Laserfiche WebLink
, <br /> ' � <br /> �.+�, rro, <br /> A,PPLICATIOA FOR C(1NSTRUCTI�.N! PERMlT ��•�«« ' ; <br /> �,,,F�F�a��,,,, TO BE COMPLETED IN INK—��LEASE PRINT � <br /> cirv or <br /> everett ��EATING SYSTEM: �GAS O EL�CTRIC 'J _ ___ � <br /> BUII_DING DEPARTMENT -- <br /> 259-8610 ' <br /> DEMOLITION �COMBINATION �(@UILDING MECHAN'CAL PLUMBING SIGN <br /> GWNER LIAiLA00RE55 Gltt ZIP PHONE <br /> S;' We ��L[x�3LPJ s�13�;c; �i8o3E, y8s-7So`� <br /> TEUANi MRILADDd[SS GLY IIP PHONE I <br /> GFCHttECi0NDE51GNER MNIAD�RE55 CiTY 4° —_ PNOnE ' <br /> __—__ _. ....--. l -� l 1 <br /> GEN[RRlCO4TRAGiOq MeILA�ORE$5 C'TY 21Y PNOYE UCENSE� <br /> ����-I-C'c..s��..�:o.�. '�.61y-'.�31t``��•SIJ TS c;� �_��—Lf�' -/30� 5�1-£CL�ia19� , <br /> f] f{ M[CNAN�C�L GONIqACiON MAIL�DOR[55 CIiY ZiP PHONE UCENSE• , <br /> � ��� I <br /> p � pIUMBiNGGONTP.ACIOR \:AILADDRE55 CIP' ZIP P�IGNE IICENSE• <br /> 1 <br /> py[''� � C1A�501'WO(IK � <br /> H '.; X NEW � ADDITION ALTERATION REPAIR �EMOLITION � WOO�STOVE/FRPL INSERT �. . BUILDING RELOCATION i <br /> � � —_ <br /> � CONUCi PERSON�:aD PHJNG NO <br /> O Q CONLPPCT PPiCE OF WOqK _ � <br /> ��"� � D[SCPIBEWORNANDSWAREFOOTAGEiNVRVEO <br /> [� yQ� � � I <br /> 'L �, <br /> PR'Jr'OSEUUSf:OFOUIIDiNG I HEREBY CER7IFV THAT I HAVE READ AND E%AMINED THIS <br /> Q M d S �v. I"'�� C � � , APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> t[cni oes rtror+ov rnoreatv WN O[LOW OR�i1�GNFOURCOPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF j <br /> � � WORK WILL BE COMPLETED WITH WHETHER SPECIFIEO HEREIN OR <br /> p� ior oiocn oF NO7. THE GRANTING OF A PERMIT DOES NOT P7ESUME TO GIVE <br /> �-� � ^ AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY � <br /> � y L.n�' � o`� ;� OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE I <br /> M PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE i <br /> � G�� A��G1_ ��\ OWhER OF iHIS PROPERTY TO PERFORM THE WOFK FOR WFIICH � <br /> H ✓ /7' �'� APPLIC�TION IS MADE AND I COMPLY WITN THE STATE <br /> �tA CONTRHCTORS LAW 18.D RCW AND 296200 WAC. �� <br /> SIGN�IUR[OFCONiRALTOfVORAUiNMRED E1T DRT[ <br /> �� I� ✓ � � <br /> PRq1ECT epDR[55 _ — I <br /> SGG' �/�'YX,` �J� . ��P���Ni5Cl1 SSIICEN56NO�NDBUSM[SSN�ME <br /> r PLUMBING MECHANICAL i <br /> � NO. TYPE OF FIXYURE OH ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> � WATER CIOSET(TOILET� NC—NHNDLG UNITS—H.R � <br /> � � � BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. i I <br /> ��� � LAVATURY�WASHBASIN) ��C�/J IINITHEAIERS—B.T.U. M , , <br /> � SHOWER �� CLOTHES DRVERS �— <br /> , KITCHEN SINK 8 UISP ,��� VENTILATION FHN ' <br /> DISHWASHER � RANGE HOOD —� <br /> I �_ ' � LAUNDRY TRAY WATEFi HEATEF <br /> � � � CLOTHES WASHER _ � O WOOD STOVE � <br /> URINAL METAL FIREPLACE 8 CHIMNEY —�T— <br /> — Q_ <br /> DRINKMG FOUNTAIN FIREPLACE INSER7 I <br /> �1 ' � FLOON DRAIN HEAT PUMP <br /> � <br /> � BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADF.RS ExHAUST FAN � I <br /> SINK(SERVICE—BAR,ETC.) <br /> � � � r,t�� /n'M J <br /> � __ I <br /> II <br /> I _ _ SUB TOTAL 6 ; _ SUB TOTAL 5 ' <br /> � �' PERMIT S -r PERMIT 5 �, <br /> \'� TOTALFEE 5 TOTALFEE 5 I <br /> FOR OFFICE USE ONLY: 7 � t z(OLoG <br /> fRONTEEt�ACK REARSEiPACK SIDESETBACN PUNCHEGNNVMBEN FE RECEiPTt�O. <br /> 'Z(�� ib� $-� / � <br /> usez�/"�JL, ;otanen VALRI.TSITE FEES VALUATION ^_ FEE <br /> IL`� Ul�— BUILDING � 7iC/1 <br /> ttPE0iC0'l15RllOWdPtE I1CFOt OHSiALN�L DCCnC�-:v Maao..�,i'rsu4rt3 -- ���— <br /> � \ ( — �j° � pLUM01NG /_ C:A/;� <br /> �t —L[!_1�l<!,1— <br /> SREOFCIIX: NO.OFSTORIE tl 5 MENT MECHANICAL ���P� <br /> ' J_Z�.{-�Ito r Z No <br /> Oi:LUPqN,,C�v/IO�D FlqESPRNM,II�E`RSREOD NEIGlRLIM'TAiION ADDITIONALPLANGHECK <br /> 'Vl� I�'d � 1 ' OfHER <br /> Rf�SOA FOR SPPINKlERS <br /> STATEBUILDINGSURf.IiARGE y �Q <br /> INiAK[pY PL\NSPPPR`�YE�BY CITYOFEVERETT PUBLICWORKS / <br /> �/�' LOCAL SALES <br /> ��IY� N !f TAX COOE IS 3105 TOTA� <br />