Laserfiche WebLink
APPLICAT101.+FOR CONSTRUCTI`N PERMIT �'`��`:�` <br /> me err�g��e� TO BE COMPLETED IN INK—PLEASE PRINT � { T�� <br /> arv or � <br /> everett HEATING SYSTEM: GAS ❑ELECTRIC `J __ � ; <br /> BUILDING DEPARTMENT <br /> S: <br /> 259-8810 '/ ' <br /> DEMOLITION COMBINATION BUILDING J`MEGHANICAL PLUMBING SIGN i <br /> OY.'NER 1.1AiU0DRE55 CITV 21P VIIONE <br /> ]�r���,��� ���D-Ga� P� �d��rr� 3�5- /Z.3��, � <br /> TENANT �MAILADDRESS � GTV ZIP PHONE � . <br /> AqGHiiECTOR0E5iGNCR MRILADCRE55 LITY 2iP PNONE <br /> G[N��I�RD O//'(/'IN/Y iLA��L.G/�/Ltl /���� CITY�U�• Z/(���� /���iC.f ^"J IIC�JML�-��r."_ . <br /> y�prr� t <br /> ['IC� MECHAN dCONIRACTOR A1 ODRE55 QT—�Y� 21P PNONE LICE1bE� <br /> ay <br /> ��Ha y� PLUMBING CONTRAGTOP MNL AppRE55 CiTY ZIP PMONE LICENSE• ' <br /> � �� <br /> �'✓ t}. <br /> y f�.y CLASSOFWOHK � , L��Fvy�GCp/� . <br /> K y� � � NEW � - ADDITION ALTERATION REPAIR � � DEMOLITION . �. WOODSTOVBFRPL INSERT ._. BUILDING RELOCATION �I <br /> � H� �O, �T CONTqGTPER50NAN�PHONENO. / I � <br /> !/t/ <br /> [/1H CUNiPRCTPPiCEOFWORN ` <br /> � E� ���K A�o sou�E Foor �E iNlJ�e��a."'fdT/.vATr.Q V B4 - � <br /> x �B(o-�ic�3 <br /> ,C <br /> � �d PqOPO5E0U5E�w�oir+c APPLRCAB ON AND KNOW 7HE SAME TO BE�TRUE AND CORRECT.ALL I <br /> � �g .Sl�- . <br /> G]� C� LEGRLOESCRiPTIONOFPflOPERN�S��OWNBELOWOflATTRGMFOURGOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> Z H� toi e�ocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> .�,� y x AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> p.r y OTHER STATE'7R LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> ty ti PEAFORMANCt OF CONSTRUCTION.THAT I AM AUTHOFiIZ[D BY THE <br /> n d y OWNER OF ?HIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> q ❑ APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> 3, [s1 t" CONTRACTORS lAW 18.27 RCW AND 296.200 WAC. <br /> zHy SiGNAtUREOhCC TRRCiOFlORAUTHORREDRC#NT OATE <br /> y O p1 � � T A' ..%i u�.w_T.�.� <br /> �PR0.IEGTADLAF55 � V'—�'� <br /> C �L' APP�ICANi$CITY� iItiE55l� ENSENO.AND9USMESSNAME <br /> V <br /> PLUMBING MECHANICAL <br /> / NO. TVPE OF FIXTURE OR 11EM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CIOSET(TOILET) �•�C-0.�HNDLG UNITS—H.P. <br /> ���' BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> _� LAVATORY(WASH BASIN� UNIT HEATERS—B.T.U. M <br /> SHOWER CIOTHES DRYERS �. <br /> '�' � KITCHEN SINK 8 DISP VENTILATION FAN ; <br /> � � DISHWASHER RANGE HOOD . <br /> LAUNDRY TRAV WATER HEATER ' <br /> � <br /> CLOTHES WASHER WOOD STOVE <br /> I Y� URINAL METAL FIREPLACE 8 CHIMNEV <br /> � DRINKING FOUNTAIN FIREPLAGE INSERT � <br /> FLOOR DRAIN HEAT PUMP <br /> � �► BACKFLOW PREVENTERS GAS PIPING .S . � <br /> !' � ROOF DRAINS—RAWLEADERS EXHAUST FAN � � <br /> SINK(SERVICE—BAR,ETC.) �,, <br /> i <br /> ��t� I <br /> SUB TOTAL 5 SUB TOTAL $ ' ' � <br /> !'� PERMIT 5 PERMIT 5 // i , <br /> TOTALFEE 5 TOTALFEE 5 3U <br /> FOR OFFICE USE ONLY: <br /> fRONI5CT0ACK RE4RSETBACN SIOE:ETpFCK PINNCNECNNIlMBER FEE �ELEiPTNO <br /> usezorve IOTAREA VACK�151iE FEES VALUATION FEE <br /> BUILOING <br /> M1PE Of[ONIS AILOWABIE 1YPf Gf LONSL ALIUAt acuwnCr No a o,�LLuxsuun5 i <br /> �AP�� P�UMBING � I � <br /> SVEOFOI�G NO.oFSTOHiES OASEMENt MECHANICAL �p <br /> ADDITIONAL PLAN CHECK i �� <br /> OGCUPANLVLOAD FlRESPRNNlEfi5RE00 MEIGMTLiMIT�iIOH � <br /> ' <br /> OTHER <br /> IIE�°oHroRSPn�NrclERS -�- �. <br /> STATE 13WLOING Sl1RCMARGE <br /> iry�rtnL Iiv PIANSAPPROVE00V CITY OF EVEREIT PU�LIC WORKS <br /> LOCAL SALES <br /> TAX CODE IS 3105 T�TAL �d ���- <br />