Laserfiche WebLink
�lPPLICATION F�1H� CONSTRUCT�O�# PERMIT ��� <br /> TO B[ COMPLETED IN BLACK INK—PLEASE PRINT E <br /> � HEATING Sl'STEM: GAS ❑ELECTRIC U J <br /> GUP�DING DEPARTI✓�ENT <br /> 259 8610 <br /> DEMOLITION � COMBINATIOIJ _ BU:LDING I i MECH ANICAL I I PLUMBING � SIGN <br /> �.-;:ri�n iani�noon�ss cnv zm ��ionr <br /> cu�z�r �r�.s��✓� Au,�ue,�y /9e�• Pu��a2 5T �V���rF �,�Z�i �8' /�ZZZ <br /> n�.umn �.ini�noon[ss cnv zi� auor�E <br /> C � '�0 <br /> n1 — cirv nr ruou[ <br /> � :,��CIIO[CiORLE51GllEl1 6UIL��OR[55 <br /> � y y _fj�'.✓.�/1A,v' �/'�ul�Tecr-5 i�no2_/%Cu.iT '�+�� E'�/�eer'� C�4 rl'FzoL__�F 3/(0/ <br /> arqTnLcor+rnncton r.In�Lnoon[ss C.I�v zIP PuoNF StnlEticENSE� <br /> K � n �n �Q_ f'�9_�r n� — <br /> y � rn�cunr+icn�coHinnaon r.ini�noor�ess cirv zir r��ouE slnieucervse� <br /> '�E y � - <br /> ¢ 2 ['� ..UI.IpIN6C0111RAC10R MNL��DI1L5: CIIY ZIP I`IION[ SIAICUCE!!5[N <br /> � 1'� b <br /> O H CLASSOfY/ORK <br /> H hi O ' NEW I I ADDITION ; I ALTERATION � REPAIR I I DEMOLITION I '� WOODSiOVEFRPL INSERT � I BUILDING RELOCATION <br /> cornnc*rensor+m �ri�o�+e�+o. <br /> z y � -or�rnncT�nice oF wonK -� 0'2 voa Oov Ti �SSef-f a5r^- 3/H I <br /> � H H ni-scmoe wonn nuo saunne Fooince iuvo�veo <br /> U N <br /> �i q- U�,:✓4 c�;s - n�nw� _ <br /> � � � rnoroseousEOFounoiue I i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LGLJ /�LOirc��+5/N�i �PPLICATION AiJG KNOW THE SAME TO BE TRUE AND CORIiECT.ALL <br /> 2 H V�i PROVISIONS OF LAWS�ND ORDINANCES GOVERNING'.HIS TYPE OF <br /> H G f� LEGALDESCRiPLCNOfPlIO�EBTY�910WN�ElO'NOlI�TiACHF�U�COPi15� W��K WILL BE C01dPLETED WITH\VHETNER SPECIFIED HEREIIJ OR <br /> �„�� o�ocK or NOT. THE GRANTING Of- A PERtdI'� DOES NOT PRESUIdE TO GIVE <br /> AUTHOf71TV TO VIOLAtE OR CANCcL fHE PROVISIONS OF ANY <br /> OTHER STATE OR I.00�L LAW REGULATW(;CONSTRUCTION OR TNE <br /> - PEI7FOfiMANCE OF CONSTI�UCTION.THAT I AM Al1THORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERPORPd THE WORK FOR WHICH <br /> - APPLICATIOW IS MADe AND I COMPLY IM1ITH THE STATE <br /> CONy�1�OR5LAW �27RCW AND29620DWAC. <br /> �Tr 1JL A,✓—__�Q�l��:s�,_rs_- _— X���n�--_�� �" 3 • !`� 1 <br /> �.acnuun[ oeie <br /> i�ra[c�n�oness _ <br /> ���D - /.�—/5�- /� ���G��� Sr curnuour::iinr:��.iu„ � __ <br /> - PLUMBING MECHANICAL __ <br /> � �� pp. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> � + AIC—NHNDLG UNITS—H.P. _� <br /> r�. WATER CLOSE-T(TOILET) _. — — <br /> ' DATHTUB ' FORCED AIR SYSTEMS—B.?.U. M EA. <br /> 1 _ IAVATORY(WASH B�SM) T__ UNIT HEAT[RS-B TU M ; <br /> —� <br /> �� SHOWER CLOTHES DRYERS <br /> I = -- _ VENTILATION FAN <br /> �' KITCHEN SINK 8 DISP � —i— <br /> � DISHWASHER � RANGE-HOOD <br /> i —_ <br /> LAUNDRYTRAY ' WATERHEATER <br /> � CLOTHES WASHER —�- WOODSTOVE <br /> . I � � _ URINAL ' METAL fIRi:PLACE 8 CHIMNEY <br /> � <br /> DRINKIN6 fOUNTAM FIREPIACE INSERT <br /> � FLOOR ORAIN HEAT PUMP ' <br /> '�� BAGKPLOW PREVFNTERS __�__ GAS PIPING � <br /> �= ROOF DRAINS-RAVJLEADEFlS __ _ E%FIAUST FAN _� <br /> � SINK(SERVIGE-BAR,[TC.) � <br /> - —T— - <br /> � �a _ — <br /> �t � — <br /> SUB TOTAL S ' SUB TOTAL S <br /> PERMIT 5 �— PERMIT $ <br /> i <br /> i '� — TOTAL FEE $ �— <br /> � _� TOTALFEE S <br /> �\ FOR OFFICE USE ONLY: �'S��' <br /> �n�r,utsemncrc nenr,setencn sioeseioncK r�nr�cnFcn�+urnoen vre neceirrno <br /> _ �. _ ,.� .� , , i, <br /> �� � i �\��` .-.+.�----- <br /> u�,cror�e �Otnncn vnenNrsne FEES VALUATION FEE <br /> i'- - ` _ DUILOING /fs(m� � <br /> � <br /> itilt Of COq15 ALLI1WPOlE iYPEOf WNSf ACN�L IXCU�u¢x xu IXmvRU�uxnS � <br /> r,anuv PLUMOING � <br /> t��� Gl-ff+tUL'� No GyA�� R <br /> ;RE Of�ICG NOAP StONES BASEMENI MECHANIC�L <br /> 1�0 G1�1an�� � — <br /> Of.'CUPP1lCYLOAD FIB[SCRIlNL[{iSfi[OD 11EIGHiLIIAI�All011 �D�ITIOPALPLANCH[CK <br /> �:U G J � N� _ ' <br /> sraiNK�En <br /> T <br /> RERSONFOIISPFINKLCBS <br /> STATE�UIL�ING SURGHARGE <br /> i <br /> u�rnkenv a�nr�snvrnoveoov CITYOFEVERETT pUouCWonKs <br /> � LOCAL SALES <br /> ?��, .ro �/�/� TAX CODE IS 3105 rorn� ✓ <br />