Laserfiche WebLink
APPLICATIO► _' FOR CONSTRUCT�' 'N PERMIT �� 'I <br /> TO BE COMPLETED IN BLACK INK-PLEASE PRINT <br /> fHEATING SYSTEM: J GAS J ELECTRIC �..1 ---— I � <br /> BUILDWG DEPARTMENT li <br /> 259-8810 I <br /> DEMOLITION COM9INATION �ILDING MECHANICAL PLUMBING SIGN <br /> � ---. u„� r"�,�.,� � <br /> OWV[n MA�LADon[5s ��� /i��ll I <br /> ' -l�ou��'1��:�T a io y�cro��.�.L���1�WLt��t___ `t �� ; <br /> t[NA!li I,IPIIAL AP$5 Liv .i i'H�4E <br /> _ I <br /> RRG��1EL10ROES�GNEH 1A�ILADDRESS Piv P��ONE <br /> �RBoT�Ju�tPs �2SYis" sti' S �u,��czn[�1��L '"NA 48d_.23 �l35=gs�/ I <br /> aiv I�� �'��ONE tiTntEI�CENSE• <br /> G ����ICUNiRACiCfI I.IAILAO�RE55 ��.��� � <br /> y�� _ OL <br /> �[� V(C���NIGPlWN1RAG10R I.IAIIPDDRC55 <br /> �nv zir ���or�c s*.tEuce+sc• <br /> ay <br /> C�H cm ziv v��oric srnrEi�.cr�sc. i <br /> ayy CLIn!NrvG� `NiNACi■O� ��� MAILRD�PE55 <br /> H ��. �/Y/�- <br /> C1�S50�WORM � / ' <br /> NEW �ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVE.PRPLINSERT BUILDINGRELOCATION <br /> � y^U coHrncr r�n;or�nrm rro�+E r�o �� <br /> � H� ��:� �� 14��o �L��0-1�-�-c�C�:_L'� °b /r,, a �1��--� i.n(S.c�f 3�/�-3 0 3 O _ <br /> �A H f04iqPC1 PRIC[OF WORN <br /> y z� D L`C n i p E�O R rc�N D 5 0 UAP[ OOIDGEiNVOII'CO <br /> C 7 O,3 3�C i?�flnnnra�f�3G� <br /> �"d rne�osmiseoromioir+c i HEREBY GEHTIFY THAT I HAVE FEAD AND EXAMINED THIS <br /> �y /'� � APFLICA?ION AND n:1JVJ iHE SAh1E TO BE 7RUE AND COF7RECT..1LL <br /> H C�+f O sr�_��(_.� PROVISIONS OF LAWE AND ORDINANCES GOVERNING TH15 1 VPE OF <br /> L]� O �rce�oesca�atiouoFaaov' enrV�s�io�tirvo��o�AT�ncHvouncOPicsi WpqK WILL BE COIdPLE7ED WITH VlHETHER SPECIPIED HEREIN O� <br /> H <br /> X H �,u� o�ocK oF NOT. THE GRANTING OF A PEFMIT DOES NOT PRES'IME TO GIVF <br /> 9 H AUTHORITV TO VIOLATE OR CANCEL THE PROVi�IJNS OF ANv . <br /> r H y OTHER STATE OR LOCAL LAW REGULATING GONSTRUC110N OR THE <br /> Cy V1 PERFORfAANCE OF CONSTRUCTION.THAT I AM AUTHORIZED eV TH[ <br /> nd y OWNER OF THIS PFiOPERTV 7p PERFORM THE WORK FOF C'Hlr,l: <br /> ❑ ApPLICATION IS MADE AND I C01dPLY WITH THE STP1e <br /> � [�1� CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> Z H fn <br /> y o� x. /�,r,�r�e�-8-��,-� ���° `�l— <br /> sKMvo=, o.rr <br /> i�'��OJECi AOUq[55 --� <br /> �7�0 i1r�r�� , , = G --.,..:s,..,., .. — — <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXiURE Ofl ITEM FEE NO TYPE OF EOUIPI.IENT FEE <br /> WATEH CLOSET(TOILET� A C-n��NDLG UPiliS-��P. __ _ <br /> f� � BATHTUB __ FORCGD AIR SYSTEMS-9.T.U. M E.A. <br /> "" ! LAVATOI7V IWASH BASIN) UNIT HEATEFS-�TU. M _. <br /> SHOWER CLOTHESDRVERS _ � <br /> KITCHEN SINK 8 DISP VENTILA710N FAN _ ___ _ i <br /> ��- � qANGE HOOD . <br /> I DISHINASHEFl <br /> "" - WATER HEA7ER _ <br /> LAUNORVTRAY <br /> CLOTHES WASHER _ �4'OOD STOVE _ <br /> URINAL METAL PIREPLACE 8 CHIMNEV <br /> " + DRINKING FOUNTAIN FIREPLACE WSERT . <br /> FLOOR DRAIN HEAT PUMP -- <br /> BACKFLOW PREVENTERS _AS PIPING � <br /> (T I ROOF DRAINS-RAINLEADEPS E�`IA��1ST FAN . <br /> SINK(SEFVICE-BAR,ETC.) -�� <br /> . —f— <br /> SUB TOTAL 5 SUB TOTAL 5 _ <br /> I4 ( ` PERMIT S PERMIT 5 _ .. <br /> � TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> nE�civrr�o <br /> � �ROuiSEtpACK �EANSEiBACK Si�[SEtOAC� CLnNC11ECKNNAb[R «� <br /> S � 7`�`f`� c'SS '3•`� ;'/C�, <br /> �� ' �� � VAIUATION FEE <br /> 16E10NE lOi/�1[A VACANTSiTE FEES <br /> 1 � <br /> '» �ood �° e���o�N� - - ----� �Zo _ 39 � �—v <br /> ��.��[GtCohlSPIIONABIE it'v[OCOtI510.CIWl occu:�n:'r xoaUnnukauens — y - <br /> _� °.'� ' ' pWMf31NG <br /> •,p�o"pglpp NOGF9oRiE5 BASEMENt MECHANICAL <br /> 3G� SF QLY�AI ' � A�OITIONALPLANCNECN <br /> t�CCUPANCVLOAp ���ESPPNMLEPSREOD HEIGHTLIMItAiiON —� <br /> I/� Z�� � __ SPRINNL[R __ _ _ _ <br /> /LL <br /> nEq50N ORSPNMNlERS <br /> Si�i[UUIL�ING SURCHAHGE �.�� <br /> IMAN[OY PIANS�P��OVE00� CITYOFEVERETT PU�IIG\4O��K$ <br /> LOCALSALES <br /> �l,f ,� �l TA%CO�E IS 3105 TOT^� <br /> .7/ � <br />