Laserfiche WebLink
��'�'!.: ��tii0e�1 FOR C��VSTR�l��'��,�N PERMIT � �. <br />�f ,� TO BE COMPLETED IN BLACK INK-pLEASE PHINT <br />( ��� � ���" <br />BU!L DING DtPARTMENT f HEP.TINa SYSTEM: ,gGAS J ELECTRIC J = _� <br />259-8810 -- --- <br />DEMOLITION COM8INATION <br />,. ,,Ea BUILDING j�MECHANICAL <br />I � !,n�,�_,mo;.es � PLUMOING <br />S��:obiu.. �/ /C L/ 1 n ��,: �,? °"�"` � <br />C n��, r,,aanooaess � �uP�—j OI __ <br />crtr zm aFONE — <br />-°LHItECTOqDESiGNER tAAILApDF655 <br />CITY ZIP <br />P:IONE ��—� <br />';ERALCONTqpCiOR MAILAODRE55 -- <br />C4Y ZIP <br />PHONE $TATE LICEVSE— <br />�� '� "'�Lf.Gk qqCTOR MAII,ADpPE55 <br />�/�� � CITY 21P <br />( � i/U p�^ �� ������/ 9 PII01lE SiATE LICENSE <br />i:i�:,.,�.:ccONTRAC�rq -t � � �%^<'�� .l.G" %�lU% Z��?�� <br />r.aa nooaess e rv GOLl�C %�1L-0�3 [� <br />Z�P PHONE <br />TAiE LI�BISE a <br />�. OG i RAf,T PiiICE OF Y:ORK <br />_�l�o =- /��/, — <br />�.iSCH�pii �,OFN.OND SOUAqE FOOiAGE INVOLVED <br />�'��"OSED USE OF BUILOING <br />�`-�����. OESCfliPTION OF PROPERtY �SHOWN BEIOW pq piTp�y 1}y0 COPIES) <br />lOr BLOCK _ <br />OF <br />�' �'��:: rnxi.o.Nu�.�e�� -- . <br />COHSiRt1C� .'i Lq.yy �pl;prq �DORESS, iELEPHONE NUh1pER <br />PROJECTA�DRESS <br />—?' ' 36 �s ,�/, � �i,- <br />PLU�dBING � <br />NO. TYPE OF FIXTURE Oq ITtM <br />FEE <br />_ N'aT[RCLOSETfTOILFT� <br />BATHTUB <br />LAVATORY (WFSH BASIN) <br />_ SHOWER <br />_ KITCHEN SINK 3 DISP � — <br />DISHVJASHER — <br />_ LAUNDRYTRAY <br />CLOTHES WASHER � <br />_ URINA� — <br />f•RINKING FOUNTAIN <br />_ FLOOR DRAIN <br />_ BACKFLOVJPRcVENTEFlS <br />. _ ROOF DRAINS--RAWLEADERS -- <br />SINK (SERVICE-gAR, ETC.) <br />_ _ � <br />_- —_ � <br />i <br />i <br />SUB TOTAL $ <br />- _ _ PERMIT � <br />TOTAL FEE S <br />FOR OFFICF USE ONLY: <br />r;r,r�rse*oncK �,�.,o«,e.,.., <br />i,sc <br />AREF <br />GGNTqGT PEq$pp� pryD PHONE N0. <br />� hc'RE,^,Y CERTIFY THAT ' HAVE READ AND EXAp.11NE0 THIS <br />APPLICATIOi: AND KNOW THE SAME TO BE TRUc {1ND CORRECT. ALL <br />PROVISIONS CF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COh1PLETED WITH WHETHER SPE� IFIED HEREIN OR <br />NOT. THE GRFlpffMi, OF q p[RMIT DOFS NOT PRESUME TO GWE <br />AUTHORITY Tp VIOLATE OR ClNCEL THE PRCVISIONS OF ANY <br />OTHER STAT[ OR LOCqL LAN,� REGULATING CONS"RUCTION OR THE <br />PERFORM;NCE OF CONSTHUCTION. TIiAT I AM AUiHORIZED NV 7HE <br />UVJivER OF THI5 PROPERTY TO PENFORM THE 4VORY, FOR H�H�CH <br />P.PPLICATION IS !dr'.DE AND I COMPLY WITH Tli� STAiE <br />CGNTRACTORS LAW 1827 RCW AND 296.200 WqC. <br />0 <br />_— t� �(l '-!� <br />_ o.*c <br />i YFE OF E�UIPMENT <br />A-0-A:Hf��OLG UNITS-H.R <br />FORCEDAIRSYSTE�AS-O.TU. M E.A. <br />UNIT HEATERS�-B.T.U. �,� <br />CLOTHES DRYERS — <br />VENTILATION FAN �--' <br />RANGE HOOD <br />WAI�� q HEATER <br />W JUD STOVE <br />METAL FIR[PLACE (WGOD B_�—� �qNjN�) - <br />FIREPLACE IiVSERT <br />HEATPUMP - <br />GAS PIPING <br />EXHAUSTFAN <br />---�--_ <br />SUB TOTAL g <br />_ PERMIT g <br />TOTAL FEE $ <br />- �,� YES ❑ ND — <br />���'EOlL0.57. NO-0FSTORIES BUILDING <br />acueax:v i:ooreweuu�cme�s <br />cnow <br />PLUh1BiNG <br />:f: f CF OLDG. FIRE SPPINKLERS RE00 <br />BASEMENT <br />�� YES i'� ND MECHANICAL <br />� -�:UP�NGYLOAD FIREA(pqMqEOD HEIGHi�IlAIiATIpN ADDITIONALPLqNCHECK <br />; �. :.soH UT!�ER <br />- STATE BUILDING SURCHARG[ <br />iqiAhEBV PLqNSM1P�RpVGIIBti i � �— —' <br />G�7Y OF EVERE7T auouc woaKs <br />I LOCALSALES <br />^," iAX COOE IS 3105 i rora� <br />FEE <br />0 <br />