Laserfiche WebLink
4- APPLICATI4. .� FOR C(DNSTRUC7 .�DM PERMIT �� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT ����T <br /> ' BUILDING DEPARTMENT HEATING SYSTEM: /J GAS J ELECTRIC J _ _ _ __ _ _ I <br /> 259-8810 � <br /> DEMOLITION �/ COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> � C1VM1[R Id,.R nCDFL55 Gilv ZiP P��ONE ---- <br /> Bea�_c�n.t7'.5�y Qr_a,dvay�u�rctLWtll-�Bzor Zsg-yz�l <br /> iP•�nnr r!mi nC[�nt55 ci�v ?iv nHONE <br /> �U A <br /> AI1b�rtECIOFDE5IGN[H NAiLA0Di1C55 CRY ZIP CIION[ <br /> Saw1Y <br /> 6f1:JiALLONiRALLOR �1PILRDDRE55 GTY ZIV PMONE S1Ai[LiCH:SF• <br /> s1„�t _ 6Ep�I__1_InoE— - <br /> 1,4CMANiCALC]NiRACTOR MPILADDRE55 CITY ZIP PIIONE S1AIEVCE16Ev <br /> T1�� _ <br /> �';N.+oMGCONifinCTOR M4RA�DFESS CiiY IiP PIIONE STATELiCENS[• <br /> y r� T__..3LD — — <br /> � � �:��ss�,vo�K <br /> �p� x / NEW ADDITION ALTERATION REPAIR DEMULITION WOODSTOVE�PRPL INSERT BUILDING RELOCATION <br /> � �y /y7,1�30 �o/y�,��r�„,�,;�:,f�A.�o�„�„E N� — <br /> H � cer�*nnc*ri�icEOFwonn _UJ1� !/ods�.n�__.ZSfI—Y_33�" <br /> DCSCRifiC1NORKAND50UAFF.t001AGt P:POL\'[[� <br /> K o 7 q � �IG 33�r'$a�U`f� <br /> H xl SII��LL'—�l)f(l�/�DSJY/�1h�—�{OPfL.J�J� — . . . _ _ <br /> O� H O� vncr ous[orouamac � i HERE V CERTIFY THAT I HAVE READ AND - A INED THIS <br /> �p APPLICATION AND KNOW THE SAME TO BE TRUE AND COHR[CT.ALL <br /> yz� — — Gp' �� — <br /> ucnioescnirricr�ocancvEnrv�s�.cr;rroc�o�vonnrrncilrom�cc��r� PROVISIONSOFLAWSANDOHDINANCESGOVERNINGTHISTVPEOF <br /> � WORK WILL BE COMPLETED WITH WHETHEF SPECIFIED HEREIN OR <br /> y b ior � o�ocn or SCGU1rl.) C� NOT. THE GRANTING OF A PER1.11T DOES NOT PRESUME TO GIV[ <br /> �J AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> Z r/ � �j �J���„�Ct�'-1--�� OTHER STATE OR LOCAL LAW REGULATING CONSTR:ICTION OR ibiG <br /> H <br /> � � g <br /> H• O PERFORI,IANCE Of CONSTRUCTION. THAT I AM AUTHORIZED BY 7HF <br /> z y� `�1 r��_d�� OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR VJHiCH <br /> y -� � A APPLICATION IS IdADE AND I COt.1PLY WITH THE S7ATf, <br /> t' z CONTRACTORSLAW1827RGW AND2�620�WAC <br /> V� y <br /> gdqc~n ��c�'T �� f� /�-/�Q x� �Pn,os 3-S-qZ <br /> --- <br /> [�1� i na�ci nnr�rss Q'Z (e 1 ���,��� <br /> ����U ����' u/�('t rJ� _.— 3 Z <br /> y � � PLUMBING MECHANICAL � � <br /> NO. TYPE OF FI%TURE OR ITF.M FEE NO. TYPE OF E�UIPMEN7 FEE <br /> ��` 3_ WATER CLOSET�704ET�_ _Lf"� _ A C-A HNDLG UNITS_H P__ __ <br /> BATHTUB �c� ; I f-ORCEDAIRSVST[1.15-B.T.U. M E.A. <br /> ' �L LAVATORV�WASHBASIN) � �- UNI7HEATERS-B.T.U. h1 <br /> . � SHOWER s �- J CIOTHESDRYERS <br /> '=�' � KITCHEN SINK 8 DISP VENTILATION FAN <br /> � DISHWASHER � RANGE HOOD <br /> _� LAUNDRVTRAY _ J WATER HF.ATEF <br /> � CLOTHES WASHEF - WOOD STOVE <br /> , '�v Ui11NAl METAL FlREPLACE 8 CHIMNEV � � <br /> �I ��1 OHINHING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DR�IN S' �_ HEATPUMP <br /> BACKFLOW PREVENTERS � GAS PIPING <br /> '�O�I ROOF DRAINS-RAMLEADERS EXHAUST FAN _ <br /> �� SINK ISERVICE-BAR,ETC.) <br /> _ n,r�_,,L,�; �...i F-u... � �.c J . �� _ <br /> I (�'j —� <br /> sue rorp� 5 5 sus rorn� ; /�u� <br /> PERMIT 5 PERMIT 5 <br /> 1�► TOTAI FEE 5 10TAL FEE S <br /> �'�' FOR OFFICE USE ONLY: ��y y ; <br /> - � ��01JTSEiPTC� REAriSEiOACN � SIDESEI�PGK / %RlO�IL�1AlI.�NfJ� ([E RECHPLNO <br /> 2S i •.� 35��;: � =�2 -�'r� 1 , ���2 <br /> usezoHe �orn�ven vacnrvtsrte FEES VALUATION FEE <br /> 'S /Z ���� dUILDING I"�f �IC� CL n <br /> IY{'[OiG01115R11C.'lA9lE IYP[OfCOV51pC111 OLCuoµL+ N00�1';.t',�:,i'. — —�— �/� '� - <br /> L4 <br /> �N � R3 .A � PLUM�ING �5—TG�– <br /> /`�� <br /> � SiZEOFgL}G. �G� NpAFSTOPiES OASEMfNi' MECHANICAL �� �L <br /> + ��•u`��r« 2 N6 L�__' <br /> oCCUP4NCvl04� FlRESPRNrcLER5RE0'o H[iGH 41I AiiO�y ADDITIONALPIANCHECK l{ i ti S <br /> N A,Y> �� � <br /> $PRINK�ER <br /> q[q50N FOR SoqINNlERS -- -- - ---- ------ -----1-- <br /> S1AiCl3l11LDMGSUFGH�FG[ .y ��� <br /> iNiAK[�Y FlANSAPPPOVEDOY CITYOFEVERETT pUBLICWORNS <br /> �LOCAL SALES '`' '`�` <br /> Cj /.�_! � �/� � TAR COOE IS 3105 rorn� , , �. ', � s <br />