Laserfiche WebLink
,�-, <br /> APPLICATId� FOR CONSTRUCT.JN PERMIT �,'<<�`� <br /> m��e�r���m�n TO BE COMPLETED IN INK—PLEASE PRINT � 1 � <br /> aTr or <br /> eve rett HEATING SYSTEM: ❑GAS O ELECTRIC ) <br /> BUILDING DE'ARTMENT � I <br /> 259-8810 I <br /> DEMOLITION COMBINATION BUILDING MFCHANICAL �(PLUMBING SIGN ' <br /> � � �� NLEYd— MAILADDRCS�UO� SW No�II°H/JN Z�P ��NE <br /> .l,��N�,e Oso�✓ L�'6�9Son�Z—�t4�r��� �SF�vc,t roN, OR t- 6 S�/-(cS�St/ <br /> ;[N4NL 6�AilADCFE55 CILY ZIP PHONE <br /> ARCHIiECiOFDE9GNER A'AILpDDRESS CITV 21P PIIONE �' <br /> R� SNYAE•C /�yvr-i�6-r��� .9n�..vo;o,� �eyY3 K.sss3x� .SNYOEi[.C/o/K!/ ,,: <br /> GENERRLCON RAGiOR M�ILADOFE55 CITY IIP PHONE LiCENSE� .. <br /> 1" <br /> L`l�� <br /> [tJy M[OIANICAL �NTRACTOfl MAILADDRE55 QTY ZIP PNONE LILENSE• <br /> ��x <br /> 9H� PlUR101NGG0 t CTOR AIAitRDDBE55 QiV 21P PHONE IICENSE/ � � . <br /> y �� anssovwc�K ' <br /> K y� NEW ��.� '. ADDITION . �� ALTERATION x REPAIR �.�: DEMOLITION �. . WOODSTOVFJFRPL INSERT �. BUILDING RELOCATION "t <br /> � H� CONTPCT PER+ON ANO PNONE t�0. i' <br /> V�H CONiBACT PPIC[Of 1YORN SDO ' <br /> .Z OESCRiOE WORK ANDSOIIME FOOTAGE INVOLV»ED / <br /> y PROPOSED USE OF BUILDi G �WC4L /� NS ` L, <br /> p �=1d I HEREBY CEFTIFV THAT I HAVE READ AND EXAMINED THIS �' � <br /> � �C7 C� APPLICATION AND KNOW THE SAME TO BE TRUE AN7 CORRECT.ALL '�� <br /> 4�� O LEGALDESGRiPTIONOFPROPERTYISHOWNOEIOWORATiACHFOURCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINdTHISTVPEOF t <br /> �.a C, WORK WILL 6E COAIPLETED WITH WHETHER SPECiRED HEREIV OR � <br /> Z y 3 ior eiocK __ oc NOT. THE GRANTING C5 A PERMIT DOES NOT FRESUME TO GIVE � <br /> t� z AUTHORITY TO VIOLATE OR CANCEL THr PROVISIONS OF ANY <br /> H y OTHER STATE OR LOCAL LAW 9EGULATING CCNSTRUCTION OR THE <br /> l7 lA PERFORMANCE OF CONSTRt �,TION.THPi I AM AUTHORIZED BY THE ' � � � � <br /> n d y OWNEii OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH . <br /> 5G APPLICATION IS MADE AND I COMPLY WITH THE STATE � <br /> 3 L'7� CONTRACTORS LAW 1827 RCW AND 296200 WAC. I � <br /> zyN SIGNRTUFEOF� 10 RFUi FIZEOAGENT D4TE �/f/Sf' �.� <br /> H O N � 2' 1! <br /> X I�..U/.3CJ� T.C. 5/YYUC�- F1 . <br /> � <br /> PROJECTADDR[SS �XOCl.Q�LIO/Kl� _ } <br /> I pPPLiCANiS CITY dU5ME5S UCENSE NO RND�USiNE55 NAME <br /> , y�,o G/65aN ��_ „�_ <br /> PLUMBING MECHANICAL � <br /> i NO. TVPE OF FIXTURE Ofl ITEM FEE NO. TYPE OF EOUIPMENT FEE �( <br /> '+ WATEP CLOSET(T(11LET) � A/CrNHNDLG UNITS—H.P. <br /> � ' BATHTUB FORCED AIR S`.'STEMS—B.T.U. M E.A. ; <br /> LAVATORV(WASH BASIN) UNIT HEATEFS—B.T.U. M �; <br /> Y SHOWER — CLOTHESDflYEAS , <br /> �� KITCHEN SINK 8 DISP VENTILATIQN FAN <br /> !� OISHWASHER RANGE HOOD <br /> LAUNDRYTRAY WATER HEATER �' <br /> � � <br /> CLOTHES WASHER WOOL`STOVE . <br /> I ` URINAL METAL FIflEPLACE 8 CHIM�EV <br /> DRINKING FOUNTAIN FIREPLAC[INSERT .. <br /> FLOOR DRAW � HEAT PUtdP . <br /> BACKFLOW PREVENTERS GAS PIPING <br /> �..� ROOF DRAINS—flAINLEADERS EXHAUST FAN ' <br /> SINK(SERVICE—BAR,ETC.) _ � <br /> ` i�' <br /> SUBTOTAL 5 /O � SUBTOTAL S .� <br /> �... PE(iMIT 5 iU PERMIT S � <br /> TOTALFEE S ' � TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> �RGNiS[ip�CH HERRS[iBACN SIDESEil1ACN PIRNCNECNNUMp[R fEE AECEIPTNO <br /> usezor�e IOTARER WCANTSILE FEES VALUATION FEE t <br /> ] <br /> DUILDING ' <br /> IVV'lO�CONiS.AIlOWABIf TVifOiCONSIALiUAL Mc�rw:r NOO�Uxiu,�4un�,�s �t1 <br /> cAaur p�UM81NG � ' �1� <br /> SiIfOFBLDG NO.OFSTOPiES BRSEFIEN: �,�ECMANICAL � <br /> OCCUP�NLYIOR� FIRESPRNKLEflSPW'0 NEIGHTIIIAITATION ADDITIONALPLANLHECK � <br /> _ ' <br /> OTMER ' <br /> P.USONFORSPPINkLF.RS ---� ! <br /> STA1E BUILDING SUf�CHARGE � <br /> u11Mf f1Y PLANS�PPROV[�Ov CITY OF EVERETT PUOLIC WORKS <br /> LOCAL SALES <br /> TAX CODE IS 3105 TOTAL ,�O � cv� <br />