Laserfiche WebLink
1 <br /> APPI.I�AT10�� FOR CONSTRUCTirN PERMfT ��«eL� <br /> the Evory�een TO AE COMPLETED IN INK—PLEASE PRINT � <br /> CITY OF }} <br /> �n�� ever�ll HEATINGSYSTI;M: GAS O ELECTRIC ❑ _ <br /> ��'�,1 BUILUING DEPARTMENT <br /> y 259-0810 <br /> q N � � DEMOLITION � COMBINATION � BUILDING ❑MECHANICAL �PLUMBINC ❑ SIGN <br /> ��� � q M4LAGDRE55 C11Y IP PnONE <br /> 3� � �r�hrr�� � F yvzo n�a�n s�. , � ,,����sciJS��o��y <br /> K (] TENAM �IIMDRE�i CITY ZiP PHONE <br /> H�I <br /> ��� pq�H�TECT O(1 DESIGNER II��IL�R,E'S �ITY 2iP ���E <br /> i..... l7a <br /> y�~ DIIz Q'�Ch � ��-,,,n�� W rYG�b G.�9 S'�?- <br /> GE �d.CONTRRLTOR M�R�DDRE55 CI� 21P PNONE IiCENSEe <br /> ��a l� !rk' -T.r'-»�iic. l���GYJ;�C � %iFU/Y�/lG 19S.f) -- <br /> O H qTY 21P PMONE LICENSE� <br /> �� �J MECHAN�CAICONiRACTOF 4�ALLMDRE55 � <br /> � <br /> ni r ('� <br /> �"� FLUMBINGLONiRACTOR M�LLADDRE55 C�TY 2iP FHONE IiCENSE� <br /> H <br /> zH <br /> 5 OF wORN <br /> �J y H ;�NEW ❑ ADDITION ❑ ALTERATION G REPAIR ❑ DEMOLITION '_�: WOODSTOVFJFRPL INSERT C BUILDING RELOCATON <br /> ��y CONTAGT PER WN ANO VNONE N0. <br /> ��� DESGTA ET PORNE/J10 SOUARE FOOiAGE INVOLVE� <br /> y o� �ons�t �v _ T c �f� �' � -��3- � �'— <br /> PpSI seousec eva �^,/ ��`CY(�/�v APPLICAB ON AWDIKNOW THE SAME TO BE�TA E AND CORRECT.ALL <br /> Cc i•n� <br /> � � �L DES HIPTIONOFPROPERtt� owr+ee�owon n�cM WRCOPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> # WORK WILL BE CON.PLETED WITH WHETHER SPECIFIED HEFEIN OR <br /> � .� e�ocK oF ��y NOT. THE GRANTING OF A PERMIT DOES :�OT PPESUME TO GNE <br /> AUTNORITY TO VIOLATE . i CANCEI THE PROVISIC�:S OF ANY <br /> OTHEfi STATE OR LOCAL LAW fiEGULATING CONSTRUCTIO(J OR THE <br /> PEHF(7RMANCE OF CONSTRUCTION.THHT I AM AUTHORIZED BY T4E <br /> � � I' �1- OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> ( APPLICATION IS MAOE AND I COMPLV WITH 7HE STATE <br /> CONTRACTORS LAVJ tE27 RCW P.ND 296 200 WAC. <br /> SMaNATUPEOFLONTRACTOROR�UTNORIZCOAGENT D4iE <br /> l�� i G� X <br /> iRQIECT ADDPE55 —'— <br /> APPLIGANTS CITY 9USINE55 LiCENSE NO.nr�0 BUSiNES;NnA+[ <br /> � " PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOU�PMENT FEE <br /> '�I WATER CLOSET(TOILET) �� — A/C�NHNDLG UNITS—H.P. <br /> �/ BATHTUB �;— FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> ' ' LAVATORV(WASH BASIN�. — UNIT H[ATERS—B.T.U. M � <br /> SHOWER '— CLOTHES DRYERS ' <br /> t�� KITCHEN SINK 8 DISP r I— VENTILATIOW FAN <br /> 1 DISHWASHER — RANGE HOOD <br /> U+UNDRY TRAY WATER HEATEFl <br /> ' _L CLOTHES WASHFfi � �— WOOD STOVE _ <br /> URINAL � METAL FIREPLACE 8 CHIMNEV � ' <br /> '�O DRINKING FOUNTAIN � FIREPLACE INSEFT �_ <br /> FLUCIR DRAIN �'— HEAT PUMP ' <br /> 1 ' BACKFLOW PREVENTERS � X GAS PIPING __�__ <br /> � ROOF DRAINS—RAINLEADERS � E%IiAUST FAN � <br /> ��1 SIF�:(cr.RVICE—BAR.ETC.) — 1](_(:!)I /'�-'��� _ _� <br /> I <br /> 1 ' � _�_ <br /> � <br /> _ ' i <br /> !; _ SUB TJTAL $ �;— SUO TOTAL 5 a/J ; -- <br /> � PERMIT 5 _ PEHMIT $ <br /> TOTALFEE 5 TOTALFE[ $ <br /> FOfl OFFICE USE ONLY: <br /> FflONTSETBAGN REAPSETBACR SIDESETBACK PW::CHECNNUMBER FEE RECE�PTNO. <br /> •'J� / n � � � '7 ._�J Y l' <br /> �iV .J✓ - �_J <br /> usEza�e �oTea6e vacnnTsi*E FEES � VALUATION FEE <br /> I�� � � BUILDING / J�O _ <br /> tYPEOfCONiS.ALIM/ABLE T'PEOiCONSTALiOAL OUoveqCr xoupMwxcuxrti / y � <br /> cnouv ; p�UMBING (11J� <br /> U- V- - l /� � - <br /> SIZEO�BLDi. NOAFSTORiES ASEMELT MECHANICAL �JU� <br /> / ���� � AODITIONAL PLAN LHECK <br /> OCGUPANGvIO�D �FIRE6/P�RN'KLENSPEO'D HEIGMTUM�TION <br /> `— 'vU OTHER i <br /> PEASON FOR SPRiNKlERS ��� <br /> SL1TE DUILOING SURCHARGE �� �'i� . <br /> iNiANEBV PUJISAPPROVE�BV CITYOFEVEflETT PUBI.ICWORKC � <br /> J � LOCAL SALES � ` — <br /> I/3o/Q TAX CODE IS 3105 TorA� �p�� ;✓(� <br />