Laserfiche WebLink
APIaLICATIG"_"J FOR CONS7'RUGT �'�1'� PERMITi %� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTEM:'�,�GAS ❑ ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING � MECHANICAL PLUMBING SIGN <br /> OWNEP IdAILAODRESS CITV � ZIP PMONE . <br /> � � ��- i - � ,� Z3Z-Z4.57 i� <br /> �W��.UAi'1 �_. �S`ACiZHV'd•� /�7�'S E�iiR='r-- I �� �� ��L-{'.(,� �' �� � � <br /> TENANT IAiILADOFESS CITY � ZIP PH NE <br /> C��TU�y 21 /5 7��i i'�rm��L="t�..i 'J✓kY��Vc - i � '{r"'>i �:5�'�S�3 <br /> 4RCHITECTOR�ESIGNE� IdAILADORE55 ' GTY y ZIP • PHONE <br /> GElIEF�LCONTR/CTOFl MAILA�DRESS CRV 2iP PHONE STATELICENSF.k <br /> Hxc�� <br /> t7 C��7 y <br /> 1.!EGHANICALCOYTfiACTOR IAA RDORESS CY1Y ZiP PHOt � Si TELICEtlSEu <br /> 9H f ry� <br /> q�H (S'bEii/V�'� Cn / rFr'c� or>.'1�=` SL'�� (-y�J�JU✓C^� 1/✓/}, �jc�'� f �G�`�LJ��LD�5�.'C) /`I� <br /> 9H]y PWIdBINGCONTRACiOR .IAILAD�RESS � .� � G�T� IP PMOt1E STFTELICENSCa <br /> H �3 �� � <br /> H �H cussaFwoaK <br /> � � y� . : NEW ��ADDITION �. ALTERATION . REPAIR � �� DEMOLITION WOODSTOVE/FRPL INSERT BUILDING RELOCATION <br /> � H� , � CONIACTPERSOIIANOPHONENO <br /> �H G �� � !'S Yn1� ��� lSTIA1.1�>�1J <br /> � f <br /> y z� CONiRALTMRICEOFY/ORK � 1 _ <br /> OESLRIDEVfORHANDSO�AREFO TAGEINVOLVE� � <br /> �' ,°�d ��r,r (L z�-,s,. c�2= FA`� ic �v� ��' f �`= r-�. 6��?— �`�jP) <br /> O H�y aao�ospEo�ueeoFem�oir�c �-�7-� I HEREBY CERTIFV TH.4T I HAVE READ AND EXAMINED THIS <br /> H L�7 O h L ����C.S APPLICATION AND KNOW THE SAME TO 6E TRUE AND CORRECT.ALL <br /> 47„ n PROVISIONS OF LAWS AND ORDINANCES GOVERNI�IG THIS TYPE OF <br /> LEGAI DESCRiPT10N OF PROPEPTY�SIIOVIt!BE�OI4 OB FTTRCH FOUF COVIES� <br /> � y� WORK'- LL BE COIdPLETED WITH WHETHER SPECIFIED HE9EIN OR <br /> �or e�ocK oF NOT. 7HE GRANTING OF A PERMIT DOES NOT PRES�IME TO GIVE <br /> Z AUTHORITY TO VIOLATE OR CANCEL THE PROVISIJNS OF ANY <br /> �""�y OTHER STATE OR LOC�L LAW REGUTATING CONSTRUCTION Ofi THE <br /> g � <br /> H PERFORt.1ANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> C7 l7 f/� ONINER OF THIS PROPERTY TO PERFORM THE WORK FOR NJHICH <br /> � — APPLICATION IS MADE AND I CCMPLY WITH THE STATE <br /> r <br /> [� CGNTRACTORS LAW`g27 CW AND 296.200 WAC. <br /> Z H cn ' <br /> HOm � , <br /> r J�� �j <br /> X .—,:,���I 4"V�i���JL'� / L ��� <br /> ORC <br /> PROJECi��DRE55 "� <br /> ��70.� U -�GF'�1J v 'h —„„ ,.,. ;,,, <br /> PLUMBING M1IECMANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPh1ENT FEE <br /> � WATERCLOSET�TOILET� Z A'C-0.�HNDLGUNITS—H.P. S=Tc�IJ _ <br /> � —� <br /> � = _ BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. 1 <br /> LAVATORY IW�SH BASIN) UNIT HEATERS—B.T.U. M _T <br /> SHOWEFl CLOTHES DRYERS <br /> �o KITCHEN SINK 8 OISP VENTIL�TION FAN <br /> �� DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WA1�ER HEATER <br /> CLOTHcS WASHER WOOD STOVE <br /> �'v► — <br /> i � UNINAL _ t.tEfAL FIPEPLACE 8 CNIMNEY <br /> DF.INKING FOUNTAIN FIREPL.ACE INSERT <br /> FLOOR DRAIN HEAT PUMP _ <br /> ��► BACKFLOW PREVENTERS ' ? GAS PIPR�� <br /> !�w ROOF DRAINS—RAWLEADERS --r EXHAUST FAN <br /> SINK(SERVICE—BAfl,ETC_) <br /> R��"j _ ' - <br /> � <br /> s SUBTOTAL 5 —7— <br /> SUBTOTAL 5 7O; <br /> !'.� PERMIT 5 PERMIT S /J� <br /> TOTAL FEE S TOTAL FEE 5 __rY� <br /> FOR OFFICE USE ONLY: <br /> Y FRONTS[T�ACK �EAf15ET0ACK 510[SETO�CK �I�NCNELKNIlM110ER FEE FECEIPiNO. <br /> �75 0U <br /> usezoHe �ornnea v.�enr�Tsire FEES VALUATION FEE <br /> BUILDING � <br /> iVPEOFCOtl15.ALlOWABLE IYPFOFGOqSi.ACIIIAI oxc�'ntLv .90tu::¢u!AU�e15 — i <br /> ��UpP � PLUIdBING � <br /> _ � <br /> S:ZE OF BLOG. NO.OP STJRI[$ OTS[MENi MEf,�ipNICAL �� � <br /> OCCUPANGVL040 FIRESPRNNLERSR[0'0 HEIGMTLIMITAiION <br /> AD�ITIONAL PLAN CHECN i <br /> � <br /> $PflINKLEfi � <br /> RF�SON FOp SPRINKlERS — —� <br /> STATE BUILDING Sl1FCHARGE <br /> illiAKEBY PL�NSAPPROVED�V CITYOFEVERETT PUBLICWORK$ <br /> LOCAL SALES , � <br /> L I TAX COOE IS 3105 TOTA� ; <br /> r <br /> � <br />