Laserfiche WebLink
APPLlC,4T"'J1N F�R COP��STRIDGNlG►�1! PERlN�T %�� <br /> i0 Bt COIdPLETED IN BLACK LNK—PLEASE�.i1N7 "`=`N�T <br /> �� <br /> HEATING SYSTf M: ❑GAS U ELECTRIC U N.�A -- I <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> �DEMOLITION ggCOMBINATION ggBUIL�7ING MECHANICAL IPLUMBING SIGN <br /> [s:tiER MAIL0.DDRE55 U:V 21P GMONE <br /> idiCHAFi R_ SCANFS 0 7 �RAND E1IFRETT WA 98201 206-252-2761 = <br /> T�ryqryT MAIIADDRE55 LITY ZIP PHONE <br /> rtq�HiTECTORDESiGNEP ��IADDRE55 GTv 21P GNONE <br /> OWNFR <br /> JC^.EPALCONTPACTOF MIIILADDRE55 G�T'� ZIP PHONE STATEUCENSE� <br /> OWWFR <br /> �](")H i.irCHRNIGILCONiqACTOA MARAD�RE55 CIT' 2iP PHONE STATEIICENSEt <br /> sr� <br /> �r.� <br /> p�� aWMBI!If.CONiRAGTOH MAILdODFE55 GRY ZIP PNONE STATEL�CENSE� <br /> C H <br /> �a�� CLPSS OF WOAK , <br /> y .�L, � X X NEW ' I ADDITION I I ALTERATION � I REPAIR X XDEt.10LiTION �. � WOODSTOVE/FRPL INSERT . �. EUILDING RELOCATION <br /> y� y� p ^ �� �?i70 GNTACT PERSON RND PHONE NO <br /> O .ZO CONTRALTPRIGEOFWOPN �D�6�000.00 ��� same BS 0bOv2 MICHEAL Sf,ANES <br /> "y yH DESCRiBEWORNRNO50UFREF00TAGEINVOLVE� DEMOLISH GARAGE HAT W;�S DURNED ANI` REPLACE IJITH THE <br /> y C �,�j;__t�(1�F (1FF AI I fY PARKTIJf, t'J� G <br /> � p�aj H^04'OSE�USEOFBUIL�IVG i HEREBV CERTIFY THAT I HAVE RCAD AND EXAMINED 'iH15 <br /> O H� Z C A R GARAG E APpLICATION AND KNOW THE SAME TO BE TRUE AND COARECT.ALL <br /> • xl O ieca�ocsca�anonocvaovearvisNova+earnvoA�ttncNcouacov�es, PROVISIONSOFLAWSANDORDINANCESGOV°RNIIJG7HISTYPEOF <br /> � ~ �� �3 $ 'I4 �Z� 1 d t Of EVT D 1 V. G WO��K WILL BE COIdPLETED WITH WNETHER ;iPEGFIED HEREIN OR <br /> L�• O ior e�ocrc ov p NOi THE GAANTING OF A PCRtd1T OOES NGT PRESUME TO GIVE <br /> ~ AUTHORITV TO VIOLATE OR CANCEL THE 'ROVISIONS OF ANV <br /> � > H� OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> � r' H�,Z,�, � • -- PERFpRMFNCE OF CONSTRUCTION.THAT I AM AUTHnRIZEO BY THE <br /> ky �� —___._;�u�_�O— . _ � ,_ „J # !J9�J"7 ��27 - APp�R OFOTN155 ROADET A DPE COM'PL14 WlTH YTHER STATE <br /> � O r(,(j�(3lA.(L� V� J <br /> QGq <br /> � 3 C�l r ��� �1 � �n���y#� CONTRACTORS�AW 18.2i RCW AND 296200 N'AC. <br /> � [*1 'TJ 7— I �(V;n-. \1�\Wv 4` � <br /> i H O fy1� x `f�1.�.-� �Q �cC+..a,, 'L 'l9 9't_ <br /> I �•no�Fct ao�aEss �— s�;+nr�n� o.re <br /> 2027 GRAPJD EVERETT , ,.�,...;t;,,,,.,•,,.., ' <br /> PLUMBING MECHANIC4L <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET ITOILf TI A'C—F��HNDLG UNITS—HP <br /> BATHTUB � FORCED AIR SVSTEIdS—B.T.U. M E.A. <br /> '� � _ LAVAlORY IWASH BASIN) UNIT HBATERS—B.T.LL �d � <br /> ---T— <br /> � ! SHOWER CLOTHES DRVER$ <br /> I _ KITCHEN SINK 8 DISP — VENTILA"`ION FAN <br /> �w 1 DISHWASHEfl RANGE HOOD <br /> I � ` LAU�JDRV TRAV WAT[R HEATER <br /> CLOTHES WASHEFi WOOD STOVE- <br /> URItJAL ' tdETAL FIREPLAGE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE iNSERT � <br /> --�— <br /> �`� FLOOR DRAIN HEAT PUMP <br /> BACKFLOVJ PREVENTEfiS GAS PIPING � <br /> T— <br /> ROOP DRAINS—f�AWLEADERS EXHAUST FAN <br /> � �� SItJK(SERVICE—BAR,ETf,.) <br /> —�— <br /> �1�� — — �_ <br /> SU�TOTAL $ SUDTOTAL $ <br /> 1 PERMIT $ PERMIT $ <br /> �I I TOTP.L FEE $ TOTAL FEE $ —� <br /> FOR OFFICE USE ONLY: . <br /> . PqOMT5E1GnGrc IIEARSEI9RCK 510[SETBRCR �IANCiiI'C UU�CR �EE R[CEIP O <br /> , � 70 `° ���2�' <br /> usEzor+E wrnaca VAG�NTSIfE FEES VALUATION FEE <br /> 1 <br /> pUll DING <br /> IYPEOfCONiSPLIOWLBI[ iY1`[OlC�N51.M.i11�L CCf.UPIXL� AOdPY[LLnILVNi15 --- � - <br /> taouv PLUMBING <br /> SiZE0F0Lp0. NO.OFSTORiES BRSEM[Ni MECHANICAL <br /> oCCUPMICYLO�D FIR[SPiiNNLENSFEOD HEIGHTUMITAt10N ADDITIONALPLANCHECN _ <br /> _ � <br /> ___ SPRINKLER <br /> f�ER50N fOR SPPINKLEflS � <br /> STATE BUILDING SURCHARGL <br /> vrnee ov rur+sevreoveonr CITY OF EVERETT PUBLIC WORKS <br /> ILOCALSALES <br /> TAX CODE IS 3105 TOTAL <br />