Laserfiche WebLink
APPLICATIC 1 FOR CONSTRUC7~�P! PERMIT /��� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT �C <br /> BUILDING DEPARTMENT HEATING SYSTEM: GAS U ELECTRIC ❑ <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING �MECHANICAL PLUMBING SIGN <br /> OWNER MAILADDRESS CITY ZIP PMONE <br /> /?�j¢��itl,(/f GO��Pf✓ 303/k,Ptlrif�.P R���, f�Ur�F� Zs8'-�Gh� <br /> TENRNT MRILADDRE �ITY ZIP PHONE <br /> ARGHRECT OR OESIGN[R MAIL ADDFESS CITV ZIP PHONE <br /> GENERAICONiRACTOR MA�ApDRE55 CITV ZIP PHONE STATcUCENSEs <br /> .T�,�i/RS H�. /US�.U�rtl•tU�A'r✓U/�CF /uY wmLv�NU/Uf WA y�b-G883 tHaa�tNqDla£CiUE <br /> ME N4NiCqLWRRACTOR IA4ILAUDRE55 C11Y ZIP PMONE STATE�ICENSER <br /> PLUMBIN'vCONTRAGTOR MAILADDRESS CIiV ZIP PHONE STATELICENS[r <br /> ClASS OP W ORK <br /> . NEW � ADDITION xALTERATION REPAIR DEMOLITION WOODSTOVE/FRPL INSERT BUILDING RELOCATION <br /> CONTACT PERSON ANO PMONE N0. <br /> CONTRACT PRICE OF WUFN <br /> DESCRIBE WORN qND SOURRE f00TAGE INVOLVED <br /> l�/Fn7�[� <br /> vaovoseouseoFeo��ort+c �" I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> �� .� /G,s•_„��� —DO1�(� . APPLICATION A�JD KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> �ecn�oescRivnoNOFaaoaea.visNowNee�owonn.TacNcouAcoPies� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �oi _ e�o:n oF NOT. THE GflANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STA'E OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PflOPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> 303 / � f1U X ��g3 <br /> PRp1ECTADDRE55 s�cH�tu o �e <br /> �OZZ 7� <br /> ��.�a�s,�f ss��,��,sE�,o <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A�C—A�HNDLG UNITS—H.P. <br /> BATHTUB ; FORCED Alq SYSTEMS—B.T.U. E.A. <br /> LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHES DRYERS � <br /> KITCHEN SINK&DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNORY TRAY WqTER HEATER <br /> CLOTHES WASHER WOOD STGVE <br /> URINAL � METAL FIREPLACE 8 CHIMNEY <br /> DFINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR ORAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING ; <br /> ROOF ORAINS—fiAINLEADERS � EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) ; <br /> i <br /> i <br /> SUB TOTAL 5 ; SUB TOTAL S <br /> PERMIT S PERMIT $ <br /> TOTAL FEE $ TOTAL FEE S <br /> FOR OFFICE USE ONLY: <br /> FRONiSETBACK REAq5E18ACK SIDESEtBACK PLANCHECKNIIMBER FEE RECEiPTNO. <br /> L la(n� <br /> USE20NE LOTAREP vqcnNrsire FEES VALUATION FEE <br /> PUILDING <br /> iVPf 0�CONiS.4LLOWA6Lk ttPE Oi LONSi.RLNFI acuoektt xo o�Px[wec c�..�s <br /> t«auv � p�UM01NG <br /> SREOFBLOG. NO.OFSTORIES BASEMENT MGLHANICAL � <br /> OCCUPARCY LOAO FlRE SPRNNLERS PE00 NEIGNT LIMITATION A�DITIONAL PLAN CHECK <br /> SPRINNLER � <br /> i <br /> REASON FOR SPRINKLERS <br /> S7ATE BUILDING SUflCHAqGE i <br /> INTAKE�V PLANSRPPROVEDBV CITY OF EVERETT PUBLIC WORKS <br /> LOCAL SALES <br /> TAX CODE IS 3105 rora� <br />