Laserfiche WebLink
I <br /> If <br />. ;"". ^-- .. <br /> APPLIC�.lION FOR CONSTRI..:TION <br />, PERMIT <br /> me evero�ee� <br /> CITY OF crerell <br /> ��� everett e <br /> y BUILDING DEPARTMENT <br /> C i-�i • � 259•ed70 TO BE COMPLETED IN INK— �LEASE PRIIdT <br />� Y H fA <br /> Y � <br /> pWryEP MRILADUflE55 QLY ZIP FNONE <br /> K � - .�-1N�C�, C�L�.4s�1���. a ��N rr�.k��e �4 �ee� a�o� �� <br />' oIj � TENANT MP�LAU�FE55 ItY ZIP PMONE <br /> �i1 H� <br /> y y� ARCNRECTORDESIGNEN MFILADDPE55 UiY ZIP PHONE <br /> ��� GE^�ONiAACiOR MA�LAp�RE55 CITY 21P PIIONE LICENSE• <br /> ��g � `,�N\CCJ C• �S�I�aYI�� a3a�l c�pl e � ��I� 9�s�� �9-�oS� <br /> MECNANICALGONTN�CTOR MAILpODRE55 LIl LIP FMONE LICENSE• <br /> HY � I <br /> xy� PLUMBIN�LONTR�LiOP M�IL�UORE55 CIfY 21P PNONE LIC[NSE� I <br /> 9 <br /> r� <br /> ~ GLASSOF\40RN <br /> gy <br /> H ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ �EMOLITION ❑ WOODSTOVE/FPPLIN:iERT ❑ BUILDINGRELOCATION <br /> ��y i[NPNTIMPRWEMENTOHINiEflIORP[MOOELONLY 1 CONfAGiPER50NANDPNONENO <br /> � CONiRACTPFIGEOFWORK Sy 'T- �' <br /> I H� 0�RIB,E,�WqORICpNp50UNREFODTAGEINVOIVE� I <br />'' H O v, � 1"F-�iv�--1, �A-�� . 3 -j'�J. /3r �j'+. I . <br /> i PROPO EDUSEOFB ING I <br />� '� m ^ IHEREBVCERTIFV?HATIHAVEREADANDE%AAIINEDTHISAPPLICATIONANO I <br />�I / L� KNOWTHESAMETOBETRUEANDCORRECT.ALLPROVISIONSOFLAWSAND I, <br /> I iecaoe RIPII rv v R ERiY�SH Ne OWOPA ALM[OUPCOPiE'1 ORDINANCESGOVERNINGTHISTVP'eOFWORKWILLBECOMPLETEDWITH i <br />. WHEiHE(iSPECIFIEDHEREINORNOT.TMEGRANTINGOFAPERMITDOESNOT � <br /> PRESUMETOGNEAUTHOFINIOVIOLATEORGANCELTHEPROVISIONSOF � <br />' LOi BtoCrc ov ANYOTHERSTATEORLOCALLAWREGULATINGCONSTRUC710NORTHEPER� i <br /> F FORMANCEOFCONSTRUCTION.THATIAMFUTHORIZEDBVTHEOWNEROF I <br /> TMISPROPERTVTOPEFPORMTHEWORKFORIVMICHAPPLICATIONISMADE I <br />�I AND I COMPLV WITH THE STATE CONTRACTORS LAW 1827 RCW AND � <br /> 296200 WhC. <br /> SIGNAiUR[OFCOMMLtOPOn2UtMOPIZED�GENT OAtE <br />�. PROJEQPODRE55 �--����'�/�� �^'^� I <br /> AFPLIUNi3 GR V BUSMLSS IICFNSE NO�ND�USINE55 NAME <br /> � 3 �i 1 � e �1-. �ve�e-�- <br /> � PLUMBING MECMANICAL <br />' '-1 <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. 7YPE OF EOUIPMENT FEE <br /> WqTER CIOSET QOILEn NC—A/HNDLG UNITS—11.P. <br /> '�' 9ATHTUB FORCED AIR SYSTEMS—B.T.U. M EA <br />� � LAVATORV�WASH BASIN� UNIT MEATERS—B.T.U. M <br />; ' , SHOWER CLOTNESDRVERS <br /> 1 ' ' KITCHEN SINKB DISP. VENTILATION FAN <br /> � OISHWASHER RANGEHOOD <br /> I '�1 LAUNDRVTRAY — WATERHEATER _ — <br />� CLOTHES WASHER WOOD STOVE <br /> ' ' URINAL METAL FIREPLACEH CHItdNEV <br />� � DRINKINGFOUNTAIN FIREPLACEINSt�.� <br /> I '� FLOOR DRAIN _ HEAT PUMP <br /> I � BACKFLOW PREVENTERS GAS PIPING _ <br /> I _' ROOF�RAINS—RAINLEADERS E%HAUSTFAN _ <br />� � SINK(SERVICE—BAR.ETCI <br /> f ' <br /> �' <br /> � — <br /> I — <br /> i ' <br /> I t�' SUBTOTAL S SUBTO7AL S <br /> I _ PERMIT 5 PERMIT S <br /> TOTALFEE S TOTALFEE S <br /> fRONiSEIBFGN REARSEiB/�CK SipES[T6ACN PLANCHECRNUMBEfl FEE PECEIPfHO. <br /> USE2on[ LOt�PEe v�cer�rsrte FEES VALUATION FEE <br /> ❑YES ❑NO <br /> BUILOING <br /> TYFEOiGONST. OCLUPnNCYGROUP NOAFDWELLINOUN�ffi - <br /> �LLOWA�LEIAGTURI PLUMBING _ <br /> SIZEOFBLDG. NOOFSTOR�ES OSMT. OGGLOAD I <br /> ❑v �AECHANICAI <br /> I ❑N - I <br /> IH[iGniurniurion OTNER _ i <br /> FIRESPRINNlER5RE0UiNED ❑YES ❑NO STATE BUILDING SURCHARGE ' <br /> I — <br /> STATE ENERGV SURCHARGE � <br /> APPUCATIONRGGBY PLANS�GPR.BY <br /> PUBLIC WORKS <br />� �� <br /> TOTAL <br />' <br />