Laserfiche WebLink
�3 C� H <br />xr7 <br />.o'z x <br />'�" H <br />ay�n <br />H x r�+ <br />k c� <br />H X) <br />O SO <br />'� H';J <br />fA H <br />y r <br />x 23 <br />t'7 O t9 <br />H t7 <br />�/��g <br />y� V C❑J <br />> H t*1 <br />r�y <br />8 `� <br />H <br />C] C7 C� <br />� r� r <br />2yn <br />H O tn <br />APPLICATI�_� FOR CONS'TRUCT_ �� PERMIT �� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT �ren <br />BUILDING DEPARTMENT HEATINC SYSTEM: '.� GPiS J ELECTRIC U --_l <br />25��8870 <br />`�DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br />MNl <br />ZIP PHONE <br />�_.�••�vi MnILPopnE55 CITY I'�V PIIONE <br />r 3�0 �u�f�+r�,n Wn�, SU��� z�� "14z-q2�o2 <br />ARC��RECTOF�ESi3NEfl L!AILADOBESS PTJ'� ZIP PMONE <br />GC:ERA�,.CONiRACTOR IAniIpD�RE55 GITV ZIP PHONE STATEUCENSEt <br />sa�.� as Gbo�, Pqc�r- ci3 ►41c� <br />'.'LP�.nNiCALCONTqACTOR MRhhDORE55 GTY ZiP PNONE STATEIICENSEa <br />PI.UV9iNGCONTRACTOR MRRqDDRE55 CIiV Z�P PMONE SiATEUCENSC• <br />55 OP WORN <br />NEW � ADDITION ALTERATION <br />f PFICE OF WOqN <br />\VORN AND SOUARE FppTqGE IHVOIVED <br />�._.._4'_../ SF.� � u��e.f-,.. <br />LEGAL �ESCRiPT10N pF PROPERiV �SNOWN BELOI <br />�or�3 a�aK oF <br />� -.'T.i AOD�iE55 <br />'i-125 Muk�l��o Blud . <br />PLUMBING <br />NO. TYPE OF FIXTURE OR I <br />WA7ER CLOSET �TOILE'.I _ <br />BATI{TUB <br />LAVATOFV �WASH RASIN) <br />SHOWER <br />KITC4EN SINK 8 DISP <br />D�SHWASHER <br />LAUNDRVTRAY <br />CLOTHCS WASHCR <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS—RAINLEADERS <br />SINK (SERVICE—BAR, ETC.) <br />, SUI <br />PE! <br />TO' <br />FOR OFFICE USE ONLY: <br />FRONTS[Tp4CH R[Af15L1(JACK <br />USEZONE LOTAREA <br />iYPEO�GONiS.AILOWABIf tYPFOFCONSiACiWI <br />52E OF BtDG. N0. OF STOFIES <br />OCCIIPNNCVlOAO fIRESPRNKIERS�EO'0 <br />BEASON FOR SPRIhNLERS <br />INTAKEpV <br />PLANS�PPROVEDdv <br />;f y:r ,. <br />q,_:..,_ .,fi• _C <br />REPAIR <br />SiOE SEIBACK <br />SITE <br />DEMOLITION WOODSTOVE/FRPL INSERT BUILDING RELOCATION <br />LONIACT PERSON AND PHOYE NO <br />. <br />i HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KYOW THE SAA9E TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OFDINANCE3 GOVERNING THIS TYPE OF <br />WORK WILL 9E COMPLETESD WIiH WHETHER SPEGFIED HEREIN OR <br />NOT. THE GRANTING OP A PERtdIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEFFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br />01NNER OF THIS PRQPERN TO PERFORId THE WORK FOR LVHICH <br />APPLICATION IS �dADE AND I CO'.IPIY WITH THE STATE <br />XON��18. CW ANO� 2g620p WqC. <br />. <br />—.__—_ ,--.— ___ nui <br />FEE NO. TYPE OF EOUIPMENT FEE <br />__ �� A G--A HN[7:G UNITS—Fi.P. <br />`._.—....._ ."_._ __ --_— <br />FOPCEU AIR SVSTEMS—B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />. WATER HEATEFi <br />0 <br />amr�xcr nopo�nvu":,�e�,�.� <br />cawr <br />OASEMENT <br />CITY OF EVERETT <br />LDCALSALES <br />TAl( COUE IS 3105 <br />AOETAL FIREPLACE 8 <br />FIREPLACE INSERT <br />HEATPUMP <br />,AS PIPING <br />,r+c��tcKnur.�oi �v <br />�7��� <br />UUILDMG <br />PLUMf31NG <br />MHCHANICAL <br />ADDIiIONAL PLAN CHECK <br />SPRINKLER <br />S7ATG UUIL�ING SURCHARG[ <br />PU[3LIC WORNS <br />TOTAL <br />�� <br />SUB TOTAL S <br />P[RMIT S <br />TOTALFEE S �— <br />crr. raFc[irrNo. <br />VALUATION FEE <br />— — i <br />i <br />i <br />i <br />— �— <br />y �s � <br />y is� <br />;_� <br />