Laserfiche WebLink
APPLiGA�'ION FOR CONSTRUCTAaN �ERMlT �� <br />TO BE COMPLETED IN BLPCK INK—PLEASE PRINT �h�T <br />LHEATWG SYSTEAI: �� GAS CI ELECTRIC U_ � <br />BUILDING DEPARThdENT � <br />259-8810 <br />DEMOUTION COMBINATION BUILDING MECHQNICAL PLUMBING SIGN <br />O\ NCfI ^ M �L AODPE55 � I �/ n' q��7��n ��PI� <br />p., - ���% , � � �35� ��3�. <br />T[NANT� � A!ARADf1PE55 Ct PMO4E <br />ARCHITECT CR �ESiGNER <br />PLUMBING CONIRACTON <br />QA55Of WOPK <br />NEW � ADDITION <br />CONTRACi PPICE OF \VORN <br />PPOPOSEO <br />MAiL AODHE55 <br />31 <br />LEGAL OESCPIPTION OF PROP[RTV �SMOWN pELO\ <br />ior m ocK oF <br />AODRE55 / / 1 / <br />I���L <br />NBING <br />TYPE OF <br />WATER CLOSET <br />BATHTUB <br />i LAVATORYIWAS <br />SHOWER <br />KITCHC J SINK 8 <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASH <br />URINAL <br />DRINKING FOUN <br />CITV ZIP PNONE <br />C ��n� ZIP, n/ PM NE <br />����/l�' V �'A�`� �/_ ( <br />CITV 21P ��LLP�/ <br />CITV ZiP PMONE <br />LIpENSE � <br />2 <br />LIC� <br />i� <br />LiCENS[ � <br />REPAIR DEMOLITION WOODSTOVEiFRPL INSERT BUILDING RELOCATION <br />I CONiACT PERSON I.N� PHON[ N^ <br />i HEREBY CERTIFY THAT � HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COflRECT. ALL <br />COPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHIJRITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHtR STATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE <br />PERFORMANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORh1 THE WORK FOR WHICH <br />— APPLICATION IS MADE AND I CODAPLY WITN THE STATE <br />CON?RACTORS LAW 1827 FCW AND 29fi.200 WAC. <br />IC }�)�( _.XE{/�L�—� /l.�'I . ��,.���:��,.«s�,�««�,� <br />�— MECHANICAL <br />ITEM FEE NO. TYPE OF EOUIPMf <br />�A�C—A'HNDLG UNITS—H.P. <br />FORCED AIR SVSTEMS—B.T <br />UNIT HEATERS—B.T.U. M <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />� METAL FIREPLACE 8 CHIMN <br />� FIREPLACEINSERT <br />FOR OFFICE USE ONLY: <br />FRON�SETBRCK REFRSETBACK <br />USLZONE LOTAREA <br />ivPE 0! LON�S. AIlOWAOIE iYFE Of COH51. AC111R1 <br />SiZE OF BLDG <br />OCCUPANCYLOFD <br />R[ASONFORSPRMNlERS <br />MiANE �Y <br />EXHAUSTFAN <br />SiDES[tOACrc P�ANCHL,KNUTAFIttI �[E <br />.%� O ZS <br />VACANT SITE FEES <br />�UILUING <br />OCNf42v k00il�:.iu4;c.� -- - <br />ceouv PLUh701NG <br />BASEMEt�T MECNANICAL <br />ADD�'IONAL PLAN CHECK <br />FIFESPRNKLERSflfi00 MEIGHTLIMIiATiON ' <br />SPRINKLER <br />STATE BIlIl01NG SURCHARGE <br />PlANSAPPROVEOBY CITY OF EVERETT PUDIIC WORK$ <br />LOCAL SALES <br />raz cooe is a�os TnTAL <br />TOTAL <br />E.A. <br />3 <br />5 <br />NO <br />) , � <br />�u. <br />