Laserfiche WebLink
M�� <br /> .�������u <br /> APPLICATIO►. FOR CONSTRIDCTIv�. PERMIT � <br /> TO BE COMPLETED IN INK—PLEASE PRINT <br /> ,.�,�r.n�rorc��n � <br /> GIVOf --'--"� <br /> _ _ ___-_ <br /> everett L HEATING SYSTEM: J GAS J ELECTRIr, J __—___ - <br /> BUILDING DEPARPdENT — <br /> 2 9'6810 PLUMBING SIGN � <br /> DEMOLITION COMBINATION BUIIDING MECHANICAL <br /> Otv ZiP PHONE <br /> H O � ��vHen -- Mni�noonrss 7'7 �O <br /> �"� y To�/��!-�LtE�S��, f�t>ts�A _D• l3�EL.—__��o3G 97z - , <br /> p C[ JE�����i MARADOPF55 <br /> crr zu, vHone <br /> y y vHi _�OAI� I� <br /> ��y ,�HCMI1CC10N�ESIGNER MMIADDRE55 — <br /> CI':Y ZIP PMONE I <br /> H <br /> ---'��T� Z�y PHONE LILENSE� I <br /> y � i«t�E(1ALCONiPACTOR MAILAOOR[SS <br /> AI �"� � QTV 21P PHONE UCENSEI �. <br /> (/1F'1 M1�I:C�IANiGALCONiNRGiON MAiI��ORE55 <br /> � �Yr PNONE IICENSE� <br /> ' ^ � _ C17Y ZiP <br /> F� PlUhOiNGLONiBACTOR MNI�DDAE55 <br /> OH <br /> ��� ClAS50F WONN <br /> NEW ADDITIDN � ALTERATION �. REPAIR �C DEMOLITION WOODSTOVE/FRPL INSERT . BLIILDING RELOCATION <br /> CONTAGi PE1150N AND PNONE NO <br /> zy <br /> � H y CONtfiACi PPICE OF\VORK ,��p pp� �� <br /> y [�ESCRIBEWOPNANDSOUAR[FW�PGEiNVCWED <br /> gd� __,p��o ^ 70o S1 FT• <br /> C ����ovoseous�a�ew�owu I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> �i� r pPPLICAT10N AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �1 PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF <br /> y yO V� ���n�no�+orraorer+*r�s�orr+ociowonnTr^a+�ouncc�ies y,�ORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> iot�y eiocK oF .SWRIS:JP-�G NOT. THE GRANTING OF A PERMIT DOES NOT PRES�ME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> S taawl0_.BDC�01� Tp �uf'd��r ��' pERFORMANCEOOFOCONSTflUCTION.LTHATG AM AU HORIZED BV THE ' <br /> 3 OF FGArS �WNER OF TI{IS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> PLAT i�6co4o[� /N vo���'�- GONTRACTORSLAWMB.EERCWAND 96.00WAC. ITN THE STATE <br /> SIGN�TU9[OFCONiRACiOROR/.UiHORqEDAGENT D4TE <br /> ��, /l � ,SND—Gv.iN7Y_ , <br /> X B�v�� _ <br /> PHOJCf.iA��RE55 pPPLICAN CITVpU51 SL�CENSENO ANDBUSMESSNAAIE <br /> ( <br /> MECHANICAL <br /> PLUMBING FEE <br /> - NO. TYP[OF FIXTUFiE OR ITEM FEE NO. TYPE OF E�UIPMENT <br /> �"' '. _ A;C—ti'HNDLG UNITS—H.°. <br /> iWATER CLOSET�TOILET) <br /> C�. BATHTUB FORCED AIR SMSTE615—(3.T.U. M E.A. <br /> ( LAVATORY(WASH BASW) UNIT HEATERS—B.T.U. M <br /> 1 ' SHOWER CLOTHESDRYERS <br /> '�� KITCHEN SINK 8 DISP VENTILATION FAN <br /> ��� DISHWASHER RANGE HOOD <br /> � WATER HEATER <br /> LAUNDRYTRAY <br /> � CLOTHES WASHER WOOD STOVE — � <br /> METAL FIREPLACE 8 CHIhINEY <br /> URINAL <br /> �� � FIREPLACE INSERT . <br /> I I`� DRINKING FOUYTAIN HEAT PUMP -- <br /> FLOOR DR�IN <br /> BACKFLOW PREVENTERS GAS PIPING --- <br /> ROOF DRAINS—RAINLEADERS E%HAUST FAN <br /> I1; SINK(SERVICE—BAR,ETG) <br /> ' I '= SUB TOTAL J __ <br /> SUB TOTAL S _ <br /> � — PERMIT S PERMIT 5 _ <br /> �� � TOTALFEE 5 TOTALFEE S <br /> ���. FOR OFFICE USE ONLY: Necucr no <br /> FROt�TSET[3ACN REAHSETBACN <br /> soesetoac� rinr+c�ecKr+unm::n rcc <br /> vncnNTsite FEES VALUATION fEE <br /> u>l.'O'�@ LOTPREA � <br /> OUILOING __�—_— <br /> ��n�plLLqiS.AIIOWABIE IYCEOFLONSI.ACIDPI �'�����"� �p�������,;u�•�•s P�UMDING — <br /> ,ip[pc O�DG. NOAFSTORIES BASEMENT AIECHANICFL .___ <br /> OCCUPANGYLOAD Fli1E5PIMKlEflSREO'0 HEif,HTLIAIIiAT10N <br /> ADOITIONAL PLAN CHECK __ <br /> OTHER ' <br /> — ---r--_ <br /> REASONfORSPRiNnlENS <br /> STATE Bl11LDING SURCHARGE _ <br /> ir�rnKem r�nNsnarr+oveour CITYOFEVERETT puot.ictivor,rts <br /> LOC11L SALES <br /> TAX COOEIS 3105 TOTAL <br />