Laserfiche WebLink
. � <br /> + <br /> APPLICATION FOR COId'STRUCTI�•N PERMIT e°<<�'� <br /> me e��,9:��� <br /> TO BE COMPLETED IN INK—PLEASE pRINT � � <br /> CI7Y OF � <br /> x r� everett HEATW3 SYSTcM: [�GAS U ELECTRIC ❑ _ <br /> C7 � y BUILDING DEPARTMENT <br /> 259-8810 <br /> �''3 �' DEMOLITION COMBINATION BUILDING xMECHANICAL PLUMHING SIGN <br /> H � H ��ER MAIL=DDRE55 �-�CI✓ �iTY 21P PHONE /���_ /��j . <br /> K o 7'A�!�.��--��j n- � �J�Gic'I� ,�" � <br /> O x U *�""T ��' MAILAOOHE55 a zir PMONE <br /> 'i1 Fi "i1 <br /> V1 H g�Ty pIP PMONE <br /> ARCHRELi0110E5KaNER MAILAD�4ESS <br /> � <br /> H <br /> � H CJ GEN[RMGONTRALTOP M�LLAD�flESS GITY ZIP PNONE LICENSEII <br /> OM <br /> GNANIULGONiRAGiO MA�LA�OPE55 LITY ZIP PHONE LIGENSE• <br /> z H ca �,��e� ��](1„( .� 7"�' y���' /✓E ,�'�J 9�7d r59-/�10 I�rRi>'H1� In/inS <br /> � f] z PWMBMGCAHTRnCT�q MNL�DDRE55 C�iV 2iP PHONE L�L ISEt � <br /> HH <br /> g � H ��sS�Wo�K <br /> n d y NEW ADDITION � ALTERAT�ON AEPAIR �. . DEMOLITION ��. ' WOODSTOVE/FRPL INSERt G 9UILDING RELOCATiON <br /> Q LONiACT PERSON ANO PHOIiE N0. <br /> �� �i �( DG _ <br /> y � /�GOYTRAGT FRICE OF WORN � <br /> H] Q(p DCSCRiBF.WORRAND50U�REFCDipGE1NVOlYCO <br /> � <br /> rRoroseouseoFauao 1 HEFEBY CERTIFV THAT I HAVE FEAD AND EXAMINE� THIS <br /> APPLICATION ANU KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LCWL�ESLFiPT10NOFPPOPERTY�SHOWNBELOWORATUGHFWBfAPIE5) PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF . <br /> WORK WILL BE COIdPLETEO WITH WHETHER SPECIFIED HEREIN OR <br /> i.or etocK oF NOL THE GRANTING OF A PERIAIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO ViOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED DY THE <br /> OWNER OF THIS PROPERTV TO PERFOFM THE WORK FOP WHICN <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> 9GNAN.POFCONiRAGTONORAUIHOBRE0AGE4t ORTE <br /> zc�l� 2D ' <br /> PPPIEC A DRESS �.���� ��n�D� � <br /> f�' � / . L� hPeliG�NiSCIttBU5ME5SLICENSENO.MJDBUSME55NAME <br /> ' ' PLUMBING MECHANICAL � <br /> � NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> '�� _ WATER CLOSET�TOILET) A,'C—A:�HNDLO UNITS—H.P. <br /> BATHTU� FOACEO AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORY(VJASH BASIN) UNIT HEATfRS—B.TU_M �_ � <br /> '�� SHOWEP CLOTHES DRYERS , <br /> '�' HITCHEN SINK d DISP i VENTILATION FAN i <br /> DISHVlASNER � RANGE HOOD <br /> I ' LAUN�fiV TRAV WATER HEATER <br /> CLOTHES WASHER WUODSTOVE � <br /> � URINAL � METAL FIREPLACE 8 CHIMNEV ' ' <br /> '; ORINKING FOUNTAIN FIREPLACE INSERT ' <br /> FLOOR DRAIN HEAT PUMP <br /> BhCHFLOW PREVENTERS GAS PIPING � <br /> �' ROOF DRAINS—flAINLEADEflS � EXHAUST FAN <br /> � SINK�SEFiVICE—BAR.ETC.) � , - <br /> �' ' � <br /> i ' <br /> �� i <br /> �� SUB T(1TAL 5 SUB TOTAL $ ,5U U <br /> - PEFMIT $ PERMIT $ /J� �O <br /> TOTAL FEE $ TOTAL FE[ $ S— ' <br /> FOR OFFICE USE ONLY: <br /> FqpVi5Ei0ACK �EARSEipALK SIDES'_TBACK P�ANCHECNNUMBEH �EE AECEIPTNO. <br /> usezorve �orr.aen V�CFNi51TE FEES VALUATION FEE <br /> BUILDING , <br /> ttPEOfCONiS.ALLOWABIE iYPEOiCONSi.�CiUAt o[[w+w.'+ Nodwvmretuxrs � <br /> i^a1° PLUMBING � <br /> Si2E0FelD0. NO.OFSTORIES BASEMENT MECHANICAL I� <br /> i <br /> OCCUFANCYLOAD FIFESPNNNLEPSHEO� NEIGHTLIIAITATiON ADOITIONALPLANCHECK � <br /> OTNEF <br /> i— <br /> i�[ASON FOP SPPINNlERS ' <br /> STATE 9UILOING SUaCHA(iGE <br /> n�*nee r,r PLANS�PPPOVEO�V CITY OF EVERETT PUdLIC WOFNS <br /> LOCALS�LES <br /> TAX COOE IS 3105 roTn� �S ;�-� <br />