Laserfiche WebLink
AI�PLIC�1TIl :�1 FOR CONSTRUGI _4Id QERMIT �V � t <br /> ,,, �:,,,,���, � <br /> ��,��F <br /> everett <br /> BUILDING DEPARTMENT Tn BB COh1PLETED IN INK—PLEASE PRINT <br /> `r�� BB10 BUILDING MECHANICAL PLUMBING SIGN <br /> DEMOLITION COMBINATION Z��, �„c�+E <br /> �y n � rnnn no �� crzr <br /> t' �.����R IA 1I ,� �.,.e �Jf 9 `�t�/ z�9 - ciy�.--- <br /> � �jAi H ��I„1� V",7 1SL'ri' I��� � CITY ZiP P ONF <br /> 10 htl 6 iENPNT MA��F��RESL _ <br /> S' �I N ti� PNONE <br /> QTY ZIP <br /> � � � T�GHitECTOR�E5IGNEH hURA0LRE55 _ <br /> C�ry 21P PHONE LICENSE• <br /> �°a r, ro <br /> G[��ERALCONTRAGTOR MMLADORESS <br /> N N pppyE UGENSEII <br /> �] . � -- CITY z1P �7 � <br /> � 0 nf GIUNILALICONTRRG1'Jf1/� �[,MPIU7ODRESS / `.. (��f p N�ra�w� ��/ /_J <br /> H .(/l�. �vG lV�/�+✓ �IIL )II� I�I G MC NI �lI��I NFl. /)J FMONE IIGENSE� <br /> � � R ��r� Z P <br /> PiuM91ryGLONTRI�CTON MAitADDR[55 <br /> G) ` <br /> ~ CU.S:OF WOAK <br /> M _ <br /> � �'7 �, REPAIR ���. DEMJI.ITION ' WOODSTOVFJFRPL INSE�iT �J BUILDING RELOCATIO_� <br /> �„� y NEW � �� AODITION �C ALTEF7ATION � - — <br /> y � GONiACT PEPSON AND P�NNE NO. <br /> 8 i[NANiIMPRO�EMENiORINiER�ORflEMO�E����Y <br /> n O N <br /> COHiFACT PRiCE OF WORF: <br /> � �y ro CESCRBE W�AN RN�SOU�AE fOOtAGE iNVOLVED <br /> y o y �� � ��' �t 1 HERE6Y CERTIFV THAT I HAVE R6�D AND ERAfdINED THIS <br /> i rnoroseousEove oinc <br /> � APPLICATION AND KNOW THE SAAAE TO BE TRUE AND CORRECT. Ll <br /> � -N`i� PRUVISIONS OP LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> �eaA�o RiPT orr'Ao� 1TVISHOVMBEIWJOF�TT�CHFDUFCOPIES� ydORK WILL BE COMPLETED WITN WHETHER SPEpFIEO HERE�N OR <br /> iot e�oc� ov NOT. THE GFANTING UF A nEFMiT DOES NOT PRESUME TO GNE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PFOVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTIOIJ OH THE <br /> PERFORMANGE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERN TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> S6vAtUREOFCGNiliACl0ROf1AU1HOFitEDAGENT �ATE <br /> . ��� � � � �� ���_—_ <br /> j�-. PPOIIGiAC1UPE55 � J Anf I Al1i5CIiV8U5�N SUGEr15CH0 AtlOB�`v�NCSSNnIdC � <br /> � � �C C� � �r��M /�tt l�� _ <br /> _ MECHANICAL FEE <br /> PLUMBING TYPE OF EOUIPMENT <br /> FEE NO. <br /> � , Np, TYPE OF FIXTURE OF ITEM ArC—NY.NDLG UNII S—H.P <br /> I WATEP CLOSET ITOILET) FORCE�AIR SYSTEMS--B.T.IJ. Id E.A. <br /> ;� BATHTUB <br /> '�' LAVATORV(WASH BASIN) UIJIT HEATERS—B.T.U. M <br /> CLOTHESDRYERS <br /> ' SHOWER VENTILATION FAN <br /> KITCHEN SINK 8 DISP RANGE HOOD <br /> I DISHWASHER i WpTERHEATER <br /> �� LAUNDRVTRAV <br /> �. WOODSTOVE <br /> GLOTHES WASHER � METAL FIREPLACE 8 CHIMNEY <br /> URINAL � FIREPLACE I'JSERT <br /> ' DRINKING FOUNTAIN HEAT PUMP — <br /> ��1 FLOOR DRAIN � GAS PIPING <br /> 6�CKFLOW PREVENTERS _ �r— _ <br /> HCOF ORAINS—RAIIJLEADERS <br /> C%HAUF��FAN <br /> � t�► SINK(SERVICE—BAR,E fC.) � <br /> � ' � , <br /> I <br /> i <br /> � �� SUBTOTAL S i i <br /> I '1+ ' SUBTOTAL S pEFMIT 5 — <br /> � PERMIT S TOTALFEE 5 �+ ' "�' I <br /> -- TOTALFEE $ ��_�Em*r+o <br /> FRONTSETB�CN PEPFSETBACI: SIDESETBACN <br /> PLRNLMECNNUM6ER «E � <br /> USE20NE LOTr1qEp <br /> v�cnr+iste FEES VALUATION FEE i <br /> � �� YES '. �� NO BUILDING _ __ - <br /> p,C11N4�♦ NO tli p'XfILIMLV4'.1$ I <br /> 1vPE0ffAH9AlOWRBIE TYPEO�CONSL.ACiURL �, .i p�UM�ING _ -- <br /> 51ZEpF0LOG. NQOFSTORIES �BASEMENT MECHANICAL_ i — <br /> � �. YES I I ND — � <br /> OTIIEN <br /> OCCUPANCVLOAD FIHESPRNKLERSRLOO MEIGNTLIMR�TION `_ � <br /> . �� YES � . NO STATE EUILUING SUPCHAflG[ _T_ <br /> � <br /> RERSONFONSaaINKlEnS _ S7ATEENERGYSURCHARGE <br /> AvvnGAiiGlACG.OV PlANSFPPROV[OBY CITYOFEVEHETT �>ueucwoaKs _._r—. i <br /> LOCALSAL[S <br /> TAX CODEIS 3105 torn� _ --�— <br /> 4 <br />