Laserfiche WebLink
„�_ ��--_ �_, . .._.. <br /> APPLiCATIC'''1 FOR CO�i�ISTRUC7"�N PERMIT � <br /> P� TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> � HEATING SYSTEM: i]GAS l7 ELECTRIC � <br /> BUILOING DEPARTMENT /� <br /> 259•8810 pu��i n�j ���^�t � 2 70 S0 <br /> DEMOLITION COMBINAT,ON BUILDING MECHANICAL ;XPLUMBING i SI(iN <br /> pWN° �� �.l A M�ILADDREISS�� �Ui�Y � Z� ,1�� ^ n�� � tQ,21�33 <br /> � 'A�*N.a2^�h, �LDd� /X.E'ILt C ri ��o <br /> TENANT MAIL ADDNESS CI Y ZIP PHONE <br /> ARCHITECTORDESIGNEfl MAILADDRE55 CITY ZIP PMONE <br /> GENERLLCONTAACTOR M�IL�DDRESS CITV 21P PMONE STATELICENSE� <br /> N��vLAtial C,m,�sf <br /> MECHANIC�L GONTR�CTOR MAIL ADDRE55 CIiY 21P PHONE STQE LICEASE I <br /> PLUMBMGCONTiIACTOR MMI�DDPESS QTV � ZIP PNONE ST�TELICENSEt <br /> ' .Q,'L e�.�e.� PL�M�::.� P o aex s z y���,ll. qez�a es3-z��o Pz�e�+z i s9 �►t g <br /> ClAS50F WORK <br /> ! I NEW I ! ADDITION `. I ALTERATION � � FEPAIR � I DEMOLITIOk ! � WOODS?OVE/FRPL INSERT � ] BUIIDIN(i RELOCATION <br /> GONT�CT PERSCN�NO PMpME NO. <br /> I GONTRACT PRIGE OF WORK <br /> DESCRIBE WIXiK 11ND$IXIARE FODTIIGE INVOLVED <br /> Paoaos£puseoFqui�orc+c �� i HEREBV CERTIFY THAT I HAVE READ AND ExAMINEO THIS <br /> 7 LM/7 APPLICATION AND KNOW THE SAME TO BE TAUE AND CARRECL ALL <br /> LE6AL SCRIPTION G'PHOPEPTV�SHOWN BELOW OR�TT�CH FOUR COPIES� PROVISIONS OF UWS AND ORDINANCES 60VERNIN6 THIS TYPE OF <br /> WORK WILL BE CAMPLETED WI?H WHETHER SPECIFIED NEAEIN Ofi <br /> ior eiocK __, oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO 4�VE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW RE6UUTINO CGNST�UCTION OR TME <br /> �— PERFORMANCE OF CONSTRUCTION.THA7 I AM AUTFIORIZED BV TME <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPIICATION IS MADE AND I COMP:Y WITH TME STATE <br /> CONTRAC'fORS LAW 7827 RCW ANO 296200 WAC. <br /> � <br /> / G�N�/ �, X ..._..� -s-9 3 <br /> ' PPOJECT�DORESS BicN E O�TE <br /> � cmeus�ssiw o _ <br /> ��p MECNAtNCAL <br /> N0. T�E OF FlIfTURE dV ITEM FEE N0. TYPE OF EGUIPMENT FEE <br /> WATER CLOSET(TOILET) �— NC—AMNULG UNITS--H.P. �_ <br /> BATHTUB ;� FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> UVATORY(WASH BASIN) UNIT HEATL.RS--B.T.U. M _� <br /> SHOWER ' CLOTHES DRVERS ' <br /> � KITCHEN SINK 8 DISP ; VENTIIATIJN FAN � <br /> DISHWASHER RAN6E HOOD ; <br /> LAUNDRVTRAV ; WATER HEATER ' <br /> CLOTHES WASHEH � WOOD STOVE _T,_ <br /> � UR(NAl ' METAL FIREPLACE 5 CHIMNEY ;_ <br /> DRINKING FOUNTAIN FIREPLACE INSER� T._ <br /> � FLOOR DRAIN � NEAi PUMP ' <br /> BACKFLOW PREVENTERS GAS PIPING � <br /> ROOF DRAINS--RAINLEADEIiS EXHAUST FAN ' _ <br /> SINK(SERVICE—BAR,ETC.) I — <br /> � <br /> � <br /> � <br /> � _ ' <br /> T <br /> I <br /> S1�7 TOTAL S ' ��d TOTAL E ' '� <br /> � ^ <br /> PERMIT E O' _ PEHMIT S � <br /> 1'OTAL FEE $ ' TOTAL FEE S '___ <br /> FOR QFFlCE USE ONLY: <br /> FRGVTSETBACK REARSETBACK — S�SETBPCN PUYCHECNNI�NBEP FEE RECEIFTNO. <br /> USE 20NE LOT AREA \'ACqNT SITE FEE3 YALUATION FEE <br /> BUILDING ' ' <br /> '�fPE Oi CONTS P!_OWABIE T"PE Of CONST.RCiUAL OLGqav Y No d DMUMtUv�iS — ' � <br /> PLUMBING <br /> — i <br /> SIZE OF BLUG. �Np OP STORIES BASEMENT MECHANICAI. 1 <br /> OCCUPANCY LOAD FIRE SPRNKLE65 FEO'D HEIGHT LIMITATION ADC�i IONAL PLAN CHECK _ � _ <br /> i <br /> SPRINMLER <br /> ____ _ —__ _—�— <br /> REASON POR SPRINNLERS <br /> STATE BURDING SUHGHARGE <br /> INTAK.BY �LANSPPPROVECBV CITYOFEVERETT PUBLICWORKS r-- � <br /> lOG1L S11LES —-T <br /> TAX EODE IS 3705 �'OTAL '� <br />