Laserfiche WebLink
APPLIGAT101� FOR CONSTRUCTI�:A1 PERMIT ''`�ef`'" � <br /> ,�E �-� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITY OF <br /> everett r HEATINGSYSTEM: ❑GAS ',]ELECTRIC _I � <br /> HUIL9ING DEPARTMEN7 <br /> 259-8810 <br /> DEMOLIiION COMBINATiON BUILDING MECHANICAL PLUMBING SIGN <br /> ` � pm�Eq MAR/.�DRESS C�Tv IIP FMONE <br /> °E � H 6/�c r✓.ru �s=:•.sz,_4 pR .v��'i /�arrva�./� 9dr�_Gss-yz�7 <br /> C H TEll�ryr YArt RDDHL55 CT 2�' �OME � <br /> � H N <br /> M � }� � <br /> H M ARCMTECTORDESWNER 1MILF.ORE55 CiTv Iiv P�qNE <br /> K r. <br /> y .0 <br /> S �-1 MA GGNEflACONiR<Ci0i1 4�ARADDRE55 CRV ZIP PHONE IILENSE• <br /> �^ " fv�c1� 98'�s 3�3-7/G� �vE.e•tdl�,�ai f'/J <br /> c ¢ � $4e+�Gff���itt/'sT.ucSG�G Lrverocee.u�[/p�_ . <br /> � p IAECHRNK,RLCOHLRRGiO� MAIL/��ESS GOY 21P PNONE lIC[NSE• <br /> O �+ p <br /> H � �] PLLIRIBMGGONTRRGTOP MAILADDP'_55 LILV Zi> VMAiE LICENSE/ <br /> n �i <br /> t+ C .._ <br /> y y (k CI.�SS OF wOR1( . <br /> �� i..i y '-.; NEW i�'�, ADDITIUN ALTEiiATlON J� HEPAIR DEMOU71ON . � WOODSTOYE/FRPL INSERT ._ BUILDING RELOCATION <br /> y COVTAci PEp50N ANa 01fONE ri0 <br /> M <br /> � � r cwnr+ncr cmcF or w�x'�22 59Z F ���s-Isv¢a R-rr 6u!L DQkS <br /> u['���iBEWORMANDGOtIRREFP�TAGEINVWV[D � <br /> y � � sisiat -RE ieoF�Tuiuos.�s� a s 353-7/(0� <br /> rr+000sou -oFeuxotuc I HEREBY CERTIFY THAT I HAVE READ AfJD EXAMINED TNIS <br /> A p� APPLICATION AND HNOW TNE SAME TO BE TRUE AND CORRECL ALL <br /> iEcaoescnirTar+avaorea*vf��mee�rnvona*ucNr�oacoviesi PFO19510NSOFLAWSANDORDINANCESGOVERIaINGTHISTYPEOF <br /> WORK WILI BE COMPLETEP WITH WHETHER SPE:IFIED MEREIN OR <br /> ior e�ocx ov NOL THE GRANTING UP A PERMi7 DOeS NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLAI�E OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAI LAW R.GULATING CONSTRUCTION OR THE <br /> PERFOR67ANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNLfl OF THIS PROPERTY TO PERfOFiM TfiE WOHK FOH WHIGH <br /> APPIICATION IS MADE AND I COMPLV WITH THE STATE <br /> CON"fFACTORS LAW 1827 RCW AND 296200 WAC. <br /> SiGNAi�IREOFCONiPAGTORORRUtH091ZED�GENT DATE <br /> / PPOJECiI�LD�LS. � � .". <br /> � �� ��� / � �� ���� _// �� J APPLIG ..Piv )SMESSLICENSEM1O RNGOlI51Yc54NRGE <br /> �f GJT GT/ <br /> PLUMBING ��� MECHANICAI <br /> � NO. TYPE OF FIXTURE ON ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> ' e 1Nf.7ER CLOSET(TOILET) A�C—A'HNDLG UNI7S—H.P. <br /> I �' �ATIITUB FORCED AIR 5`!STEMS—B.7.U. M E.A. <br /> ` LAVATOPY(W'ASH BASIN�. U!JIT HEATENS—B,T.U. M <br /> SHOWER _ CLOTHESDFVEHS <br /> � KITCHEN SINK 8�ISP � V[NTILATION FAN i <br /> � � RANGEHOOD <br /> � I` ' OISHWASHER ' <br /> � LAUNDRV TRAY � WATER HEATER <br /> CL07HcS WASHER � WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> � ,�' DRINHING FOUNTAIN F�P[PLACE INSEFT <br /> � FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREV[NTEP.S � GAS PIPING _ <br /> ROOF DRAINS--RAMLEADERS EXHAUST FAN <br /> + ' — � � <br /> 'y SINK ISF.RVICc—BAR,ETC 1 i —�--. <br /> � <br /> s1' ; i <br /> �'''��! _ _ SUB TOTAL $ SUB TOTAL 5 <br /> P[RNIT S PERM�T $ _ <br /> TOTALfEE E TOTALFEE $ <br /> FOR OFFICE USE ONL.Y: <br /> fRONiSLfpA:H RF.Ai15ETBACK SIpE5ETB11CK PL�NGNECNNUMBCR fEE NECEiPTNO. <br /> '+ti'." :;�- :' .?r3sz. <br /> II,�,. �-._ � , . �_ � usei ` �ornaen VACANTSRE FEES VALUATION FEE <br /> � . 7 �/ <br /> a:'. � . . BUILGING 7�S�/Z. e=13 / '�� _ <br /> � ` . � �. TYPE01CONi8./�LL0'N1Blf TYPEOfLOMST.l,GfuAL acuw�cr noaoMuvi4u�i�r — <br /> -��� � GRpp° 1/ PLUMBING <br /> : ."• ' 61ZE OF BlDO. NO.OF 6TORIES 9ASEMENi � <br /> - MECHANICAL <br /> •'�I��� � . OLCUP�NCYLOM fIRE9PHHM(LEP9NEOD NEIGMTLIMRRTION ADDITIONALPLANCHECK <br /> • OTNEF <br /> � ❑CASON FOi19PRIM(lERS --� <br /> S7ATE 6UILUING SUiiCHAp�E �J i S��� <br /> i �'+'��✓C 9Y PL�NSPPFROVCD�v CITY OF EVEflETT PUBLIC WOPH$ <br /> i LOCf�.SRLES �— <br /> � TAX COUE IS 31OS TOTPL __— _ � '3 �� � � � �� <br />