1208 LOMBARD AVE 2016-01-01 MF Import

APPLICATIC '1 FOR CONSTRUCT�+N PERMIT � TO BE COMPLETED IN BLACK INK-PLEASE PRINT BUILDING DEPARTMENT f HEATING SYSTEM: ,�GAS ❑ELECTRIC fJ -� 259-8810 I I DERIr)LITION I I COMBINATION I I BUILDING �'MECHANICAL I I PLUMBING I I SIGN ownen Mnit nn�nr�a r.nv m� ruorie �F� ,rso.,/ / �'-.C�r�v�R�E_ra-�€r_r_-L£Ta?ni_�.39- J.37,� �Fnnrit IA�Il�I1D�FSS cnr zir miorir: - nnciu�ecronoesicr�ce r,�nannnnrss r.uv ---�m ruorie - cervennicorunncton r.inanooness r.nv zm rnone Stn1ELICEHSE� � n+ecimNicn�co�nnncto� rnnannoi�css cnr rn� ri�oue srn�eucer�se� .�'�t�,� E.✓r�cYy i��ai—�y�s1�t. cJ_�Y.✓.vwon� 9�.3��a�/5� Snr��eStY�4,T1/ PLUMPINGCONif1�ClOp IdAILMpIi[5: CIIv ]IP PIIONF. STr1TELICENSEs CONIRACT PRICE Of WORH ..raio. o 0 oescnme wonK nuo 5aunne roomce iuvotvcn �cnuinc�rrnsou nuo riwue rio. GA� C'D.✓✓r'�r�.�S'/��// --- '�oGEx_.[�Ezso,✓ 99'/�P��S -- i HEREBY CERTIFY THq7 I FIAVE READ AND Ei(AMINED THIS rnoroseouseorouarnNc APPLICAlION AND KNOW THE SAME 70 BE TRUE AND CORRECT. ALL __ PfiOVISIONS OF LAWS AND ORDINAP!OES GOVERNING THIS TYPE OF �eon�oescnirrioNorrnorenrv�snnwrinrirnvonn��ncinwocorirs� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR i.or niocK -- or NOT. tFIE GRAN7ING OF A PERMIT DOES PJOT PRESUME TO GIVE AUTIiOR17Y TO V�OLA"fE OR CANCEL THE PROVISIONS OF ANY __ _ OIFIER SiATF OR LOCAL LAW REGUU\TING CONSTRUCTION OR THE - PERFORMANCE OF CONSTRUCTION.THqT I AM AUTHORIZED�Y THE OWNER OP 7FIIS PROPERTV TO PERFORM THE WORK FOR WHICH rnnce�rnxi.o nu�.�n�n - ------- ------�- APPLIC�TION IS MADE AND I COMPLY N'ITH THE STATE CONTRAf,TORS LAW 18.27 RCW AND 296.200 WAC. .�y�� a' 0_ 030 - oan3 cor�siiaur,nou�onN i ermen.nonne^s.rei mrinrie riirt.iorn � .�'�„� � � � PROJECTADDRESS - s��:�.im�r � F O Q A✓C. cnrouswtssuctr�s[uu PLUMBING MECHANICAL NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIP4IENT FEE WA7 ER CLOSET(TOILET) � A/C-AiI�INDLG UNITS-H.^. , � -- -;-- --- ----- '-'—�— _ BATH7U6 , / fOFCED�IR SYSTEMS-if.T.U. M E.A. � LAVATORY(WASH BASIN) —�- UMT HEATERS-B.T.U. M ' SHO'NER ~— CLOTHES DRYERS --- - —1— ---- -- KIiCl1EN SINK 8 OISP ; VENTILATION FAN � _ DISHWASHER ---- —�—� ---�- RhNGE HOOD ..... . . �- -��--- LAUNDRY TRAY ; � WA1 FR HEATER ~ CLOTHES Wl�SHER -i �WOC7 S10VE ' -- _ — - i URINAL ' METAL(19EPLACE(WQ00 9U'�.7WG) � - - ' _ DRINKING FOUNTAIN _ ; FIREPLACE INSEF f � FLOOR DRAIN � I1E�i PUNP --', _ BACKFLOW PFEVENiERS _ � � GI1S PI�'ING � --r-----�� EXIiAI ST FAN � — ROOF DRAINS-RAINLEAUERS � � �.'-- ---- --- �-- SINK(SERVICE-BAR,ETC.) ; � —- --- --r--- --- ------ �- � � -- -- - ---�— -��--- ----- -'_-_.— � --�— � — � -- --- ._. � � - �-- --- - - - --�---- � � SU�TOI�I $ ; SU�701AL $ � -- --- - -�-- --- _ � - ---- ---- --------- PF(1MIT---$ ----_�_ _- -.-- - ----- PERMIi $ ; IOIALFEE $ ; IOTALFEE $ � FOR OFFICE USE ONLY: Ff10Ni5E1fl�CK RFAf15F711ACK � SIOF.SF10n^K Pf411CI1fCHNII1Pf fFf f1Ef.eIPiNO. / !i usczour- i.orr�rn � �vncnnu;iir FEES VALUATION FEE I I YES f I NO p��p t7ii1G ' -- ---- — � nre ar r.ons� rm.ur sr��ur s rccurnx�� nm m�wrwneinmc - _ - -- -- ----------- --- -- ---- . � r,nnu.� pf�161f311JG � � SREOF�LDG. PIRF.SPPINIqPf1511B00 ff4SEA1FHi ----� I.fECIMNICAL ' I I VES I I NO ----------- _�.._ _ OCCUPANCyLpAO FIfiF�Lni11.1qf0� 11HGIIfLIIAIipIION ADDITIONALPLANCI��.^.H � i —_ ... ___ �__ _ _ OIIIf-R i ft[I150N ___ . ._ . . � . __�_ __"___—' SINP I1UII.UIIJ'�SUv7rl!ttri�,r � — -_.' _—___—' __—_'______' � irarnKeov r�nwsnrrr�vmm CITYOFEVERETT ru�ucwonkS '; -�- LOCAL SALES -- - 3-- �-- nnir TAX CO�E IS 3105 7otn� ;