Laserfiche WebLink
.-�.� <br /> APPLICATIOI"M'FOR CONSTRUCTIl�il PERMIT ���� --� ¢ <br /> TO BE COMPIETED IN BLACK INK—PLEASE PRINT r <br /> ----�```-� . _._.. --- <br /> �������� - -- .. ._--- <br /> BUI�DING DEPARTMENT L_ HEAT�NG SYSTEM_�AS J ELECTRIC IJ_ --_. __ � - <br /> 259-8870 <br /> � �+ DEMOUTION COMLINATION )( BUILDING ,�0�5eCHANICAL }('PLUMBING SIGN Y <br /> OWNER MAILADOHESF CIiY I �nw„^� PhONE <br /> ll'LU4lTk� �.�.3�S�SwIN 21'iC2"'71L'Ii 11'1'�P..V� L �iw. N[��•'�6 �`j4:'-1-�'jC <br /> Qy.�� TEWWT MALA�OhE55 CITY ZW�py� PHONE <br /> C� ,Y'��E�'. <br /> ~ MRECT R DE5ANER MAh ADORE"' CITY ZIP PHONE <br /> � o �����— 'i.. t f9�r+h�w `�vT 4�lyc�} �4�7—C`14li —. <br /> � ��Ty ZIP PHONE STNiELiCEN M <br /> GENERPLCONIRPCTOF MAIIADDRESS <br /> �u� �K • e'Tc-4z-�i;�iv�` Y�9�"t�Ff�`'l�fiv�.c'�. . . . .�,-ei„�c,t„q-.�lsu3L t'�iwn..��'�(Ti'�t� � <br /> � ��r�F�NICNLCONIRTCT�� MAI�ADDRESS QTY ZIP PHONE SP LCENS <br /> 4 C�L`}���-,-.� waBe.MJ1c��c..r�, 1M......MTUykk:��TfiKP,4ebZ �l'�4—U'��'41 <br /> 'iC LITV ZIP PHONE STNTE�ICENSEM <br /> O� ttUMBiNGCONTRACTOH MAILAODNE55 i <br /> r�'+t��g `ac�C�i I.t.t crr� u�cv c�a-.. �:� —7A S- �6 SC — <br /> Q• (] CU$$OGWORN I <br /> �H x NEW ADDITION ALTERATION REPAIR DEMOLITION N100DSTOVE/FRPL INSERT BUILDING RELOCA'ION 'I <br /> y o �� �,^.v � P �Py COMACTPEFSONANIIPHONENO <br /> /b�.•^ , � � 3.56-Z��5' <br /> ��"�H CONTRRC A cE oc woAK �O O �C i. ��y7� l �sF— +4i�vYrM�'�y� ��, <br /> g��..� DESCRIBEWORNANDSWAREFOOTAGEINVOWEO c.�pp� 11'x,/ r���� Y � ��T/ .(fS� <br /> �u "' . ��s, Z°�ws�- ._, •s� `v { <br /> � �+ PROFOSEOUSEOF9UILDING �'�/ I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> y�+1 �F� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL i <br /> y�� �eca�oesca�vrioNocvRoceArv�sro�vnae�owoen**ncnFouacoaies� PROVISIONSOFLAWSANDORDINANCESGOVERNWGTHISTYPEOF <br /> WORK WILI. BE COMPLETED WITH WHETHEA SPEGRED HEREIN OR <br /> �O7 ( e�,xK oF I,AGV NOT. THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVP � <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS Of- ANV <br /> � OTHER STATE OR LOCAL LAW REGULATING CONSTRUC110N OR THE � <br /> PEFFORMANCE OF CONSTRUCTiON.THAT I AM AUTHORIZED B�THE <br /> OWNER OF THIS PROPERTV TO PER!"ORM THE WORK FOR WHICH <br /> APPLI ATION IS MADE ANU I COMPLV WITH THE STATE i <br /> CONT TORS LAW 1827 RCW NND 296.200 b7AC. � <br /> [-�'7 `1 Z �C7�<.ICK' rb' `� — 2- l �I7i <br /> s��N �A.F <br /> aaaecr nooaess � <br /> ���— ��' � � _ c�.veusi ss�i Nsc�o . � <br /> � PLUMBING MECHA ICAL <br /> €`� ��t Np, TVPE OF FI%:UHE OR I7EM FEE NO. TVPE OF E�UIPMENT FEE <br /> j �" � A!C—AiHNDLG UNITS—H.P. <br /> L WATEP CiUSET(TOILET) / � <br /> � 2.� dATHTUB �O; � FORCEDAIRSVSTEMS—B.TU. M E.A � <br /> 1 r LAVATORV(WASH BASIN) O' UNIT HEATERS—B TU M <br /> C � SHOWER CLOTHES DRVERS i <br /> � � KITCHEN SWK 8 DISP VENT�LATION FAN <br /> � DISHWASHER RANGE HOOD <br /> � � LAUNDRVTRAV WATER HEATER <br /> � CLOTHES WASHER WOOD STOVE ' <br /> iURINAL METAL FIFEPLACE&CHIMNEV `-�j2'� <br /> _� DRINKMG FOUNTAIN FIREPLACE INSERT <br /> . FLOOR DRAIN HEAT PUMP ___ ' <br /> '�� � BACKFLOW PREVENTERS � t GAS PIPING �, <br /> � '_�� ROOF DRAINS—RAIN�.EADERS E%HAUST FAN <br /> i i <br /> ���d� SINK(SERVICE—BAR,ETC.) '" "� � �K' � 5 <br /> �j � <br /> i <br /> �� <br /> I . SUBTOTAL $ � � SUBTOTAL $ D I � � <br /> PERMIT $ PERMIT $ _ <br /> � TOTALFEE $ — TO7ALFEE $ I <br /> � FOR OFFICE USE ONLY: <br /> FRONTSETBACN AEARSETBACK $IDESETBACK 1 PLFNCHECKNUMBER FEE RECEIPTNO <br /> 20 � ,' 3 .r-� �� v3�. �s � 3�s <br /> usezorve �oraaea vacnrvrsiTe FEES VALUATION FEE � <br /> BUILDWG �Z7� � � /�.��/U <br /> 1VPEOfCONiS.PLLOWABLE 1�PEOFCONS�NCIIIBL �u:u�u. mo0�owfuirveivnc ' ��,—� 'i <br /> n`� 'T!'A 1 •; �° � PWMBING _ ' J� . <br /> �py �Wv � <br /> ' �� p Lp 7 NOOFSTORIES BSEMENi MECHANIGAL (�U r <br /> Z� x� �N"i-YRs � — � <br /> � � 3� ,�� Y�� _ �2 <br /> ND�ITIONAI PLAN CHFCK <br /> U CY A FlRESPHNNLERSREO'0 NHGHTLIMIiATION '. <br /> ��- � _ �� SPRINKLER —'-' / j <br /> REPSON FOR SPRINNLERS �/ �� <br /> ST�TE BUILDING Sl1RCiAHGE v I <br /> INTPKE BY FLANS APPROVE[1 f1Y CITY OF EVERETT PUBLIG WORKS �I <br /> LOCALSALES <br /> � 3'�1 2 � iAX CODE IS 3105 TOTA� � '" <br />