Laserfiche WebLink
- I ,,� .` o � � �0 �� ;. ! . <br /> APPLICATI��r�l FOR CONSTRUCT`i�� MIT <br /> � 1 1991 D <br /> everett <br /> ,�.�E�re,�� ._................................_................� e <br /> cirvoF . CITY OF EVERETT, <br /> everett P���c Works DepG <br /> BUILDING DEPARTMENT <br /> 259•8810 TO BE COMPLETED IN INK—PLEASE PRINT , <br /> I I DEMOIITION t I COMBINATION i I BUILDING }�MECHANICAL ❑PLUMBINQ ❑ SION <br /> OWNF.O M�ILAUUf1F.55 CIIY 2�P ���E ' <br /> �o a.,4 Vln� �u u rr�t+ I'�o�. �%,�v.�s !�-v. E/c�c-rt- `t YZo� �•3os3 <br /> iF.N11Nt M�IIADINiE55 CIIY ZIP OIIONE , <br /> � �PCIIIIECid1DF.5qNER M�RAUOPESS CIIY 21P PIqNE � � . <br /> � <br /> � CENE1111LCENlIMf.TR17�nL�I�' /Ap��DU11E55 CIIY ZIP PIqNE IICENSEI . <br /> m y , <br /> --�����,.a ..J� <br /> � MGf,11nHM.�lf.]1711 7 1.1AI�AI1 tESS `� � 21P P�IONE LICENSE� <br /> IC;:I�'attd, WA i�t:l•;��� •^•�_R�1LOI�lO1JB $Z3 `/�{S� ' <br /> PI.IMMMpf,ONIf1�Ci011 M�RAUIIIIf.SS CIIV DP P110NE LICENSEI , <br /> ; Cl�."•SOf WOpK • -- . <br /> ' 1 I NEW I I ADDITION I J��LTERA710N I I REPAIfI I I OEMOUTION I I WOODSTOVEIFRPL INSERT I.l BUILDIN�RELOCATION <br /> IFIUNTNAff10VF.MENf0111NiE11lOR�E/dOOELONLY CON PV EA�/�ENO. . /� � <br /> ca+m�cr rnwe or wone: CV " ��% � �� ��� <br /> t�3pp� nn�,c ��nb��. <br /> : DESfti Y/Ofil(MAS(Kl� EFOOUI(iEINVOLVCD �, I� I� <br /> i���`�UC ki'�k � �C✓�C��L✓1.r8t • $Z'7 � i.,t,7 <br /> rm�r�seniKe �n�o ^ I HEFlF.UY CERTIFV THAT I HAVE REAO AND E%AMINED THIS <br /> u ���(� APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �i nm� orrnorem is�owNneiowonnnn ouncomes� PROVISIONS OF LAWS AND ORDINANCES 60VERNINO THIS TYPE Of <br /> � WORK WILL BE COMPLEIED WITH WHETHER SPECIFIED HEREIN OH <br /> � ioi m.xK or NOT. TIiE GRANTINO OF A PERMIT DOES NOT PRESUME TO 41VE <br /> � AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV � <br /> `�"�u����s � ZY Y 'l�3 3 -Q7 OTHEH STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE <br /> � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> i — APPLICATION IS MADE AND I COMPLV WITH TH 9TATE <br /> �� CONTRACTORS LAW 18.27 RCW AND 298200 WAC. � / Q � � <br /> � SiONA EOFCONiMCTOR011AUTIqpIZE0�6ENT O�TE ZS l� � <br /> � ��Z. <br /> rtro.iecr umnFss <br /> . 7� • � TP ICnNISCIfYPU51 ^...9lICEN NO.NJDlU91HESSNMIE <br /> ' PLUMBINti MECHANICAL <br /> . NO. TYPE OF FIXTURE OR IiEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WAiER CLOSET(TOILET) � A/C—NHNDIG UIJITS—H.P. � <br /> � <br /> � BAiHiUB ; FORCEDAIRSYSTEMS—B.LU. .A. `_ <br /> LAVA70RY(WASIi BASIN) --�— .UNIT HEATERS—B.T.U. M i � <br /> � SHOWER ; CLOTHES DRYERS ' � <br /> KITCHEN SINK 6 DISP i VENTILATION FAN ; <br /> DISHWASHER —T� RANGE HOOD i <br /> LAUNDRYTRAY � � WATEfl HEATER ' <br /> CLOTHES WASHER —T WOODSTOVE � � <br /> URINAL ' METAL FIREPLACE 8 CHIMNEY ' � - <br /> DRINKING FOUNTAIN � FIREPLACE INSERT - i <br /> FLOOR DRAIN —~_ HEAT PUMP ' � � ' <br /> BACKFIOW PREVENiERS ; GAS PIPING ' <br /> ROOF DRAINS—RAINLEADERS — —�— EXHAUST FAN ' � <br /> � SINK(SERVICE—BAR,ETCJ ' � ' <br /> — --i—'— '�— <br /> , i <br /> — , _ � T <br /> � � - <br /> I <br /> 1 1 . <br /> 1 � <br /> � —��- � <br /> . SU810TAL E ; SUBTOTAL S ' <br /> PERMIT ' f �— PERMIT S �� <br /> TOiALFEE S ' TOTALFEE t ' <br /> ff1UNf5F10ACK RE��75EIOACK SIOESEIO�CN PL�NCHECNNUMBEfi FEE BECENTNO.�� � ' ' <br /> use za+e �or nnen vncnr�r sne FEES VALUATION FEE <br /> I I Y[S I I NO BUILDINO � <br /> IYI'(INGONSLN.LIIWAPIC IYI'FOfL0115I.�CIII�L a'�'N-r � MtmlmIlUNGlnn15 � <br /> cnam <br /> PLUM�WC i <br /> --e— <br /> SIIF.Of OlIN7 NOAF SIONES PASFM[NI � <br /> MECINNICAL ��� —" <br /> ' I I YES I 1 NO i <br /> a;curm�eriow Fines�nrm�e�sneon 11Eif.1111nAilAIION OiFiEn � � <br /> � � YL.S I I NO S�AIF.PUILOIN(i SUf7CIlAPGE � <br /> i <br /> OEAS(klfUIlSPpINNlE115 <br /> STNF FNFf1GYSUf1C���RGE 'i <br /> nrri�c�uounr.r, nr r�nr�snrrnavcnm CITY OF EVERETT rueLicwonKs � <br /> LOCIIL SALES <br /> 1AX COOE IS 3105 tornt G f �4� <br />