Laserfiche WebLink
' FROM�EVERETT BUIlD1NG DE^ T0� 2066433475 �� 17� 1992 2:13PM q412 P.02 <br /> APPLICATI FOR C�NSTRUCTION PERMIT <br /> TO BE CO PLETED IN BLqCK INK—PLEASE PRINT � <br /> ���. <br /> BUILDING DEPARTMENT HEATINO SYS7EM: GAS V ELECTRIC U_� �� <br /> 259•6810 <br /> I I DEMOLI710N I I COMBINATION �(( BUILDINO l 1 MECHANICAL I I PLUMBING i I SIGN <br /> ONRlEH MA0.AOORCRY CT' IW PXONt ' <br /> C lon�� rn-�+.=nC . i4�119�L-g� � q8O0�T cDuU��3_�_ <br /> TFN�Ni w,ti�oonesa ein � ar ��E <br /> APCMITFCTUXUCJIONCfI MAKAUUNl55 CflY L� %IONF � � <br /> oSQ.i'YLe a.�g �l/�. <br /> 0[NlMLCOHfRACTOR W0.�ADDNC6C CITY LI P{�pN! /..�-8,j[h�TFI.1�'—lN/I/C�IA ' �— <br /> MFCMANi0HL0IX/T11ACTnR MAI�/1UU11lsY G1Y � 21M 1'M���`.•aL �1 '� l f'/`� <br /> 61�TC 11CL1l�� <br /> PLUMBMCCONTMCTpR � AUkAUDM1lB! CI1Y ZIP ►MONC � BTAIlLICCNYF/ �� <br /> G��I'§30'WOIIN • � <br /> �#'TaEW I I qpDITION I I ALTEHATION I I REPAIq I I DEMOLITION I I WOOUSTOVFIFRPLIN&EqT I I BU�LDINORELOCATION <br /> � <br /> coNrnCr v F R60N M+o r�wNF N0. <br /> cor+nuct rwoe or wonK� 7.3�/0�� — �A��� .S�;-� . ,� n�.� ( oy�l-2 3 23 <br /> /O�CSf�.R�10�F/W�prqvK�AcN,U�S.OU/J�!1fO,OTAGC ANM�F� � <br /> PXOr�s[o�s[orouanw0 11�11 ��i��,S�Jy�$ <br /> I HEREBY CERTIFY THAT 1 HAVE REAb AND EXAMINED THI$ <br /> APPLICATION AND KNOW THE SAME 70 BE TRUE AND CARFiBCT.ALL <br /> tec.��u cniroi nrvnc�oin t�pwNattavunnTrncwcoupcopi[s7 ' PROVISIONS OF LAWS AND OHDINANCES GOVEHNINQ 7HI5 TYPE OF <br /> i�T�G !�_, e1�K a WORK WILL BE COMPLET6D WITM WHETHER SPECIFIED HEREIN OR <br /> ••• NOT, THE ORANTINO OF A PERMIT DOES N0T PRESUMC TO CaIVE <br /> -�7� AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS Ot ANY <br /> ._Gtm nahroo K _ Q�V. JY OTHER STATE OR LOCAL�AW REGULATINO CONSTRUCTION OR THE <br /> �/�L ., PERFORMANCE OF CONSTRUCTION.THAT I AM AUTNOPo2E0 BY THE <br /> �,'yD OWNER OF THIS PROPERTY TO PERFORM THE WOflK FOR WHICH <br /> ' ' APPLICATION IS MApE AND I COMPLY WITH 1HE STATE <br /> _ �Q�'G /�� �CONTRACTORS LAW f 827 RCW AND 2B6200 WAC. <br /> x �,.� ���.�M_c� N�'3-9.3 <br /> PhUJkC1110DI1C35� • • • �q�lyiy . <br /> .57/7 /S� �7✓. _ Eyer� 8' oass5cp , _ . -- <br /> q1YYLL�MIU11(Y Np. <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FIXTURE OR IT6M FEE NO. TYpE OP EOUIPMENT FEE <br /> �� WATER CLOSET LTOILET) � AIC--MINDLQ UNITS—H.R � <br /> � BATHI'UB �� ; • FORCED AIR SYSTEMS—B.T,U. M E.A. ; <br /> LAVATORY�(VJASH BASIN) i � UNIT HEATER$—B,T.U. M � <br /> � �SHOWEq ��� � CLOTHES DRYERS , � �— <br /> KITCHEN SINK 6 DISP � i VENTILA710N FAN �� � <br /> �_ DISHWASHER _ � � RANGEHOOD � —� <br /> LAUNDRYTMY �� WATERHEATER � <br /> � <br /> CLOTHES WASHER _ �i� � � WOOD STOVE �� � ' � <br /> . _ URINAL � � METALFIREPLqCE6CHIMNGY � <br /> �RINKINO FOUNTAIN i FIREPUCE IN6ERT � <br /> .. FlOOR�DRAIN � HFl�TPUMP� , ....—� <br /> _BACKFLOW PREVENTERS i QAS PIPINR • � <br /> _ AOOF DRAINS—pAINLEl1DERS i E%HAUST FAN � � � '—;— <br /> SINK(SERVICE—BAR,ETC. ; ' — � <br /> �• . .. <br /> _ . _. i <br /> .. _ ....� .._ <br /> —' •• -- ' <br /> • 1 � �"T— <br /> ' �' '... <br /> i <br /> _„ SUB TOTAL S � SUO TOTA4 S � <br /> _ PERMIT S i PERMIT S i <br /> TOTA4FEE S � 70TALFEE S � <br /> FOR OFFICE USE ONLY; � <br /> '110NTi�iRApK IIC�4SLTR�CX_ SIOLtLTYAGK Mµq���qp g5q � C D q E��� <br /> 2c 2b : 3 � <br /> 'JSF 2UNv� � lol� � v� 9ne �� FEE6 VALUATION FEE <br /> r p G <br /> BUILDINO Cj3 /'70 . '�1,7:3� <br /> m! CONiC.uIOWABIE IY [0( S1.�C7U4 occwwc� mnnr.iuw¢urm • .-. —N_ � <br /> �— _ _� � � PIUMBING � <br /> i <br /> :Qy�OF OInq NO.Of Fip111F5 OK4NGM �� � <br /> /(o S�f F Y � MF.CIiANICAI qb � <br /> s� .�r aa �) _ � � <br /> x.cuvnaCvl AU � lINCSVpN1fIFq6PE0U He�en�i/�iION ADDRIONAI,PLANCHflCK � <br /> N q ,v� �BPAINIftER�-- h/f LV�v / � <br /> '.:tiSW1�0116CRWNIFR6 _ ( D ���__ <br /> 6TATE BUIL�INO SURCHARGE � <br /> +'rnKc ar riio�s nveacrvcp er 'CITY OF EVERETT pUPIIC WORNS � � <br /> J � LOCALSALES <br /> S-�� TAX GODE IS 9105 tot�� ; <br />