Laserfiche WebLink
�]Q� <br />m � � <br />9HV� <br />`��� <br />�H htl <br />� H <br />Hx <br />[s] O <br />HC <br />OH <br />��g <br />�ii� (i <br />H <br />zH <br />�HH <br />N <br />H <br />C] t1 V� <br />z�� <br />H O C/� <br />�� O <br />APPLICATI'�.t�tl F"CI&� C.ONST�Q�C`� �ON 6�"E�tlVII'6' �"'fe" <br />rn� e���� �,�,�� TO BE COMPLE712D IN INK—PLEASE PRINT � <br />ci* � or <br />everett HEATINGSYSTE:M: ❑Gl1S ❑[LECTRIC ❑ ----- <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION COINBI�tATI01J I BUILDING �' ME�i�ANICAL 1 PLUMBING i SlGN <br />1' OWN2R IAA:LADOPE55 LITV ].IP PHONF <br />� '-��II`��N' iio�lr I�D (fl5� l- �nxnra� �4'OZI? �1���-- — <br />7EW�NT M4:LADORE55 GIfY 21P PNONE <br />�,.__r__ G_.:,.> i�n �,u] F.�-J,•FInA�._II Eoerc,� _ — <br />C.1 V <br />PNOIlE <br />� NFW . i AD01?'ON �.! ALTERATION i_i REPAIR ,..I DEMOLITION L. WOGDSfoVt�hMPLirvstni �,� uu��u��v�n=���..+��..�. <br />/` /�� C011TACT ERSONF`:7FM0'lEhG. <br />GONTFRGTfRICEOFWORK � 1�%W•� ���'� ��� ������ — <br />�ESCfiIBEW09K�NDSOUAFEF00TqGE1NVCWED �� �p y� <br />r � � <br />�f � 1NK��(i,I�L:� . <br />PROPOSEDUSEOFBUIL�ING I IiEREBY CERTIFY THAT I HAVE READ AND EXAMINEC ?41S <br />�.{ �'� APPUCATION AND KNOW THE SAME TC BE TRUE AND CORRECT. AL:_ i <br />LEGALDESCRIATIONOFPR�PERNISHOWIIDEIOWOFA1Tl.CHFOIIflCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISI'lPEOF <br />C WGRI< WILL BE COMPLETED WITH WHETHEF SPECIFIED HEREIN OR <br />�oT �iI _ BL�LK �� OF NO�: THE GRANTING OF A PERMIT DO=S NOT PRESUME TO GIVE , <br />ORITY TO VIOLFTE OR CANCEL THE PROVISIONS OF ANY i <br />PflQIEGT <br />�.yiei � <br />TY?E OF fIXTURE OR ITeM � FEE <br />hUT4 � <br />OTHER STATE OR LOCAL LAW REGULATIKG CONSTflJGTION OR THE ' <br />PERFORA7ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE , <br />OWNER OF THIS PROPERTY TO PEflrORM THE WGRK FOR WHICH , <br />APPLICATION IS MADE AND I CJMPLY VlITH THE STATE i <br />CONTRACTORS LAW 18.27 RCW AND 29i200 WAC. <br />SIGNATUREOiCONTPAGTORORAU�NOFREDAGENT DATE �,9(,�/ <br />/ L 1 <br />/ <br />� <br />X _ /„ � �% <br />;�-ir � ..� , <br />pPPLI„ANTSCITYBUS iESSU SENO.ANOBUSINcSSNAME <br />MECFANICAL <br />NO. ` TYPE OF EOUIPMENT FEE <br />�A/C�A/HNDLG UNITS—H.P. � <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />UNITH[ATERS—B.T.U. M <br />DISP __ VENTILATION FAN � 'I <br />__� <br />RANGEHGOD ' I <br />' WATER HEATER ' <br />—� WOOD Sl OVE � I <br />:R _, � <br />� METALFIREPLAC CHIMNEY I <br />iAIN i FIREPLACE I RT I <br />� HEATPUM i <br />JENT GAS PIP G �' <br />o,v u oenGae � EXHA ST FAN _ I <br />SUBTOTAL 5 � _� <br />PERMIT $ ' <br />�— TOTAL FEE S I � I <br />FOR OFFICE USE ONLY: <br />FPONTSETORCH FEAR SETpAGK SIOESEiBACK PIAN CHECH NUTABER FEE <br />USE20NE LOTAREA VACANTSIiE FEES <br />AUILDING <br />iYPE0�C011i5ALlOWABIE tYPE0fL0115iAiUA: aCcuraNt+ x00�ow[wnGuxus — <br />01" PWMBING <br />v— N V— -z <br />srzeoFa�s. r+o.oFsinnies nrtSe:iENT MECHANICAL <br />go� sq. Fr.1''a.i <br />OCCpPANGY LOAD RqE SPIiNYLERL FEO'D Hc GHT �IMITA7iON A�L PLAN CHECK <br />OTHEfi <br />REASON FOR SPPINNLEFS <br />STATE DUILDING SURCHARGE <br />inrnKeer a�nr+e+rveov�oov CITYl1FEVERETT PuoucwoRKs <br />/�„ LOCAL SALES <br />�/jj yh TAX ;ODE IS 3105 TOTAL <br />TOTAL <br />OJ <br />i <br />— I <br />s <br />—� <br />2 3 ; <br />9 <br />