Laserfiche WebLink
APRLICATIC 1 FOR CONSTRUCT'lN PERMIT � <br /> TO BE COMPLETED IN BLACK INX—PLEASE PRINT <br /> BUILDING DEPARTMENT HEATiNG SYSTEM: �I GAS ELECTRIC ❑ __ � <br /> �--- <br /> 259•8810 <br /> I I DEMOLITION COMBINATION �! BUILDING y�'MECHANICAL y�PLUMBING I i SIGN <br /> pYMER M�il PpDRGSS GITY li PNONL <br /> MARr< D St[BS� /2lz sj��in�r6f'��'� R��n t �Kc s�cucn� Y4�rY, (Zc� � 337 y7�3 <br /> TENANT MA�L�O�RF.55 CITY 21P PN E <br /> ARCHRECTUq0E51GNER MUL�ODRE55 CIiV SiP PNONF. <br /> MAoI� a IEi01' ilzr �F,���vF�r<<K ��-an (Ai<< srcvcNs 94J>r� ���-c.) 3�7- Y�la <br /> OENFRILCONiR�CiOR AIAIL���RE55 GTY ZIP PHON[ STATELICENSE/ <br /> � � , 1 ' i � s YTSi; �art ' /✓1�,CK.SFCiJ/Mc' • <br /> �IA�Pi s �[r�c�P (�• c� irt16 / �1 SPRiRb6iz �oK R.�'/� LN�� s7t C.v �/ )317� 17�3 <br /> MCCN�NIC�L CONTR�GTOR MML�DDRE55 CITV Z�V PHONE ST�TE LIGENSE� <br /> [•5)-/�/r S <br /> /J�L �C4M(T �lOC7NiiEST IIIb (P�'�� _ iYV�y/�i ��� 7Jt: � S7lS /JLL/'LA/�/= Lh"YOV <br /> PWMdINf.CONTRALTON MAIL�DORESS C Y 21P PNONE STATELICENSE� <br /> L� f'Lur�R ti'aRTNwE� � 1/c• f�/a� , ,,, /� �•s'_iv� s ��i�N# d <br /> CONTR�CT PPIGE OF WONN/.� / /_Q/� <br /> ��J 4��L/ / VJ <br /> DESCRIBEWONk�NO�a I�REFpOUOFINVOLVEO j/Lb fj�+K � ���� CONT�CiPEPSON�NOP110NEN0 ��� H�^'< <br /> A;/Jio.+�����1 .n �yJ/�x 99b i7���c _ Jti�NkKl ' �3 7 • V! <br /> 7e 86 � <br /> i HEREBV CER7IFY THAT I HAVE READ AND EXAMINEO THIS <br /> PROPOSED USE OF BU! MN6 n APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7.ALL <br /> � N ui I��^y — !"�L�l� PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TVPE OF <br /> LE6AL�ESCNI OFPROPE �SNOWNBE OWOR�TT�CNTWOCOPIE51 WORK WILL BE COMPLETED WItH WHE7HER SPECIFIED HEREIN OR <br /> NGT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LOi qLOCN °F — AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOGAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORI£ED BV 1HE <br /> OWNFR OF THIS PROPERTY TO PERFORM THE WORK FOH WHICH <br /> — APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> PAPCEL T�M I O N7MBER CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> GONSiPOCT10N IOGN IENDEN.11��RE55.TEIEPNONE NIIMBFR / <br /> ��- '.n��ica'_ BAti�K FUEi+vCc�,;� �A +s.3 bz , � /w�— /c4��slr zJ ifY3 <br /> PROJECT ODRE39 , �'+������ � -- o�re _ <br /> Lilv fli 5iNf5ti ul.l�IS!Iq <br /> PLUMBINO MECHANICAI <br /> NO. 1VPE OF PU(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) ' I A/C—AMNDLG UNITS—H.P. I <br /> BATHTUB lIJI FORCEDAIRSVSTEMS—F.f.U. M E.A. ' <br /> � LAVATORV(WASH BASIN) UNIT HEATERS—B.T.U. M �_ � <br /> SHOWER Z CLOTHESDRYERS <br /> Z KITCHEN SINK 8 DISP /I VEPlTILATION FAN <br /> DISHWASHER � � RANGE HOOD /I � <br /> LAUNDRV TRAY ; WATER HEATER � ' <br /> CIOTHES WASHER � WOOD STOVE � <br /> URINAL METAi.FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN i FIREPLACE INSERT � <br /> FLOOH DRAIN HEAT PUMP <br /> BACHFLOW PREVENTERS ; GAS PIPING ' <br /> _ —�— <br /> ROOF�RAINS—RAINLEADERS E%HAUST FAN //// <br /> SINK(SERVICE—BAR,ETC.) �_ � �'�i— <br /> ��c�r— <br /> T <br /> SUB TOTAL $ SUB TOTAL E — <br /> PERMIT E PEFMIT S � � <br /> TOTAIFEE S ' TOTALFEE f <br /> FOR OFFICE USE ONLY: S I C Z D,j <br /> IRONiSETB�CN RE�RSEIA�CN SIUESETB�CK PLRNONEGK��M@Ei� FEEL���� RECE T 33C� <br /> _��(�7 (/�')_ 'L-O 3 �� <br /> usez E LO7�RE� weu+tsire FEES VALUATION FEE <br /> i <br /> i�! VES ��. '� NO BUILDINO �Gj _ 8�� ;o� <br /> IYVF Of WN57 �i0 Uf SLONIES xcunNcr No n nx¢uNtuxns <br /> Z PdJ° Z PLUMBING � � <br /> SRE�� %i�FE.i i'1MIEnsilEo'o BASEMEN7 MECIIANICAL � <br /> '$i•H. SP t � ...1 YES ��O <br /> 0 o Sf G K ADDITIONAL PLAN CHECN -'�j <br /> OCCUP�NCY LO�U Frt1F�I ARM Rf O D NEIOMT LIMII�110N v <br /> ,v —zg ' �- �ALbN _�� �� <br /> REA�N �/I�i�W I �'��V�I�/ /Fi1/ � � :J� <br /> S' �, STATE BUILDING SURCMARGE <br /> INi�KE BY PUNS�PPIIOVEU OV CITY OF EVERETT PUBUC WORKS O i <br /> J+F �oc��sa�es , <br /> on,E 6 3 TAX COOE IS 3105 TOT�L '0� <br />