Laserfiche WebLink
APPLICATIOh�� FOR CONSTRUCTI:'iN PERMIT �'""`°" <br /> TO BE COMPLETED IN INK—PLEASE PRINT � <br /> I <br /> rnroc <br /> _ ..------------- - � - <br /> ._ _-- -- ------ � <br /> everett I HEATING SYSTEM: �.!GAS 'J ELECTRIC J __ _ _ <br /> BUILDING DEPARTMENT ` — <br /> 259-BB10 i <br /> DEMOLITION COMBINATION BUILDING b1ECHANICAL PLUMBING SIGN <br /> LITY z�� ����NE <br /> pWNFPI — II (� f.IAILAt)DPL55` q� . <br /> 0 _���'JY,_!'�.�...Y�l�� '�:J Ci c�5y �L,- iS z� 3 �e 3 _ y2 �� � ' <br /> � ~ 11 NANi . AI�IL M1UDP!55 GItY ZIP PHON[ <br /> � �° _/�f���C�.--�'-�� F!( �F''.�--I�.t1✓� ���+�f <br /> y m,�c/�uiAcr,roaois�ew�n A �.ini�nr:o�+ess arv lin rHor+e <br /> cy{� y y /`Gi'4ff��-�1��/rFf7tl,dl CO__-��.� . ��'�{��� �� ^¢S L Z <br /> ' ' �i =(] GLtil HAL COtI1RACiOH � IAAIL AODR[SS LIIY ZIF PIIONL UCMSC� <br /> � " �� T WTY ZIP PNONE LIC[NSE• <br /> Idf IANICAICONiR/.C10H A!PILApDRFSS aC��.A L+j�_ <br /> � y " �—�"���1 <br /> xX �T Nl��a� �[�'lz��G 9�/.�7� -"-�/���-ZI� <br /> � � � cirv ziP �NONE .icEr+,[. <br /> r�ur,miNcco�+rnncroi+ r.mar�ooness <br /> ] <br /> O H — <br /> H � � ci�ssorwoiK � <br /> � ' NEW ADDITION ALTERATION REPAIa . DEMOL'`ON WOODSTOVEfFRPL INSERT � BUILDING RELOCATION <br /> M <br /> y � - CONiACiPEH$ONANDPNONENO <br /> � M y CCNTPACTPRICEOF\VORN ��Y9.G-!'t s_ �8/-676� — <br /> N OESCli18E WORK AND SOUME FOOTAGE�NVOLVEO <br /> � t^ �- v -r�.t .. �- Lf <br /> � rncrrosgouseoFeuaoiNc I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � �, �K� ' APPLICATION AND KNOW 1NE SAME TO BE TRUE AND CORRECT.ALL <br /> �ecuoescnivnot+oF�RrY�SMOWNOELOWOR�TIACHFOURCOPIESI PFiOVISION50F.AWSANDORDINANCESGOVERNINGTHISNPEOF <br /> WORK WILL 9E CO'APLETED WITH WHETHER SPECIFIED HEREIN OR <br /> i�T e�xK oF NOL THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LUCAL LAW REGULAIING CONSTFUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOFI2ED BV l'HE <br /> OWNER OF THIS PROPCRTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MA�E AND I COMPLY WITH THE STATE <br /> CONi�RACTORS LAW 18.27 RCW AND 296200 WAG .���f� ��� <br /> SicNnruaeoFcoNtaneronoanun�auzconce�r onie <br /> / <br /> X � <br /> Pt10JECiAf1DRE55 qp �i(;ANTSCIL OtI5 +E55LIGENSENpANUeU;'9ESSi�n�,�4. <br /> �iG ;o6-c.i r 7J/-'� <br /> � � PIUMBIhG MECHANICAL <br /> ( C� NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATER CLOSET(TOILETI AiC—!Of VDLG Ui�ITS—H.P. _ <br /> � 9ATHTUB _ FORCED AIP S`.'STEMS—B.T.U. M E.A. <br /> I LAVAiORY(WASH BASIN) _ UNIT HEATERS—B.T.U. M _T , <br /> � CLOTHES DFYERS I <br /> I__' _ SHOWER � � . , , �. <br /> �' KITCHEN SINK 8 DISP VENTILATION FAN I <br /> � DISHWASHER _ RANGE HOOD ' - . . 5 <br /> ' LAUNDRYTRAY WATER HEATER _ - � ,� <br /> �� � WOODSTOVE � � -��'�� 1 <br /> 1 CLOTHES WASHEii i METAL FIREPLACE 8 CHIMNEY <br /> I �'� URINAL — � -Y <br /> — FIREPLACE INSERT I .���,.1� <br /> DRINKING FOUNTAW —'�— � � � <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> '�' ROOF DRAINS—RAINLEADERS � EXHAUST FAN _ <br /> SINK(SERVIr,�—BAR,ETC.) _�_ — <br /> T <br /> tl �1 I - - - <br /> � ' SUBTOTAL $ SUBTOTAL Y /�j_� /(J I�i' <br /> II —__ P[RMIT $ _ _ PERMIT S / �J ��' <br /> � 1� TOTAL FEE S TOTAL FEE 9 ) :'.') '� ' <br /> � FOR OFFICE USE ONLY: <br /> FFONTSETBACK RfARS[TOACN SIDES[T6ACN PLRNC�IELHNI'MOER �GL RECPPiNO <br /> 3736 y <br /> use xone �ot aaEn VACANi SiTE FEES VALUATION FEE <br /> DUILDING _ <br /> IYPEOiCCNiSALIOWABIE IYPEOFGONStACiUl1l a4q�rr�vc+ n0acnum,r' • -- <br /> PLUMOING <br /> SREOFBLDG. NOOFSTORIES BASEMENT MECHANIGAL ��J`L.�J ��'�Cl <br /> � <br /> ' OfCUPANGYlOAD FIPESPPNNLERSREO'0 MEiiNTLiMIT4TION <br /> AOOITIONAL PLAN CHECK � <br /> i <br /> OTN[R <br /> � <br /> >N F A SPB�NKIERS <br /> STFiE DUIL�ING SUliChin� _ _ <br /> .,,�ni.�nv rinNsnrrnweoav CITYOFEVERETT auouCwor�Ks I— <br /> �LOCALSALES — 1 <br /> TAX COUE IS 3105 ror,�� ��J'� ',(���.', � <br /> o �l <br />