|
APPLICATII 1 FOR CONSTRUCZ �N PERMIT � �� �j�,
<br /> TO [3E COMPLETED IN BLACK INK—PLEASE PRINT ���
<br /> � HLAiI1JGSYSTEM. JG�S JLLFC;7RIC J -.-- . _ i I
<br /> (IUILDWGDEI'Afi1L1PGT - - - -- � - —
<br /> :S9 Bf710
<br /> DEMOLITION COMBINATION BUILOING _ MECHANICAL PLUMBING SIGN i
<br /> � i,i1 ,,lli i)� ' ��_" f : 1 '�U ', ' ! V� ' � . � �. � � � � _ � �_ . . . . . .. ...
<br /> . __ -. ' _ _ ._ .- _.. . .
<br /> . _ _' _____ ��.,i. i��u�u
<br /> . �n �nn nnnr�t sy .�
<br /> C7/-\��t L ..
<br /> .- �����rionocs�cHcn r+.nenoiress r.rtv z�° r'"m+�
<br /> HC�H - --
<br /> �y+[''�"� .�nnl C(HliMCTOR MMi ADI�NftiS CITV ZIP P�iONE SiQEUCENS[�
<br /> «�[5Gi�]y 1 .\��.If-IL �-���=�C�1� `� J�vc �l�' C4urFC �)e .l:iier�- `.i�:�ai ':•i >>il f'?�ir6� a�r:S.�,
<br /> CA� �•� �.nry(;��LON(NACiOR A1�Il�PD�E55 GTY fIP CHONE ST�TE LIGENSE•
<br /> aycn _
<br /> xy 'i��iGCONiR�CiOR M�il RpllRC55 CIfV 21P PHONf SUiE IICCNSE� �
<br /> H z� ;
<br /> �! n --------- —
<br /> O x O ��.�.f<rwonn --_.._.--
<br /> .� p,�iy �'NEW AO�ITION ALT[RATION FEP91R.- OEMOLITION WOODSTOVE�FRPL INSERT BUILDING RELOCATION
<br /> __.
<br /> !n H -.— _ nNt�ci rERsoN nNn nHON[No
<br /> y (� -�Zc�ts, ��, , JIaS�' r.-� n c,� .�,,� � � .�r � ? �� _ ---
<br /> � 23 ,, .�,nnr.rrnic[ovvronn __ ______-_-____._---.——
<br /> „Q�, Cf� :i ,�uiNfYIORKANDSW��F.i00T�0EINVq.VED
<br /> d
<br /> � �g � . ti�c�s�- ��:�,«. F --- ------ ---
<br /> •���,srouseavem�oi�+c i HERFBV CERTIFV THAT I HAVE READ AND E%AMWEU THIS
<br /> L�� O APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRFCT.ALL
<br /> � �� �� �a nescnirtoN�rnorenrv isHowr+ee�owoA etr�cHrouncoriEs PROVISIONS Of LAWS AND ORDINANCES GOVERNING THIS TVPE OF
<br /> y y WOFiK WILL DE COMPLETED WITH WHETHER SPECIFIED HEREIN OR
<br /> �'� H y . Bia:K �� _ -_.- NOL THE GRANTING OF A PERM17 OOES NOT PRESUME TO GIVE
<br /> � AUTHOHI7Y TO VIOLATE OR CANCEL THE PROVISIONS OP ANV
<br /> y I-i OTHEF STATE OR LOCAL LAW FEGULATING CONSTRUCTION OR THE
<br /> nC �y - PFRFORMANCE OF CONSTRUC710N.TMAT I AM AUTHORIZED BV THE
<br /> 3 �+ OWNER Of 7HIS PROPERTV TO PERfORM 7HE WORK FOR WHICH
<br /> [*lyy _ - - � APPUCATION IS MADE AND I COMPLV WITH ?HE STATE
<br /> Z CONTRACTOqSIAW 1827 RCW AND 29G200 WAC
<br /> H O Cn
<br /> _ / �
<br /> x C� ( '�_`��O"1 � _ i�/ 4��5 �
<br /> �
<br /> ----- , ---
<br /> � , �.������;����:�—
<br /> ---- -- ,, �..�
<br /> ,
<br /> , -' -'� , f _ i .'C.: i nli. ,� ��'l � ,.-:-..-.� .: ---- ---- �
<br /> PLUMBING MECHANICAL
<br /> NO. TVPE OF FIXTURF.OR ITEM FEE NO. TYPE OF EOUIPMENT FEE �
<br /> . A C- A HNDLG UNITS H P. _ _ _ _� _ �
<br /> '� � WATEflCLOSE7iTOILETI _ . _ __—_-_
<br /> I AATHTUB � � � '� f-OFCFC)AIR SVS7EMS-BS.U_ M E A.
