Fi00F DRAINS—RAINLEADERS E%NPUST FAN <br /> '�� SINK(SEPVICE—BAR,ETC.) <br /> i <br /> � _'' <br /> � SU�TOTAL $ SUB TOTAL $ <br /> PERMIT $ PERMIT $ _ <br />� � TOTALFEE 5 TOTALFEE $ <br /> � FOR OFFICE USE ONLY: <br /> FRONTSEtBAGN REAP �'� JACN S�D[SET9ACK PLANCHECNNUMO[R FEE iFCEIPTNO. <br /> � zQ,� S �7�5 5��.�� 53a.y9 <br /> usez�/�'�� � �� 'tiL3�600 �A�ANi511E FEES VALUATION FEE <br /> • � � ��� .C'r• �� BUILDING g55d ,�1��7 <br /> tYPE 0�CONiS ALlOWABIE ivPE 01 CONSt ACNRL ocauaex[v xJ a wrt.uxG�nS - <br /> -f �9W° ' PIUMBING <br /> Y 'A! - <br /> SIiF.oFB1.DG. NO.oiSTORIES BASEMEN7 MECHANICAL � <br /> i <br /> �IY $G ADi� � N� � <br /> OCCUPANCY LORD FlRE SPRNKLERS REO'D HEIGHT UMItPT10N ADDITIONAL PLAN CHECK i— <br /> �� N'� � ' OiHER ' <br /> REASON FOR SPRINNlERS �� <br /> STATE DUILDING SURCHARGE f/ i�v <br /> f <br /> INTRNEBY PlANSAPPROVEDBY CITY OF EVEHETT PUULIC WORNS <br /> �-� LOCAL SALES � — <br /> y�, TAX CODE IS 3105 rorn� �j�J <br />