Laserfiche WebLink
1 <br /> APPLICATIO� F0�3 CONSTRUCT�N �� Vefe`� <br /> TO BE COMPLETED IN INK—PLEASE PRINT D ��� <br /> m.eY.�o� 1990 <br /> cm oF }} <br /> � e�'�erell HEATINGSVSTEM: OAS ELECTRIC ❑ <br />, � BUILOING DEPARTMENT BUILD ' <br /> z�e•ee�o EVERET7 <br /> � ❑ DEMOLITION I i COMBINATION I I BUILDINCi y�MECHANICAL I i PLUMBINQ I"I SION <br /> pWpER M�0.�DOREBS CIIV 71P PIIONE <br /> 1 �+�- ,. 1 3 33'L Cf o /' C�.s,es T S /ll � 06 � c 1 �v4/7 <br /> � ��µ� M�IL�ODRE69 CITY IIP P11d/E <br /> ARCNITEGTORDEBqNER M�M�ODRE88 ��T� =�P P�E <br /> 5r`Ec�iv �'�(1 ,�nb c<A166'3C, _ <br /> pENEpILL TMCTOfI MAll�0�RE88 CITV 21P P110NE L1GEN9E1 <br /> ,� i � �aC� �oo a :orH- 5,�.�„ �L�„�/� t�a . �� S�S 3/7 c� <br /> MECNM/ICAI CONTR OR M�0.�DORE59 _�^ CITY ZIP PIqNE LIGEN9E/ <br /> �r,��,� 5�,1a,�i:�� E�,r��J w� aoc, 2�7/y3s/ E✓E srn��� <br /> 9 KINMMMCONTMCtDII MA0.�DDRE85 CItY 21P P��ONE LICEHBE� <br /> 7 <br /> i.. — <br /> cLA!!OF v�OaR <br /> NEW CI ADDITION I I ALTERATION I�I HEPAIR ! I DEMOLITION I I WpODSTOVE/FRPL INSERT ❑ BUIlDINO RELOCATION <br />'`� ' � /� CdIT�CTPFR80N�4DPIqNENO � <br />�'� � CONTMCT PPICE OF NVNK ' <br /> � OEBCRlE VARK 11ND BOUIINE f001110E INVOIVE� <br />��- paoroseouseovauKort+o I HEHEBV CERTIFV THAT I HAVE READ AND EXAMINED THIB � <br /> j APPLICATION AND KNOW THE SAME TO BE TPUE AND CORRECL ALL <br />��� �ppQ pElCPIPTION Oi PROPENTY IB110WY BELOW OR�TT�GM FWR COVIEB� PROVISION9 OF UWS AND ORDINANCE9 OOVERNINO THIB TVPE OF <br /> WORK WILL BE COMPLETED WITH WHETHEH SPECIFIED HEHEIN OR <br />�'� �or e�ocK o� NOT. THE QHANTINO OF A PEAMIT DOES NOT PRE6UME TO OIVE i <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISION8 OF ANY . <br /> I: OTNER STATE OR LOCAL UW REOULATINO CONSTHUCTION Ofl THE � <br />!� PERFORMANCE OF CONSTRL'CTION.THAT I AM AUTHORIZED BY THE <br />' OWNER OF TH'S PROPERiV TO PERFORM TME WORN FOR WHICH <br />� APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br />� CON7RACTORS LAW 1827 RCW AND 286.200 WAC. <br /> BIONAtU11E0iGd/TMCTOROR�U71qRIIEUMENT O�TE <br /> X � . / / � � .<.. <br /> ►IIQIECT I100NE88 •- <br /> APPIICANTBCITVBU81NE89LICENBENO.MlDBU9NJE8 MIE <br /> s� Q MECNANICAL <br />� Mp, TYPE OF FIXfURE OR REM FEE N0. TYPE OF EOUIPMENI FEE <br /> WATER CLOSET(TOILEn � N�NHNDLO UNITS—H.P. � <br /> BATHTUB ' fORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> II UVATORV(WABH BASIN) � UNIT HEATEFlS—B.T.U. M a �! ,tN- i � <br /> SHOWEF CLOTHES DRYERS ' <br /> KITCHEN SINK 8 DISP � VENTIUTION FAN ' <br /> D19HWASHER � RANOE NOOD � <br /> UUNORVTHAV � WATERHEATER ' _ <br /> CLOTHES WA3HER � WOOO STOVE �_ <br /> URINAL ' METAL FIREPLACE 6 CHIMNEV ' <br /> � DRINKINO FOUNTAIN i FIREPUCE INSEHT � <br /> FLOOR DRAIN � HEAT PUMP ' <br /> BACKFLOW PREVENiERS ; OAS PIPINO _ � <br /> ROOF DRAINS—HAINLEADERS � EXHAUST FAN � <br /> � SINK(SEHVICE—BAq,ET0.) ' � <br /> 7• ' � <br /> r i ' <br /> 4 � i <br /> r � i <br /> i � <br /> � SUP TOTAL S ' SUB TOTAL S 'O <br /> � � PERMIT { � PERMIT t � <br /> TOTALFEE S ' TOTALFEE S " , <br /> FOR OFFICE USE ONLY: <br /> � fRONT6EtMCk RE�RBETB�CN BIDE6ETB�CN PIANCHECkNUMBEN �EE RECEIPTNO. <br /> ' uaeza+e lOTl1RE� VACWTBI�E FEES VALUATION FEE <br /> � 9UILDINO � <br /> i <br /> ri�[piW11T6./�IIOWMIf IYPEOICON9t.I,CtUAI oaur�rcr �paomunaunn � <br /> . �� PLUMBINO i <br /> e�ppµpp. NO.OFBTqilEB B�BEMENT MECNRNICAL (Jti � OU <br /> i <br /> ADDITIONAL PUN CHECK � <br /> p6CUPN/CVLWD fIREBPRNI(LERBREfTO NE�OHiLIMIUiION I <br /> i � <br /> OTHER i I <br /> REABON FOfI ePRINMlERB � �� <br /> � STATE BUILDINO SURCHAROE � ', <br /> INTuc!!Y P1ANB�PPROVEDBY CITY OF EVERETT PUBLIC WONKS ' I <br /> . .� ` LOCAL 8ALE8 i D J I <br /> �.�tj.J TA)(CODE IS 9105 ror�� I <br /> _... ._ .: . ._ .. .. . ... � ,., :.. . . .. , <br /> .,L1_::vl�'nid <f! <br />