<br /> I.A"AIORV I�M1'ASH BASIN) � 11NlT HEATF.RS--B.T.U. M _
<br /> . _. . _._ __. .._'-'- _- _� _—__ _— --r
<br /> � SIIOWFR � _ . CIOTHESDRVERS
<br /> _ __ __—___—_—
<br /> �' � � � � "� I V[NTILATION FAN �
<br /> ' ._ KITCHEN SINK 8 DISP '
<br /> -..— _ .. .
<br /> __ __. ..__ -__-__-____ — —�—
<br /> "' + DISHWASHER � IiANGE NOOD _
<br /> LAUNDRV TRAV ' WATER HEATER_
<br /> _ _ —_ --_.. . .__ ____. _ .__ . _ '
<br /> ... � � CLO1 HES WAgHEH �VOOD STOVE �
<br /> ' —_ -- ._. _ .._.. _. . -__— ____- " _�
<br /> � I URINAL METAL FlREPLACE 8 CHIMNEV : i
<br /> �-- �IIIEPLACE INSERT '
<br /> ORINNINGFOUNiAW _ ---� '
<br /> --�--� - PLOOF DRAIN --- ____. . . . HFt.T PUMP _ , I
<br /> '�` ' �ACKFIAW PREVENTCFS : GAS^IPING _ __T_
<br /> '► ROOF DRAINS-RAWLEADERS : f.xuAUST FAN
<br /> SINK�SERVICE-BAN,ETC.I • '� . ___ . '
<br /> ' � � _. ._ --___--_ , __._---_- _--
<br /> _ -T
<br /> �
<br /> (i SUBT07nl $ � SUBTO7Al S ;
<br /> _._ .__. __. . ____ . ._- __. .__ . ,
<br /> — ____-- �
<br /> � P[NMI7 $ � PERMIT b �_
<br /> . __ . _ . . . . ... . _. .- __ . _._ _- _..__—_.___ TOTAL FEE S
<br /> 101nl 141-. 5 '
<br /> F OR OFFICE U.,E ONLY
<br /> -- - — j —
<br /> �n�i nrni.. in n tii iunr r ,(�ui si mni.e ri ni�c�i . m r,)nu/n �i� � nrnPini Hq
<br /> � �q(¢�[�f� II �! !_�'! �.L � �/ C��.'
<br /> 7vi �� l . in�rn J � �� I v� nr��- --� � �FEES � VALUATION FEE —
<br /> 1 � � � !.'��- - ���������„�: 7��_ ;
<br /> Y. , . .. �. i�.� � �� �.mur��,:mei .. . � .. _ . .._ � -� - - --_. _ .. . --
<br /> ,��� ., . .c � ., �,,, �. . .
<br /> , "` PIUlAIYI.IC �
<br /> 7Z-N �-N_ . _ - .n-i i ------ _. _ _ _ �_
<br /> „ �:��,,, ��-,<�, .,�,��„z �,��,�„�,,, ����,�����A� —'
<br /> --�-
<br /> � sF i N� -- �
<br /> - - nunn;or+ni r�+r+c��ecK '
<br /> �.,�•nnni�,n�.� inn�si�um.iinv,inn wi..��ii�.�inn..•; .... �
<br /> _-_'-__
<br /> _
<br /> i,�A N� � G I �;:�,��.<:�„ �
<br /> ,�„ . �,,,, ,,, ,, ,,,; _-- -;
<br /> tln�l HtIIDMGSUHCIIAl1(11 �� ��
<br /> uun.� irv � rinrr.ni���nnvii��o � CITYOFEVERETT ridm�. N�_�Rn., � '
<br /> IOCAL SALIs /2 ��
<br /> J�� y �yi TAX CODE IS 3105 TaTpi
<br />
|