6602 CADY RD B 2016-01-01 MF Import

APPLICATIa � FOR CONSTRUCT: )N PERMIT �✓� TO BE COM?LETED IN BLACK INK—PLEA�E PRINT �_i BUILDING DEPARTMENT HFATING SYST[M .�Gi�S J E�EGTR�C J __ � �--- ------ - — — _ -- -- ---.._-- i 259- 810 DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN -- --- -- - — -- rnvr�i�� n nt i �.nr :� / i}��on--� 7Yy– ,35.� ..�{�Q.y4_r,_n_��iS��'/N�__.__—J U_�_�_�Z.'3K� _ .S['. . � IC 1�. LLC�Kvl��B�.. '_'_.._ q�NnNr r,nv I�r ruonf __��L�+��✓�__–__'-- _ .'"'___– ___–_" ARf]011ii OR pf9GNFn RIFR I.UOqf 55 CII`� ;�P PIIJ4f 1111[RAt L01lIR�CIOli IAMI�Df1Rl.i5 LII'� J�i PUONF ti�diF I I"411tiC• ��tf�s�r�.�_�H�3.�., s r- �—�✓_.eK.�,ir.l,U��'�az,�i.aJ�! iuAT� < <, ��n�nrni.contnn iori r.�n��aoonrss citv zrt �uo��r ,rnifiice�vsF. � •�� vi.UTAtlINGCONTRRCION MRIL ApDRE55 CI1V Z6' P��ONE S��tE IICGNSE/ CONiFACi Pf110E Of WORrt � O�,SC�RiBFWORKANp50l1API.�001A(;EINVOivFD CON1ACiPf��`�'�I��}�Dn1�ONFNO �_ � ,'tCLrlfd__L��Ks4�=�,a ady' -- i�aN—tf�73/<s v�. �/ti ��.3 5 _ i HERFBV CERTIFV THAT I HONE READ AND E%AMINED iHIS rAoroseo use ov Bui�mNc APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AI.L �I pROVI510NS OF LPWS AND ORDINANCES COVERNING ThIS TVP[ pF ifcnioFscniarror+Orvao�rntv�.�a�nwunnownnntmn��vmcories� WORK WILL 9E COMPLETED WITH WHETHER SPECIFIED hEREIN OR � � /.q „� _BL�� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE lOL — Ill(X.N — O� Lf�-6-' -S ��--- AUTHORITY TO VIOLAiE OR CANCEL 7HE PROVISIONS OF ANV .�p OTHER STA7E OR LOCAL LAW REGULATI.:G CONSTRU('TION OR TH[ -t-�__4�3��c'_,2c.�_ _«s_ _Ue� � - -�y - ! ' PERFORA1ANCE OF CONSTRUCTION. ?HAT I AM AUTHORIZED BV TH[ OWN[R 9F THIS PROPERTV TO PERFORM THE WORK FOR WHICH _.- _.--_----_-�---------------- APPLICATION IS MAOE AND I COMPLV WITN THE STATF i�nnoc�uR�o r+uMoen COIJTRACfORS LAW 1027 RCW AND 296200 WAC ��I_0�_�•�� DOQ`� _— -- -- � -- corr�r�uainniunrni�+n�n nnnnF.ss in[r�un� au��r�n � _– __—___–____. _____– –____.� 2 ^'7'�j''`/'�`/ —. PROJECT AD ESS . ..____--– X,. �,,,�Cn��_ _ . .. ._ --. O_- ___ � Q p n�.rvis�rnssn,�• . --- _ PLUMBIN MECHANICAL NO. TVPE OF FI%TURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE WATER CIOSET ITO:LET� . A�C–A HNDLG UNITS–H P. __ _� _ flATHTUB ' FORCED AIR SVSTGMS �iL. M E A. ' LAVATORViWASHBASINI UNITHEATERS–B.T.0 M __ � _ SHOWER CLOTHES DRVERS _ KITCHEN SINK 8 DISP VEN'ILATION FAN DISHWASHER RANGE HOOD . I.AUNDRV TRAV � WA fER HEA �R ' _. CLOIHES WASHER WJODS'C � _ URINAL METAL FIHhY�ACE(WOOD BURNING) . _ DRINKING FOUNTAIN i F�REPLACc INSERT � —r_ . _ PLOOR DRAIN HEAT PUMP ., _ BACKFLOW PFEVENTERS GAS PIPING � _ — —�–. _. ROOF DRAINS–RAINLEADERS � E%HAUST FAN . SINK(SERVICE�-9AR.EiC.) _. _ __— _— —T _– , - .. __ _ —-- __. – — .'r__ . SUB TOTAL S ; SUB TOTAL 5 _ _.',___ ._. __-- _____ --- __.._.._____�_._ ..____ _ ..--_ _ –__._.__ _ PERMIT 5 PERM1IIT _ 3 __ __ .__—._ _..._. . –:___.. ____- __ .. __–.– ___ __. –' _ TOTAL FEE $ TOTAL FEE S FOR OFFICE USE ONLY: �uoNrsReacN n�nrisvrnnLK sorsr�nnca � r�nNCurc ryuVnrH ��r man,rno � IIp�J i._r zor+e ior eeen vnenNi srte FEES VALUATION FEE -�— . . YES NO euu.oint; � �vr[OiCONSf NJOfSTONES anmuu� r�n:vpwiee��.•,.- .. _.... . --_--__. _ . ... .. _. --__""'_-_ �,r,iir pIUMI7ING �.i![OF BLDO FRF SPNNNLEFS RE00 PRSEMB:i MECHANICAL ' .�- VES �� NO --- ------- --... __. ._..- ----�_ ��n;f.UP�NGVLOAO fiREAL�RMREOD NEIGNIIIMIU110N AOD171011'� �I.ANCHECR ___. . O1HER -- � _ _. ._._.__ ._ _ ..�_ _." __ HFRSON — �;tpiE AUILDING SURCHAfiGE ___.. ._ __._—.—__'_-_—__ . . . __ — —_-_ irymnln✓ � ��inr�;nrri�nvfni�v CITYOFEVERETT PUBIICWORKS LOCALSALES „�„ TAX CODE IS 3105 rorni