Laserfiche WebLink
,. <br /> APPLICATIO: �' FOR COPISTRUCTC"`�N PERMIT `'�`'"'" �� <br /> TO BE COMPLETED IN INK—PLEASE PRINT � � <br /> v�.�I.„a•,, n <br /> GfY01 � .. - - -- <br /> ___.._ . . _. _. __ _ <br /> everett � HEATINGSVSTEM �JGAS UELECTRIC J <br /> BUILDING DEPAFTMENT �-------— <br /> 259-BB 10 <br /> � ry DEMOUTION _ __ COMBINATION _ _ _ BUILDING ____ MECHANICAL ____ PLUMBING __ SIGN <br /> r,nv !m MroNF <br /> '}O�WNI11 I MAR APDR(SS ��,/l/O <br /> o � � )lI STtJc�,t__�_`{I_`�_�ai��t�r_--��T ----�3P---'— - <br /> .q �✓-IK�� f:�rr l�r rHOHe <br /> wyy�� IIN�N1 MMl�U11Nl55 '-- <br /> M !� -- - cirv 2ir r�aNr - <br /> y� Y� A11QIitEd IXV DES�GNE11 IA��L�DDPC55 <br /> ��� "--- CIiV l�� PNOHE LICENSE I <br /> IIfNkR�LCONO1�CiOR M�ILA�DRESS <br /> � —_._–_–_---_ <br /> _.— --- aiv I�P PNONE IiCENSE� <br /> �r 1.1ICIIAN�(:Al C Ifi (,1(lf1 ����IAfID�VF55 ^� ��I ' ��r��1� 'O'f �� <br /> � IJ.w•N/µ .�,,�,u�,-�v,. 31ro - I ��.�._�t__�✓_C SYLoI � — `"CENSE� , <br /> Q N Pl11MOMOG(XliRAl;lOq MNI �DORE55 Cliv IiP PIIONE <br /> � �g -- - -------- - <br /> �� � ci�ssorwonK <br /> �+ p.� � NEW ADDITION ALTERATION REPAIR _ DEMOLITION WOODSTOVE�FRPL INSERT BUILDING RELOCATION <br /> y y ^� � coNt��r rrnson�rio rvroNr rro <br /> Fy �rV O <br /> � LUNTR�CTPPICFOlWWn -- — — <br /> ��� DFSCf1�BEWORK�NOSW�RCf00��0[1VIXV[U <br /> �/1/SI _ ��'� •`���W <br /> � � rnoroseou.=oa v��oi�+c I HERFBV CERTIFV THAT I HAVE RE�D AND EXAMINED TNIS <br /> � ' �PPLICATION AND KNOW THE SAME TO DE TRUE AND CORRECL ALL <br /> y u��ue. 'eioriuq or ano�LY 15110WN 6ELOW OR�1T1CN fIXIRf,(MIE51 PFOVISIONS OF LAWS AND OFDINANCE$GOVERNING?HIS TVPE OF <br /> WOFK WILL BE COMPL[TEO WITH WHETHER SPEGIFIED HFREIN OR <br /> i�� A��K ov NO?. THE GRANTING OF A FERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOiiITV TO VIOLATE OF CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL lAW REGULAiING CONSTRUCTION OR THE <br /> PERFOPMANCE OF CONS7RUCTION. THAT I AM AUTHOFIZED BV THE <br /> OWNER OF TMIS PROPERTV TO PERFORM THE WORK fOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1B 27 RCW�ND 296P00 WAC. <br /> si.r+eme[orccw*aectoaounmi�onnco�aFr+r ontF <br /> - --------- X �/(J �/(f�y�vy�/- � y• Z' S I <br /> PN(UEGI�UDnf55 -- •-'-'--*--- —_---___--- <br /> ���� �� �PPIIC�N15U1YP11SpfS5��f,f15�NOAl1IJOl6WE5 �5N�M[ � <br /> t4� <br /> PLUMBING M[CHANICAL — <br /> / �_�� FEE NO. TYPE OF EOUIPMENT FEE <br /> ( NO. TYPE OF FIXTURE OR ITEM <br /> I C'1I WATEP CLOSET�TOILET) ----_ _.__..__ �= A'�-A'HNDIG UNITS-NP --_ _-,_ <br /> BATMTUB FORCE�AIR S`.'STEMS-B.T.U. M E.A <br /> I 1 —_ IAVATOR�(WASH BASIN) _ _ — UNIT F ATERS_B T_U M-- Y <br /> SHOWER CLO7��.ES ORY[RS <br /> 'I �� _ KIiCHEN SINK 6 DISP VENTILATION FAN - r_ <br /> DISHWASHER FANGEHOOf�� _ _ _ <br /> ,i � -- - - - � WATER HEA1 ER <br /> LAUNDRV TPAV — - ---- � <br /> i — --`— — WOOD STOVE _ -- ' _ <br /> � CLOiNES WASHER <br /> ��• URINAL METAL FIHEPLACE d CHIMNEV <br /> DRINKING FOUNTAIN PIREPLACE INSERT ___T <br /> FLOOR DR�IN HEAT PUMP _ _ _ - <br /> BACKFLOW PREVENTERS � ,GAS PIPING <br /> ' 1_1 _ RWF ORAINS-RAINLEADERS i _ EXHAUST FAN = <br /> , SINK(SERVICE-BAR,ETC.) __�__ _—_ -__ <br /> I 1_ _ _—_ -_ —_- __ ___ _--._— _—__.�— <br /> _' —_ —� � <br /> SUB TOTAL E ' SUB TOTAL S /t �y___ <br /> � —.. ___-_.-_._-_.___-_ - , <br /> ._-_- -_.__._—_—_ <br /> - —��---�"" PERMIT b � <br /> PERMIT S � . f—'--. . <br /> . _ ...___—___ ..—__—___ _ -._ <br /> _—_ _._ - <br /> _ ..__ .- -- __.-_._._ _ <br /> ----����- ---�- TOTALFFE E <br /> �� TOTAL FEF S ' <br /> � FOR OFFICE USE ONLY: ,,,�„�,,,,, <br /> --- � � �'I�N�ul�l NUMPFiV 1 I 1 <br /> 1 nr�ql[A 1P�Ck ��� 1 1�I N�SF�t1A6K �rUf SCIO�[M <br /> uticror+t -�-- -� -- u-,inr,tn vecer�tsnc ... FEES VALUATION FtE T.__ <br /> UUII I�Iqli . . <br /> rvPFO�LONiS�llOW1B�E IVMOi[ONSIAL�V�t rcnn'v". �qqon��.i+. +' . . . - . . .�.. .. � <br /> ��°� PIUMDING .. <br /> �..9nrPlOG NOOFSTORIEG N�SEMENi R1fC11ANICAL ---��� � __ JC "� <br /> '�� ADDIiIONAL PUN CNLCN <br /> i�� ..�V`INCY IOAD lIRE SPRHMlFRS PEO'D NUGMI UMII�iNNI ___ - — <br /> OiHCR � <br /> _ - i -_ <br /> u�e t��N f Of15�R�llKlf AS , <br /> til�if AUIIDINGSURGIIAfIfI ____ <br /> . __-_. _. _ ..__ . .. <br /> ��;�..to� � rieHse�rr�<ivi�oe. �� CITYOFEVERETT ��umir.wnnnti ' <br /> �--- LOCAL SALES <br /> TAR CODE IS 3105 TOTAL Jc <br />