Laserfiche WebLink
�� APPLICAT�G.� FOR CONSTRUCT�..J�PB PERMIT �'``'"'" <br />, �TO BE COh7PLETED IN INK—PLEASE PRINT <br />3 <br />��� <br />ay <br />�o�x <br />r x �' <br />H 9 3' <br />r3 z H <br />�C C] <br />H� <br />'�+J H "�� <br />y�C3 <br />� O t'7 <br />H C7 <br />� H <br />� �, g <br />L]� C] <br />�H� <br />�-+ H <br />g `� <br />C'J C � <br />��r <br />C+1 <br />HO� <br />rer E,-a,u,acn <br />CITY OF <br />eve rett HEATING SYSTEM� ❑ GAS ❑ ELECTRIC U <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION ,C COMBINATION BUILDING .� MECHANICAL PLUMBING SIGN <br />0\VNER MAILAD�RE55 CIiY (, �,. ZiP FHONE <br />f7n���n �>' El:I KA 1../�J7{J� _3_�L � ( /'}rff ��� tvf�CLi/ [v/1 <br />TENANT MAILR�DRESS LIiV Z�P � PHONE <br />%l�/ Z7 L-749 <br />pqCNITEGTOR0E5iGNER h1I.ILADDPE55 GITV ZIP PHONE U <br />n i. iil%H1i+.w� -�i.c L-iA"nG:�' i,.n �iGi»i A/�i�-Q'iG�^ 2�C��Y <br />��L/yF�H / l NiT , � % ��GENSE <br />CONiPACTOR lAAIL <br />61[CHANICALLONiRRCtOR �1A�LRD�RE55 GTV ZiP PNONE UGENSEt <br />OaVF 6rY+�i`s C��n/SirL 3Yli 1<K' hrR (-t-f'/'y�rt, a�n �S°�t�Ca <br />PLUMBING CONTRACTOl1 MNL AD�RESS CITY IIP PHONE UCENSE � <br />CLASS OF WORK � <br />NEW � ADOITION ALTERATION )S REPAIR DEMOUTION � WOODSTOVE/FRPL INSERT . BUILDING RELOCATION <br />'(„JC ^ CONTACTPE�SONANDPNONENO <br />_.......,.��,��„�.,,�A. � �'S �fil�kE/'�fr Nqc.(j•�y. LS �-7YS�� <br />�ESCRiBE K'ORe AND SOUANE <br />!co( Gu�TtTI rcn5 <br />l[ G�l OESCRIP fION OF PROPERTIY� �9/�10WN OELU� <br />l0� I� "� � �LOCN l 1 I OF <br />nlv ''N r' <br />�OJECT PJDi�CSS <br />3 z1 � cN�,-� <br />PLUMBING <br />NO. TYPE OF FIXTUR <br />� WATER CLOSET (TOILET <br />� BATHiUB <br />L. LAVATORY I�NASH �ASIN <br />I SH0IVER <br />KITCHEN SINK 8 D�SP <br />DISHWASHER <br />LAUNDRY T(iAY <br />CLOTHES WASHER <br />URINAL <br />�RINKING FOUNTAIN <br />FLOOR DRAIN <br />FOR OFFICE USE ONLY: <br />iunuTCF1P/d.N RCARSLipACN <br />U`1[ ZONE <br />I�PF Of CONIS AIIOWABIE <br />s�ze oc oioc <br />C tIIPANLV LOAD <br />NE.Iti3ON FON SPflINNIERS <br />wrnYf tn <br />IOT�RER <br />��- i HEREBV CERTIFY THAT I HAVE FEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />09ATTACNFOURCOPIE51� PROVI�IONS OF LAWS AND GRDINANCES GOVERNING THIS TYPE OF <br />p� ro F �-• �/)` W�RK WILL BE COMPLFTED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PHESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTIJN OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I ACt ,�UIHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFOFr' �� i �'JORK FOR WHICH <br />APPLICATION IS M�DE AND I C�"" � PJITH THE STATE <br />CONTRACTORS LA6Y 182% RCW AND �7�. . .:;,G. <br />SiGN1iUHEOFGONiRACiOROPAUTMOARED•�GU:1 Un�! �L— �—�!(„ <br />—_— �(� �/-' lf�/�l/ !F/'-�-i <br />-�-a�,7 � � � k33 <br />t�_n.� w <br />AGPLICAHiS CJ r Elll;'1Si UCL16E NU ���� ��151'JE55 N�VE <br />SUB TOTAL 5 <br />PERMIT 5 <br />TOTALFEE 5 <br />SIOL tiCip�GN <br />VAG�Ni SIIE <br />NO OF STORIES <br />FinESPRNRLER', <br />PUNS APi'ROvI <br />iAt t�CfurdAtr Na orD�ai�!•.ciW�:S <br />r,eour <br />BRSEMENT <br />REOD NEiGNTIIMITATtON <br />��° CITY OF EVERETT <br />LOCAL SALES <br />TAX COOE IS 3105 <br />TYPE OF EQUIPMEN <br />AC-A HNDLG UNITS-H.P. <br />PORCED AIR SYSTEh1S-B T.U. <br />UNIT HEATERS-8 T.U. M <br />CLOTHESORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />PLACE 8 <br />INSERT <br />FAN <br />FEES <br />OWLOMG <br />PLUAIUING <br />MECHANICA! <br />ADDITIONAL PLAN CHEGK <br />OTHEF7 <br />STATE �UILDING $URCHARGE <br />PUDLIG WOIiKS <br />TOTAL <br />PERMIT <br />3 <br />rec � ��eee <br />FC ___r_�_ <br />a <br />