Laserfiche WebLink
APPLICATIe..N F�R COIdSTRUCI �ON PERMIT eVC c`l <br /> ��°�;�,�,�,��., � <br /> Y oF� <br /> everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259-8810 MECHANICAL PLUMBING SIGN <br /> COMBINATION BUILDING <br /> pEMOLITION tY ;.,�, r.�m+e 7 _ _� <br /> uni�aooa[ss <br /> ovmEa� .� � .�� _!/ � � �ir 1 L�-Ca'f' �%}% /��-� ��' <br /> � i ��4i(,/�` . ���—! ZiP PnONE <br /> —'T/— MAILAOOHESS ��TY <br /> TENANI <br /> �RCMrtWTOR0E51GNER UARAODPE55 <br /> CIIV ZIV PHONE <br /> Cliv 21F FMONE LIGEHSE• ` <br /> GE flAL NTR�Ci�R MPILPODRE55 ��� /y1�' .� �I��r�J /�J <br /> /,�i�„ro y2�a -/9�'sr �u/• .�Y-�w�„�vo _ �r <br /> Z�p PNONE LILEM1SE• <br /> GIiV <br /> y �� MECHANICPLCONiflRGiOR MnILNDDRE55 — <br /> Z�p PNONE UCENSE/ <br /> �y PLNAdINGC MA��AOOHE55 <br /> CITY <br /> Ax1x <br /> 9 H(/� unssoFwoaK WOODSTOVE�FRPL INSERT � BUILDING RELOCATION <br /> 4 � <br /> NEW . ADDITION ALTERATION REPAIq DEMOLI I <br /> CONiPCi PEPSON�ND PIIONE NO <br /> i[NPNTIMFROVEMENTORMT[RiORREMODELONLY/ ��� <br /> Or�T. O ��COliR�CTPRCCOFWON -�'��` �• <br /> �sJ�-1 � DESGRiBEWORKAND RREFOOinGEiNVOIVED <br /> yCn� —> -•� <br /> x x � pPOPOSEDli5EOF9Wl01NG 1 HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> � y � _ qPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PPOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS n'PE OF <br /> �y ircn�oescAiano�+avPeovEATriseom:oe�owoRn*TncHrouncoviesi wpqK WILI DE COtdPLLTED WITH WHETHER SPECIPIED H[REIN OR <br /> H � pB�K oF NOT. THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> L]• (� ��� " AUTHORITV 70 VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> zN� OTHEP STATE OR LOCAL IAW REGULATING CONSTRUCTION OR THE <br /> a PERFORIdANGE OF CONSTRUCTION.THAT I AM AUiHORIZED BV TNE <br /> t^ y Z ----- OWNEF OF THIS PFOPERTY TO PERFORh1 THE WORK FOF WHICH <br /> H H pppLICATION IS MADE AND I COMPLV WITH THE STATE <br /> y <br /> �..� CONTRACTORS LAW 1827 FCW AND 296.200 WA . <br /> sicr+nrunE rcorvrnncro wnwA�zEoncEr�* onrE <br /> ��� x`���,�..l��m�-- <br /> x y �n /L!u�._�i,.°CT.11tCs�_�',I•.. �-r-���- <br /> H O tn <br /> � �q��Er—����c� _ ` , e��irnr'�16�Nr,-i4[SSIiCEN5EN0 AN��USrt�E55N � <br /> ��., x 3 u / �' ' <br /> I MECHANICaL _ FEE <br /> � PLUMBING FEE NO. TYPE OF EOUIPMENT <br /> NO. TYPE OF fIXTURE OR ITEM A�C—hHNDLG UNIiS—HP. <br /> � WATEF CLOSET(TOILEi) <br /> FORCED AIR S�STEMS—�7.U. M E.A. <br /> �� �_ BATHTUB UNIT HEATERS—B.T.U. M <br /> I__I LAVATORY(WASH BASIN) CLOTHES DRVERS <br /> SHOWER VENTILATION FAN <br /> KITCHEN SINK 8 DISP RANGE HOOD <br /> . � DISI{WqSHER 'JJqTERHEATER <br /> I ' LAUNDRVTRAY - ' WOODSTOVE — <br /> 1 � CLOTHES WASHER `- <br /> tdETAL FIREPLACE 8 CHIMNEV <br /> URINAL - FIREPLACEINSERT <br /> DRINKING FOUNTAIN HEAT PUMP — <br /> a'� FLOOR�RAIN <br /> _ GAS PIPING <br /> BACKFLOW PREVENTERS EXHAUSTFAN <br /> ROOF DRAINS—RAINLEADERS <br /> SINK 1SERVICE—BAR,ETC.) — <br /> � <br /> �� <br /> � SUBTOTAL 5 <br /> 1 � SUB TOTAL _S �_ pERMIT g �— <br /> T�I �. PERMIT S TOTAL FEE 5 <br /> TOTAIFEE $ peceivrrvo <br /> � FLANCHCCNNUti�BER �E[ <br /> fR01115Ei6ACN REANSETBpCN SIDESEIBACN <br /> uSETONE LOTAREA VPCANLSITE <br /> FEES VALUATION FEE <br /> ��' YES � �V pUIL01NG <br /> occuvr.xc xnoro�.��'.�rc�uns — <br /> P,i'i0iWN90.lOWABLE tYPEOFtONSi.AL1UAL �pp�� PLUMOING <br /> Sd:f OF BLDG. NOAF STOHIES BRSEMENT MECNANICAL <br /> VES ' NO <br /> oCCOPANCYIOAD FlRESPRNNLERSREO'0 HEIG1rtliMli0.'ION <br /> OTIiER <br /> i - YES .��. NO _ STATE BUILDING SURCHARGE _ <br /> r�[r.so���OR SPRINKLERS STATE ENERG�SUPCH�RGE <br /> pPP11WTIONRCGBV PUNSAPPROVEOBY CITYOFEVERETT PUOLIGWOPH$ <br /> LOCRLSRLES <br /> TAX COUEIS 3105 TQTA� — <br />