Laserfiche WebLink
APPLICATIOe. FOR �OI�IS�'RUCT6.JLN PERMIT �'`'��E''� <br /> ,h„t:�„9•„�;. TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cirv oF <br /> �,-,� eve rett HEATING SYSTEM: �.;]GAS .7 ELECTRIC .J __ � <br /> �,y r BUILDING DEPARTMENT <br /> �� � 259-8870 <br /> 9 y y DEMOLITION COMBINATION I�BUILDING MECHANICAL PLUMBING SIGN <br /> r� OWrvER MAiLpADOFE55 CItV ZiP P�.CG'c <br /> H � H �tln�e5 ` /rr�ssc� �3i,Z �/� �'�e.�sc.uAoa �vc.Cel/9YJ-�3 3SS-Zi3/ <br /> �C y � ;En>r�r rnnanooress crtv nF ,�r:or+e <br /> � ~ � :.����+:iECTOR�ESiGNER MAILADORES� Crtv 2iP PMONE <br /> i/� H <br /> H.'L C$" <br /> (x] Q [sJ G!]�ERALGONiFACTOP IAAi�qDORE55 CiTY ZiP PN���E �ICENSE• <br /> oryib oc�,dE2 <br /> N �� YECHAHIC/.I.CONiqqCTON AIAILqOpRE$5 GRV ZIP PHONE Llr]ENSE/ <br /> �� n <br /> ~ �.ot1�JMGGOMRAGTOR fANLAD�PE55 CITY 21P PHONE IICENSEa <br /> 9H <br /> r z <br /> �y y �I:.SS OF WOiN <br /> g � NEW � ADDITION ALTERATION I�REPAIR DEMOLITION WOODSNV6FRPL INSER7' . BUILDING RELOCATION <br /> H <br /> � d y CONTA�ERSON AND PNONE I! <br /> i C rcn+.ancr anice ov w<.HK �� �GG 'y" /Fn 5 �S- ?/3/ <br /> � � � [^.Ri9EWOFKANDS'1UAHEFOOiPG[iNVOWE� <br /> H O vi /,�c ruvrT i�iuu5� G d e /5 33 fT <br /> � :��ose�useoveuioiHc f� I HEREBV CERTIFY THAT I HAVE READ AND EXAM1IINED THIS <br /> fJoiy� SF" • APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ... ,�_oescaiarioNOFvaoreqn�sNowvee�owoenrtacNrouam�iesl PROVISIONSOFLAWSANDORDINANCESGOVERNING7HISTVPEOF <br /> WORK WILL BE COtdPLETED WITH WHETHER SPEGFIED HEREIN OF,' <br /> io* /2� eiocK �_L oF �ro � S� NOT THE GRANTWG OF A PER�dIT DOFS NOT PRESUME TO GIVE <br /> „ .i AUTHOHITY TO VIOLATE OR CANCEL THE PROVISIONS OF AIJY <br /> �Ev/ S/oN p OTHGR STl:tE OR LOCAL LAW REGULATING CONSTRUCTION Oq THC- <br /> � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED�Y THE <br /> UWNEfl OF THIS PROPEFiTV TO PERFORM TNE WORK FOR WHICH <br /> APPLICATICN IS MADE AND I �OMPLY WITH THE STAiE <br /> CONTRACTOFS LAW iB.27 RCW AMD 296.200 WAC. <br /> SiGNnTUaEOGCONiqnCtORORAUTNORREDAGENT DmE <br /> FFOI�(.1l.DDPES �J � .�(f< ��Lt�/�� '_ <br /> ?3�.Z Je ('�SO�(//f �4 e �f�� 9��3 �^P � ItSCITYBU5ME55LICENSENOT1:pClI51hf55Y.Al.li. <br /> fvp FLUMBING �MECHANICAL <br /> NCl TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EDUIPMENT FEE <br /> �+�' WATER CLOSET(TOILET� A'�A�HNDLG UNITS—H.P. <br /> '�� _ BATH rUB FOFCEC AIR SYSTEMS—B.T.U. M E.A. __ � <br /> _ LAVAI"ORY�INASH BASIN) I�NIT HEATERS—B.T.LL M <br /> 1 1 _ SHOWER �LOTHF.S DRYERS <br /> '� _ KITCHEN SINK 8 DISP VENI"ILATION FAN <br /> �s� DISHINASHER RANGE HOOD <br /> LAUNDRV TPAV WATEP HEATER <br /> , � _ CLOTHES WASHER VJOOD STOVE � <br /> � _ UFIINAL METAL FIREPLACE&CHIMNEV <br /> � DRINKING FOUNTAIN FIREPLACE INSERT <br /> �t FLOOF�`9AIN HEAT PUMP <br /> ' BACKfLOW PREVENTERS ; GAS PIPING <br /> ROOF DRAINS—RAINLEADERS T EXHAUST FAN <br /> ��1 SINK(SERVICE—BAR,ETC.� _ <br /> 1_' ___ <br /> 'j SUBTOTAL $ SUB WTAL 3 _ _ <br /> PERAIIT S PERMIT 5 <br /> TOTALFEE 5 TOT�LFLE 5 <br /> FOR OFFICE USE ONLY: <br /> .�il'rtS[TBPGN REARSEiOACN SIOESET6nCK PLAt1C��@f.��'!b!1Li!e FEE RECFIviGJ <br /> u�,�_zr.e=_ LOTARER vaenru.sire FEES VALUATION FEE <br /> BUR7�NG � rp-a — r ', co <br /> �.�'�i 0�LONIS 4ll�WA81E ttFE OP Wt151 AC1VAl ocCV>eun NO MPvtwnGuxits --- ._ �_ ._.--- <br /> eAouP pV�MBING <br /> ��dil OFBIOG. NOOFSTOfliES BASEMENi IAECHANICAL <br /> . '1VPANCYLOA� FIRESPRNNL[q5FE0'0 M[IGHiLI1dITAiION �O�ITIG�ALPLANCHECK ��, <br /> OTHER <br /> in,UON FOR SPqiNNLERS , <br /> STATE 9UILDING�URCHAHGE y� i SZj <br /> nii,:•.l ny PLANSAPPROVED�Y � CITY OF EVERETT P�IpLIC WGRKS ' <br /> LOCALSALES I <br /> I TAX COOE IS 3105 TOTAL �;. � - <br /> � i I > ` <br />