Laserfiche WebLink
'�:�:.PPLICATION FO..�' ��e«„ <br /> '".E".'°'" CONSTRUCTION 0 <br /> GIT'(OF <br /> everett PERMIT <br /> BUILDING JEPARTMENT <br /> 259•8745 TO BE COMPLETED IN INK- PL'eASE PRINT <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICA�.. O PLUMBING O SIGN <br /> OWNEN M�ILRODRESS CILY ZIP PHONE <br /> Joseph Reis 4721 College Ave. L�erett 98201 252-3507 _ <br /> �RCNI1EG10ROE9GNER M�IL��ORESS Clrv 21P MIONE <br /> �ENERILCONIR�GIOR M�IL�000[55 GIIY ]IP PIIONE UCENGC� <br /> Gverett eldrs. Inc. 5606 EWer reen Wa Eberett 98203 3537161 EVIItES',3�lPH <br /> MECN�NIUI CONiR�GIOq MAII AOURE55 CIfY ZIP PNONE LtCENSE• <br /> >LUMB�NO COHIMCt09 A1ML�O�NE55 CITY 11P PIIOHE LICENSE• <br /> :U590�WO�K • <br /> ❑ NEW ❑ ADDIiION � ALTERATION ❑ REPAIR ❑ DEMOLIiION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILOING RELUCATION <br /> V�LW110NOf WOARICOp51 O!MAIEOULS�W9l�BOR1 <br /> 20�Z�SO <br /> ocscniee wonK <br /> Recover roof on existin house can 28 s uares) <br /> USEOFBIIiL0�N0 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BF TRUE AND CORRECT.AlL <br /> LED�LUESCRIPIIONOFPROPERIY�SIIOWNOE�OWOR�IT�GNFOURCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE• <br /> �or_e�ucK—or IN OR NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> 6059-003-G04-0005 ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> 516NATUREOFCONfRACiORORAU7HOR12ED�GENT OFTE <br /> X lc.e�' �l 1 -8 <br /> opp�[pT�DDHESS APPI�CANTS CIiY BUSINESS IICENSE NO. <br /> 4721 College Ave. EWerett� Wa. 98201 <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FI%TUNE FEE NO. TYPE OF EOUIPMENT FEE <br /> WnTER CLGSET ITOILETI AIR COND.UNITS—H.P.EA <br /> BAIHTUB REFRIGEFATION UNITS—H.P.EA. <br /> LAVATORV�WASH BASM� DOIIERS—N.P.EA. _ <br /> SHOWER GAS FIRED AC.UNITS—TONNAGE EA <br /> KITCHEN SINKB DISP. FORCED Alfl SYSTEMS—B.T.V. M EA. <br /> DISIIWASI/ER WALL HEATERS—B.T.U. M _ <br /> LAUNDRV TRAV UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS _ <br /> WATEH HEATER C:OiHE50RYEi7S <br /> URINAL VENTILATION FAN <br /> DRINKING FOl1NiA1N FANGE HOOD <br /> FLOOR DNAIN AIR HANDLING UNIT— C.F.M. _ <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEAOERS _ METAL FIPEPLACE S CHIMNEY <br /> SINKISERVICE—BAR ET0.) _ WOODSTOVE/FIREPLACEINSERT <br /> SUBTOTAL SUBTOTAL s <br /> PERMIT S PEPMIT 3 <br /> TOTRLFEE { TOTALFEE f <br /> THIS PORTION TO 6E C�lvlPl_ETED BY BUILDING DEPT. PERSONNEL <br /> �RONt5El04GR i�ERRSEIB�CN SIOESEIB�CK PL�NCIIEGNNUMOEP FLANW�ELKFEE <br /> F[E �ECEIPi NO <br /> VSE ZONE �������� VqC�Nf SItE <br /> FEES VALU�iION <br /> OVES ONO <br /> tvPEOfCON51 UCCUPAtlCYGROUP NOAFDWELLINGUNIIS <br /> DUILOING 5 <br /> 51ZE Of OLDG NO Of S10RIE3 MA%.00G.10�� <br /> PLUMBING <br /> MECIIANICAL <br /> FIRE SPRINKLEPS REOUIREO LI YES ❑ NO <br /> OTNER <br /> PENALTV <br /> .\VfqICA�1011AGC OY PLANSCIIECNEDOY �PPRfOR155U�NCEOY <br /> TOfAL <br /> . ' • . . � � �. . <br />