Laserfiche WebLink
� - APPLICATiQ'-' FOR CONSTRUCT'-1Pl PEFiMIT ���� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEATIN� SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />�LDING DEPARTMENT <br />259-8810 <br />❑ DEIdOLITION ❑ COMBINATION ❑ BUILDING �MECHANICAL Ll PLUMBING L I SIGN <br />OI"'.ER MNLAD�RE55 CITV 21P PHONE <br />F�F��TT r�.Ai..L EVERKTT _ <br />TENnNT MAILAD�PES$ CITV 21P PHONE <br />.. ..�._'_ . �_ . ..�. i . 'sLn I"n <br />ARCH/�IT'ECTORDESIGNER MAILADDRESS CITY ZIP PHONE <br />G� E A G01 PAGTOR ��61AI` OORE55� �� CITY ZIP PMONE SIATE LIGENSE a <br />t r=�S;� cR�rc�-�e2 `C�,.� �S <br />AIECHANICdLCONTRACTOR MAILAOORESSZ,p ����'�/�.y_' CITV ZIP PHONE STATEUCENS[R <br />�P� S,�,Ti-i�`� w�ST aoi�o iJ ��ict �, P/�.1�iC 983`yJ C2s3�`333-�248 F�2E Sw� ��p til <br />PLUh1�INGCONTRACTOR MpILA�DRE55 GTY ZIP PMONE STF7EUCENSEp <br />CLn55 OF \70PN <br />❑ NEW C J ADDITION � ALTERATION ❑ REPAIR ❑ DEMOLITION (.l WOODSTOVE/FRPL INSERT ❑ BUILJIIJG RELOCATION <br />^ LONTACT PERSON AND PHONE NO. <br />CONTPACTPRIGEOF\YORK ���� Ol./ JIM Si -�..�/��T �25'��833-i248 _ <br />OESCRI�E WORK FND SOU4PE FOOTA�E INVOLVED . <br />PFOPOSE� USE OF BUILDING <br />�-R�� R� �bvrrC <br />lF^�L DESCRIOi�ON OF 7RC "°RTY (SHOWN OELO\ <br />o�ocK oF <br />^- SEh /� i l . <br />PPOJECT A1D�Dii�ESS n t <br />1�iGlJ �iG C�I�Ft.I l 1' <br />NO. <br />WATER CLOSET (TOILE <br />BATHTUB <br />LAVATORY (WASH BASI <br />KITCHEN SINK & DISP <br />DISHWASHER <br />LAUNDRY `RA'! <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS—RAWLEAC <br />SINK (SERVICE—BAR, ET( <br />rGR OFriCe USE OivL'r: <br />fRON�5ET84CH REnR: <br />I)SL 20NE <br />Tvri of cOHis.l <br />OF BIDG. <br />�v <br />OCCGPANCVL <br />REASON FOR: <br />INTAKE CY <br />LOTAFEA <br />CGPIES) <br />� <br />� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION �ND KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLFTED WITH WHETHER SPECIFIED HEREIN OR <br />PIOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIV� <br />AUTHGRITI' TO VIOLATE OR CANCEL THE ?ROVISIONS OF ANY <br />OTHER STATE OR LCCAL LAW REGULATING CONSTRUCTION OR THE <br />PEaFORIdANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEA OF THIS PROPEATY TO PERFORPA THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. � <br />X �, I Nrv� JJ�� �'ZJ—J� . <br />SiGINiURE .�.�`.n.[1 . OAiE <br />OR ITEM FEE NO. TYPE OF E�UIFMENT FEE <br />A/C—A/HNDIG UNITS—H.P. i <br />� FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br />�— UNIT NEATERS—B.T.U. M � <br />� CLOTHES DRYERS ' <br />; VENTILATION FAN __� <br />RANGEHOOD � <br />! I WATER HEATER , <br />SUB TOTAL S — <br />PERMIT 5 <br />TOTAI FEE 3 <br />SIOE SETBACK <br />V�CANT SITE <br />TYPE OF CONSi. ACiUAL <br />N0. OF STOFIES <br />iIRE SPHNHLERS PE <br />PLANS APPFOVEO 0 <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEATPUMP <br />EXHAUST <br />� <br />BUILOING <br />occuvz�cr xr.crowewncuxns <br />G50JP p�U�dBING � <br />BASEh1EUT MECHANICA� <br />HEIGHTUMITATION ADDITIONAL PLAN CHECK <br />SPRI; IKLER <br />STATE BWIAWG SURCHARGE <br />CITY OF EUERETT PU�LIC�M1'ORKS <br />LOCAL SALES <br />TAX CODEIS 3105 TOTAL <br />SUB TO <br />PERMIT <br />TUTAL f <br />FEE � RECEIPTNO. <br />Yy <br />Y <br />