Laserfiche WebLink
APPLICATII��I FOR CONSTRUCI .ON PERMIT ���'fe1t <br /> ��E���� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITv OF <br /> eve rett HEATING SYSTEM: GAS U ELECTRIC U_ _ ---� <br /> BUILDING bEPARTMENT <br /> 259-Bd10 <br /> DEMOLITION COMBINATION XBUILDING MECHANICAL PLUMBING SIGN <br /> TEN~�� /�j �n�h��'REIo,� 33�d/ �si�l.vus �,ftg/ �ri�lu/�9�cv3 ;���-���� <br /> --�� MAll�fl�RE55 CIiV 71P PNOHE <br /> �yCM1E LC OFDESi. R MAI �D FE55 ������ ;�,z(1P(� � P�E / <br /> L 9.�N�� ��f�. �� LQ�S-r�-/-=X�r�uG----�- � ��SS3 <br /> QENERALCONTR�CiOR M�tL�DDRE55 GTv IP P E LICENSE/ <br /> G �l - .$' 0 <br /> MECN�Nit�lf,(k1TRAf,IOH M�iI�DDRE55 CITV IiP FMONE I.C645E1 � <br /> � � <br /> PWMBINGCONiR�CTOfi MNI�DDRESS CILY 21P PMOME IICEN5E1 /`fO� <br /> � �l O <br /> LU SOiWORN <br /> NEW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVEi PL INSERT BUIIDING RELOCATION <br /> / CONUCT PERSON�ND PMONE NO <br /> (:ONTq�CT P1110E OF WORk <br /> DESCRiBE WORn AND SIXARE FOO �GE r1 VOl EO <br /> �4�t �F� h� Srt 0 ' � 3�S' �i '.��� <br /> I �Eou eun o —� 7��r � I ERE V Fl FY THAT I HAVE REAO AND E%AMINED THIS <br /> • ,�,/ AP IC OW THE SAME TO BE TRUE AND CORRECT.ALL <br /> lEO1l�ESCPIPTIONOF PROPERtV ISHOWN BELOW OR�Ti�CHiWA COPIE P�I LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> . W K E COMPLETED WITH WHETHER SPF.CIFIED HEREIN OF <br /> ior e�ocK ov NO THE ANTING OF A PERMIT DOES NU7 PRESUME TO GIVE <br /> i AUT RI V TO VIOLATE OR CANCEL THE PFOVISIONS OF ANY <br /> L� ����� HER ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> , �---� �O ANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BV THE <br /> OJ�/N OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APP ICATION IS MADE AND I COMPLV WITH THE STATE <br /> I y� O RACTORS LAW 1627 RCW AND 296200 WAC. <br /> ��5� /9, '� 51 �TUREOFCONTR�CiOROR�UTNOfIRED�GEN1 D�TE <br /> � PNQIELT�DOHFSS ���8 ���iNESS��, ��� <br /> � � C Si O �D <br /> i I.fECHANICAL <br /> PLUMBIN6 <br /> NO. TYPE OF FIXTURE OH ITEM FEE ��10. TYPE OF EOUIPMENT FEE • <br /> � WATER CLOSET(TOILET) ^ A'C—A/HNDLG UNITS—H.P. _ <br /> BATHTUB • FORCED A�R SYSTEMS—B.T.U. M E.A. _ <br /> i LAVATORV(WASH BASIN) UNIT HEA7ERS—B.T.U. M <br /> � OWEH OTHES DRYERS ' <br /> KI E��SINK 6 DISP VE ILATION FAN <br /> DISH 3HER RAN HOOD <br /> � LAUNDR RAV WATER A?ER <br /> " CLOTHES HER WOOD ST E <br /> " URI�:AL METAL FIREP CE 8 CHIM V ' ' <br /> � DRINKING FOU FIREPLACE INS T i , <br /> FLOOR DR HEAT PUMP ' <br /> BACKFL PREVENT i GAS PIPING <br /> ROO RAINS—RAINLEA RS EXHAUST FAN <br /> S (SERVICE—BAH,ETQ) I <br /> � <br /> � <br /> --�. <br /> SUB TOT S SUB TOTAL S <br /> PERMIT E PERMIT f <br /> TOTAL EE S TOTALFEE f <br /> FOR OFFICE USE ONLY: <br /> FR01115ETB�LM RE�RSE18�/ SIDESETB�GN, PI�NLNE NNUMBER fFE> f • j pECEIPTNp <br /> .�L�, S— 9� a��� 6 � 3� s:`€ s-s. p� <br /> usE:a+ ESiL�✓�o�bJ�T�p wceNrsire FEES — VALUATIO FEE _ <br /> �IT T/Ni '� <br /> � � �qi/i.d BUILDING � 73 t� Q <br /> 1VPf0�LONi5�U0WA81F fYPE ONSf IWt t✓duww+ xopVMw�uN�`5 <br /> I II" _ I�I— N L��o PLUMBING � <br /> . �- <br /> Si1FOFBLWu .� . f100P5TORiES B�SEMENT MECHANICAL <br /> � �� S J / ADDIiIONAI PLAN CHECK �'� <br /> I CpP�LO�[l fIRE$PRHMLEPSPEO'D HEIGNTLIMIUTIOh <br /> i <br /> H o.✓�r y�S OTHER i <br /> RF�SON iOA SPNINKlEAS <br /> u n L S?ATE BUILDINO SURCHARGE <br /> U <br /> IHGNE BY PlANS�PPROVE[1BV CITY OF EVERETT PUBUC WORKS y� �r <br /> � LOCAL SALES r:. � "— <br /> � ��� TAX CODE IS 3105 TOTQ � 3 53 � �c• ' <br />