Laserfiche WebLink
�My� <br />:tl y <br />9H� <br />� � � <br />H 7d <br />'0 H '0 <br />pJ N <br />�z <br />'�d <br />H/��g <br />y� V � <br />t+y� <br />C�i� y <br />g H <br />�d� <br />Z�Crrl <br />H O ��i+ <br />APP�I�ATIOId I�OR CO�ISTRliCT10�lI F�ERNiiT <br />TO BE COMPLETED IN INK—PLEASE PRINT <br />, ��_, < <"_ <br />i•vumu i <br />�nr F�rr�man � <br />cnv oF <br />everett L HEATING SYSTEM: I.] GAS J�'_ECiRIC ❑_ ___— ___—_— <br />BUILDING DEPARTMFNT -- <br />259 8810 <br />DEMOLITION _ n COMBfNATION BUILDING Z MECHANICAL oNE PLUMBING SIGN <br />o�•rn,n — .— <br />�C����oLL��C.� 13t5 �rNY��aN AJc ���� 9��3 3�-83�1U <br />ILNnNT M�ILRDDRLSS f.iiY 21P PHJNE <br />S(artE , <br />AqCHItECTORDESiGNEN bURRDORE55 CIIY 21P PNONE I <br />�� P�SSL�T I', <br />u[N[RALCONTR�GTOR AIAM1ADDRE55 CITV 21P PHONE LIC[NSE� <br />(7rd �E.C'� <br />G�ECMANIC�ICONiii/.CTOp MAILAD�RE55 CITY ZIP �'HONE IICENSEY <br />�'�u9piNGCONiRnG�CN M�ILAODRE55 CITV ZIP PMONE LiCENSEt <br />QA55OF WORN <br />NEW KADDITION ALTEGAIION REPAIR DEMOLITION WOODSTOVEiFFPLINSERT - BUILDINGP.ELOCATION <br />�% � I LONTACT PEBSON AND PHONE HO <br />//��.. -�c_! Cw/ `� � j�'� y J <br />\ CONTNPGTPRiCEOFWORK � JLFF �oc�..oc� <br />� � Y J <br />PROPOSED USE OF <br />l[GAL OESCRIPiION OF PROFEBTY ISN0IVN BElO <br />ioryLZ3b'ZZBLOCK � OF <br />i. v�.T 1/-e nr 1 n� ?�. <br />� <br />TYPE OF <br />CLOSET <br />KITCHEN SINK 8 <br />DISFIWASHER <br />LAUNDRVTRAY <br />CLOTHES WASH <br />URINAL <br />DRINKING FOUN <br />FLOOR DRAIN <br />691J:1 <br />OR <br />31 !3t"D.�eOKS <br />W OR RiiACN i00R COPI[51 <br />TOTAL S <br />NIT 5 <br />\L FEE 5 <br />FOR OFFICE USE ONLY: <br />FRONiS[ipACH (1[ARSETpACe <br />'ZU' Zc�' <br />lISE:Ot1[ IOiARE� <br />R� ( c� <br />hf'tOFLON15.1llOWABIF IYf40�i.G/U-��9ACIpAL <br />'i� Y'IJ <br />9ZE OF BLDG NO OF STORIES <br />OCCUPANLYlOAO <br />r.:m.� nv <br />REO' <br />N� <br />navarnTo uv <br />��j <br />r z�- <br />353-83�10 <br />I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAWE TO BE TRUE .4ND CORRECT. ALL <br />PROVISIONS OF LAWS �ND ORDINANC[S GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WH[THER SPECIFIED HERE�N OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUM[ TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCT101J OF THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOfi12ED BY THE <br />OWNER OF iHIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MAOE AND I COh1PLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />SiGN�tU9COGCONiRRCTORORAUTHOFIZEDA ENT DFTE <br />���-- <br />Xn � _ — -;—,; <br />NO ANDOUSiNE55N4M1iE <br />TYPE OF EOUIPMENT � FEE <br />A�C—A�HNDLG UNITS—H.P. I _. <br />FORCEDAIRS`.'STEMS—B.T.U. M11 EA. <br />UNIT HE�TERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUE TOTAL � <br />PERMIT 5 <br />TOTALFEE S <br />SiDESEIDAL� PLnNCHEChNW!BEH GEC <br />s yo � s-33 y i� y-. � J <br />VAC�NTSITE fEES VALUAT <br />i1 suiianc � C� <br />�:L_M\Cv NOqfR4n:L'.'.'S <br />�'a�'� PLUh70�NG <br />BASEr.1ENT �,�ECNANICAL <br />D Neic��rin.nrpnnpr� ADDITIONALPLANCHECK _ <br />� o OTHEP <br />STATE DUILOIHG SURLHARGF _ <br />CITY OF EVEflE7T runucwci+Ks <br />LOCALSALES <br />�p/` TAX CO�E IS 3105 TaTp� <br />u <br />e�o <br />�.� Z <br />FEE � <br />T <br />�`l ',Oc� <br />a'� <br />,�5—�c-rrz <br />_� <br />� �� <br />�� <br />��:i �;i7 I . <br />