Laserfiche WebLink
� � � <br />� <br />b � <br />C H <br />b� H v� <br />K � n <br />H 'A <br />� N ��4 <br />V1 M�+ <br />C � 5 <br />G9 t�C <br />°� n o <br />��R <br />7 H � <br />y <br />C N y <br />O Fi <br />(p] O N <br />T [Gq t+ <br />x H ta <br />H O N <br />'o �' <br />Ia.� <br />/�PPP_ICATICl.: F�R CONSTRUCT.��T! PERMIT �� <br />TO BE COMPLETED IN 6LACK INK—PLEASE PRINT <br />HEA?ING SYSTEM: f] GAS �_I ELECTRIC U — I <br />BUILDING DEPARTt�4GNT <br />259-8810 <br />DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGIJ <br />01YN / 1.•AILAO�P[SS QiY ZIP PNOM1E <br />� /'n .. i �_ _ —_ <br />I <br />4RCHITECiORDE5IGNER IdAI�ADORE55 <br />GENEFALCONTPACTOR MAILA�DRESS <br />ldF.C��ICALCONTRAGT R � MAILAO�RE55 <br />�'t %_� <br />PlUA1�INGCONiFAGTOR MAiL�DDRE55 <br />CLASS OF WOPN <br />. NEW ' ADDITION � ALTERAiION <br />CONiPRCT PPICE OF 1VOPK % u(�� <br />�ESCFIBEWORKANDS�U�AEF TAGEINVOLVED <br />LEGAL <br />lOT <br />/ <br />9LOGK <br />BATHTUB <br />KITCHEN SINK & DI'� <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTA <br />FLOOR DRAIN <br />FOR OFFICE USE ONLY: <br />USEZONE <br />irre ov conrs. i <br />SiZE OF 6LDG. <br />R6�SON F <br />INTAKE BY <br />lOW OF <br />OF <br />// <br />ETC. <br />crtv ur <br />GITY ZIP <br />GTV Z�P <br />/ crzr zia <br />cirv 21P <br />REPAIR <br />S <br />FEE <br />YIIVI�C <br />PHONE STATE LICENSE / <br />PHONE SiATE LICENSE u <br />PHOqE ST�TF LIGENSE • <br />DEMOLITION WOODSTOVBFRPL INSERT BUILDING FEI.00ATION <br />I WNTAGT PEPSON AND i'HO:JE NO <br />I HEREBY CERTIFY THHT I HAVE REAO AND EXAMINED TfiIS <br />APPLICATION AND KNCW ThE SAME TO 8E TRUE AND COFFECT. ALL <br />P70VISIONS OF LAWS AND ORDINANCES GOVERNING THIS iYPE OF <br />WORK �VILL BE COtd�LETED WTH WHETHER SPEG�IED HEREIN OR <br />NOT. iHE GRANTING OF A PERMI-i DOES NOT PRESUME TO �31VE <br />AU7HORi?y TO VIOLATE �JR CAYCEL THE PROVISIOIJS OP ANV <br />OTHEN STA�i F OR LOCFL LAW REGULATING CONSTflUCTION OFi THE <br />PERFORMANCE OF CONSTRUCI ION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS °ROPERTY 70 PERFORM THE WORK FOR \VHICH <br />APPLICATION IS MADE AN9 I CGMPLY WITH Ti!E >TATE <br />CONTRACTORS LAW 1ti27 RC'JJ AND 296200 WAC. <br />x �—'�.------ �� 3 ! '� — <br />��E ,« <br />��..�,��-�•��ss,�«����,�o —_ _ <br />McCHANICAL <br />NO. TVPE OF E�UIPMENT FE� _ <br />A�C—AiHNDLGUNITS—H.F. ____ _ <br />FORCED AIR SYSTEPdS—B.T.U. Pd E.A. <br />UNITHEATERS—B.TU. M <br />CLOTHES DRYERS _ <br />VENTILATION FAN _ <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />REARSETOACK S�DESEt04CH P�AN�HFfj�S�j� <br />'� 6 <br />�pTpqEq VAC/Nf51TE FEES <br />auaowc <br />iTPE0iC0114.ALLIIAI oGCcc4.a •mOfavFuwGax6 <br />�FeOP ' pLUMBING <br />NOAFSTORIES BASEMENi MECHANICAL <br />FIPESPPNNLERSREO'D HEIGHTLIMIiAT10N ADDITIONALPLANCHECK <br />SPRINKL[R <br />STATE �UILDING SURCHAFGE <br />PLANSAPPROVEOBY CITY OF EVERETT PUBLIC WORK$ <br />LOCALSALES <br />TAX CODEIS 3105 rora� <br />FE[ <br />SUB TOTAL S <br />PERMIT S <br />TOTALFEE S <br />FEE <br />