Laserfiche WebLink
.-„� everett � <br /> APPLICATIOf:'�`F'OR CONSTRUCTI�.'N PERMIT <br /> rl�e RY•;-een TO BE COMPLETED IN INK—PLEASE PRINT . � <br /> uTv or <br /> e����rett HEATING SYSTEM: ❑GAS d ELECTRIC U � ' <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> i DEMOUTION I 7 COMBINATION i I BUILDING IJ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ONRIGR IA�IL�DDIIESS CIIY jlp PIIONE <br /> l�� �ay 6.ow„ 3� -�. r+��;�1 n,�� ��r 3s-s- 7��cY <br /> IfNnNT MAILADDPESS QTY ZIP PHONE <br /> nfiCHIIECT OR OESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENE84LCON71iACWf1 M4ILADORESS CITV ZIP PIIONE �ICENSEI <br /> 1AECHnNICAIC TR�CTOH M�ILADDRE55 CIiY Zlp PHONE LICENSEt <br /> N.W. h�e�. 6�.1�. �. �o- I�il m�c �✓r q��i 2�,�t33� N��ti �o� ►�a <br /> 1`WMBINGGONiR�CTON MMLAOOFlE55 CIIY ZIP PHONE LIGENSEI <br /> CUSS OF WORN <br /> �NEW I I ADDITION I 1 ALTERATION I I REPAIR I I DEMOLITION f 1 WOODSTOVFJFRPL INSERT O BUILDINO RELOCATION <br /> � (� CONTACT PERSON�ND PHONE NO. <br /> CONiMCT PRICE OF WOI1K �C�� <br /> Uf.5CN0E Wai1N AN�SWAqE(OOTME INVOLV[D <br /> � d�rall f6As F►wec.e � I� <br /> rnoroseouse eunoir+c I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � U p.�� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEGAL DE RIPTqN OF P OPEATY�SHOWN BELOW OR ATTpCH FOUR COPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or eiocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION Ofl THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF TH�S PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> SIONIITUflEOFCONTMCTOROR�UTlIORIZEDAOENT D�TE <br /> PI1QlECT11DDRE55 � R. 1 ^'��H" \ <br /> I�I � � l� ; (1 APPUCANTSGITYBUSINE55 ENSENO.MIDBUSINE55NAME <br /> l <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) � A/�AIHNDLG UNITS—H.P. , <br /> BATHTUB ; FORCED AIR SYSTEMS--B.LU. M E.A. —~ <br /> IAYATORV(WASH BASIN) � UNIT HEATERS—B.T.U. M ' <br /> SHOWER � � <br /> CLOTHES DRYERS � <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN � <br /> � <br /> DISHWASHER � RANGEHOOD � <br /> LAUNDRYTRAY ' � WATER HEATER � <br /> CLOTHES WASHER � WpODSTOVE � <br /> URINAI ' METAI FIREPLACE 8 CHIMNEY � <br /> � <br /> ORINKING FOUNTAIN � FIREPLACE INSERT ' <br /> � <br /> FLOOR DRAIN � HEAT PUMP - � <br /> BACKFLOW PFEVENTERS ; GAS PIPING ' <br /> ROOF DRAINS—RAINLEADERS � EXNAUST FAN i <br /> SINK(SEAVICE—BAR,ETC.) ; � <br /> �— , <br /> � , <br /> � <br /> � , <br /> � � <br /> T <br /> I � <br /> sue Torn� a ; sue rora� a � <br /> PERMIT $ � PERMIT S � <br /> TOTALFEE E ' TOTAIFEE y ' <br /> FOR OFFICE USE ONLY: <br /> fltONf5Eft1ACN PE��SE7BnCK SIDFSET9ACk PUNCHEGKNUMOEfl FEE RECEIPTNO. <br /> usezove LOTMEA vncv+rsne FEES VALUATON FEE <br /> BUIL��NG i <br /> IVP[OICONiSAttOWPBIE ivlSOifANSI.RtI11Al ��dam�xtt xnqowtqixcuxn5 � <br /> �PO� PLUMBING <br /> i <br /> i <br /> SREOFBLD(3. NO.OFSTORIES B�SEMENi MECHAN�CAL S�OO <br /> _ <br /> oCCUPnr�Cvtono rinesrnNn�ensneo�o IIEIGIIILIM17�ilON AODITIONALPLANCHECK ' <br /> OTHER � <br /> f1EA50N FOO SPpINRlERS <br /> STATE BUILDING SURCHAtiGE � <br /> IY1nKG AV PUNS APPRpVEO BY CITY OF EVERE7T PUBLIC WORNS � <br /> LOCALSALES ' <br /> TAX CDDE IS 3105 �T�� S �DO <br />