Laserfiche WebLink
APPL,ICAT1�"1 FOR CANSTRUC':'":"`JN PiERMIT � <br /> ry,E L, TO BE COMPLETED IN INK—PLEASE PRINT <br /> CIIYOF � <br /> everett HEATING SYSTEM• ❑GAS ❑ELECTRIC ❑ __ "'���= - <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION j: BUILDING MECHANICALoNE PLUMBING SIGN <br /> OWNER <br /> IANLADORfSS CItY ZIP <br /> y (� � 1,,, , �o3n � Lhw �� �Vc�7�ff- i&zo3 z�L79� -- <br /> Cr' G��tvvn'ff �0 .?G��'—�L�_� CITY 21P PNONE <br /> � � y ](NANi AINLADDRE55 __ <br /> bH N - CITY 21P PMONE <br /> � � 'MCu�i[CTORDESIGNCR MALLRDDRESS <br /> ���, Z�p PNDNE UCENSEI <br /> K y b t:fJLRAICONiRACiOR GFILAD�RESS . n.�N^1G '/��.� J <br /> LA - Suo�+o•,;s� 9kzs� 335-/v87 n� r� <br /> � y M i�`�q� �I�! f I47OS � � PNONE LIGE115E <br /> MEGHANICALCONiRACiOR MFILPDDBE55 <br /> CIiY Z�P <br /> � O � <br /> O H �p CIiV ZIP PRON[ UCENSEt <br /> PWM0INGCONTRACTOR MAILADDRE55 <br /> M W RN � � C1A550FWOHH _ <br /> � y NEW ADDITION ALTEFATION . � flEPAIR DEMOLITION � WOODSTOVBFRPL INSEHT . BUILDING RELOGA <br /> LONTAGT PEPSON ANO PMONE NO. <br /> N 1 ��(' � ' /� �NY - �lt L �hS _ <br /> � y CON1HlGTPR�CEOFWORH 1 � OO � OO 1 <br /> � y DESC��BE WOfiK AND SOUARE FOOTAGE�NVOLVEO ? � [� _'� (�'7 <br /> � y y [i��lcl� v � �.t aF tA a� f�or s fT < < � <br /> ¢ aeo��oseouseoFew�oinc I HEREBV CERTIFY THAT I HAVE AEAD AND EXAMINED THIS <br /> H O tn APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> S PROVISIONS O�LAWS AND ORDINANCES GOVE�NING THIS NPE OF <br /> . <<c��oescaiv*ioNOFaHOPer+*vis�owr+ae�owonaTtncHFouacoaies G yyORK WILL BE COMPLETE�WITH WHETHER SPECIFIED HEREIN OR <br /> i,,��.� g�pLR�D,�D "0�� oF ' �1�� �� NOT. THE GRANTING OF A PERMI? DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THF PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANC�OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 78.27 RCW AND 296200 WAC. .� ,� / � <br /> SiGYATIIREOFGpNiRAGTORORAUiMOHl2[OAGENi DAtE � �TY�-� �� <br /> X '� � , • i:/f. � <br /> /`/' � �� ;� �+� �':_� Zz i <br /> PROJECitAOiiL'•> ! APPUCANiSGITYBU5ME5SLi -NSENO`N B S�NESSNPAIE <br /> i 50.3U �24/�W��� 5� �` � '��� MECHANICAI <br /> I �,� � PLUMBING PEE <br /> � NO. TYPE OF FIXTUNE OR ITEM FEE NO. TYPE OF EOUIPMENT <br /> WATER CLOSET(TOILET) A�'C—NHNOLG UNITS—H.P. <br /> 1 BATHTUB FORCED AIR S`.'STEMS—B.T.U. M E.A. <br /> �� UNIT HE�TERS—B.T.U. M <br /> LAVATORV(WASH D�SIN) CLOTHES ORYERS <br /> ��' SHOWER <br /> ' KITCHEN SINK 8 DISP VENTILATION FAN <br /> i <br /> � DISHWASHER RANGE HOOD � <br /> LAUNDHY TRAY � WATER HEATER <br /> � � �� CLOTHcS WASHER _ WOOD STOVE ' <br /> URINAL METAL FIREPLACE& MNEY �_ <br /> DRINKING FOUNTAIN FIREPLACE W --� <br /> '��i FLOOR DRAIN , — GqS P�ING <br /> �� B�CKFLOW� ENTERS ' <br /> FOOF DR S—RAINLEADERS � AUST FAN <br /> SINK RVICF.--3AR,ETC.1 <br /> � t 1 • , <br /> �� <br /> � <br /> SUBTOTAL 5 <br /> SUB TOT�L 5 pERMIT 5 <br /> �—, PERMIT 5 - -- 1pTAL FEE 5 <br /> TOTALFEE 5 <br /> FOR OFFICE USE ONLY: aecemtNo <br /> FRONTSEIOFCN REARSETp;CN SIDES[TO�C <br /> nin o�ec r+ nio�n �EE <br /> 2O �� 3- ��� � � � ��55`I ��— S�Ko <br /> VACANTSii[ FEES VALUATION FEE <br /> � USEZON[ IOTARE4 �O �i.r <br /> ��' �O 7� BUILDING �^�j/��'' ���, <br /> ivPE 01 CON75 ALLOWABIE iYPE 0�G0Y51 RLlllRl occurevn MO C�nn'urbsce^5 /�1� OTf � ' �" i"� <br /> �'?�3 ! PWM�ING <br /> -iJ <br /> SIZE OF BLIX'i. NO�OF STORIES OAS[MENT ldECHANICAL __ � -_ <br /> • 2�'17 5 cof � N� �, - �S'�'� 7�2 <br /> OLCUPANGVLOR� FIR[SPRNKL[RSPEOD NHGIITrU�MpiIDTI,N <br /> ITI A� LA CHECK <br /> � N,� �r� OTHER _ �— <br /> B[dSON FOR SPRINKLEFS �'I i 5(� <br /> STATE BUILDING SURCHARGE <br /> irnr.ke ov rtnNs nvriaov�o uv CITY OF EVERETT PUouC Wo�ks � <br /> .� LOCAL SRLES ���.�, <br /> �,�,y� � 1��b TAX CODE IS 3105 rorn� <br /> �� � /J e <br />