Laserfiche WebLink
dPPLICATIt,nl FOR CONSTRUCI .ON PERMIT ��`°"'" <br /> , � , TO BE COMPLETED IN INK—PLEASE PRINT � <br /> �Veretf I_ H[ATINGSYSIEAI: JGAS �]ELECTRIC J ___ ._ - � � <br /> BUILDING DEPARTMENT - - -- -- <br /> 259-8810 �' <br /> DEMOLITION ' COM91P1ATION BUILDING /�fAECHANICAL PLUMBING SIGN <br /> . ,�� _-- _�:n�i n�G�i�ss �� n. zir r,r�•� <br /> ��..5 t�rJ l�-/� d�r.c/[� l3 U'�*� <br /> :i��n�ur rananonness crtr nc rr�or�E <br /> ��� i.n��UifIC10RD[SIG4CR �A�ILADpFE55 CRY ZIV PNONE <br /> � / <br /> 9 y :d NLRAL C013HM1CLOR MAIL R�DRCS$ CITV �'� C P ONL��� LICENSE f <br /> G�� �.f.�l� /o.z��s'as...P b`'� ������e , ulrrJ 96zza _. <br /> r x� r.ifUlA i��"LNIRFCTO�i MMlA0�NE55 CIiY � NONE LIGENSEI <br /> y �� r,U1�BINGCONiR�CiOR M41LAD�RE55 CITY ZIP PMON[ LICENSE• <br /> � n <br /> H R7 � <br /> ';� �� Ih55OfWORN� <br /> NEW t ADDITION ALTERATION REPAIR OEMOLITION WOODSTOVEiFRPL INSERT BUILDING RELOCATION <br /> "'y� Z� f.OYLRCi PLRSON AND PNONE ND <br /> � <br /> � CON1qPCiPRIGEOFWOPK �� <br /> ;�f SGRIBE YlORR AFD SOUARE FOOTAGE INVOLVE� <br /> H <br /> � �g � <br /> �. �[ <br /> zH3, r"�oroseouseovew�m�+c I HEfiEBV CERTIFV THAT I HAVE READ AND EXAMINED TH�S �� <br /> � y Z APPLICATION AND KNOW THE SAME TO BE TRUE AN�CORRECT ALL <br /> i.rsn�oescr+iPnm+ovaao�eArvisHowr+eE�owoAnrinc�iwuncor�esi PROVISIONSOFLAWSANDORUINANCESGOVERNINGTHISTYPEOF <br /> H H �NORK WIL� �E COIdPI[1ED WITH WHETHEF SPECiFIEO HERERJ OR <br /> ,�, N �ci siocK ov NOT. 7HE GRANTING OF A PEHMIT OOES ��Oi PRESUIdE TO GIVE � <br /> n d� � . AUTHORITY TO VIOLATE OR CANCEL iHE PROVISIONS OF ANY � <br /> � — OTHER STATE OF LOCAL LAW REGULATING Cl)NSTRUCTION OR THE <br /> �� FERFORMANCE OF CONSTRUCTION.THAT I Ald AUTHORIZED BV THE <br /> z y� OWNER OF THIS PROPERiY TO PERFORM THE WORh FOR WHICH <br /> y OV1 APPLICATION IS MADE ANO � COMPLY WITH THE STATE j <br /> CONTRACTORS LAW 1027 RCW AND 2P6200 WAC. ; <br /> 516�lAIUP- �FGONiRAC' AOBAU1MONiZCOAGEfIi [1AiE ' <br /> _ <br /> _ � � � I <br /> � ' I�POJEf.TPDORE55 -- — – <br /> �j � ,n n�� iL•.� . � Ipll$ME$$UC[NSEIICAND�IISIN 5lA41f. <br /> � 7 � �n �` Iif IC(1/� VI/11"� ' <br /> PLUMBING MECH NICAL ' <br /> +.� NO. TYPE OF FIXTURE OR ITEM FEE NO. 7YPE OF E�UIPMENT FEE , <br /> ! � WAT[R CLOSET(TOILET) _ �G-A�HNDLG UNITS-HP �_ � <br /> OATNTUB FORCED AIR SYSTEMS-B.T.U. M E.A. ' �I <br /> _�_' <br /> LAVATORY IWASH BASIN) UNIT HEAiGRS-BS.U. M _ ��, <br /> (+ �1 SHOWER � CLOT�HESDRYERS � <br /> " �+. _� VENTILATION FAN � , <br /> KIICHEN SINK 8 DISP �— , <br /> DISHWASfifR RANGE HOOD <br /> f�� �.. LAUNDRV TRAV I WATER HEATER <br /> + .� CLOTHES WASHER �— _ WOOD STOVE _ <br /> URIN�L METAL FIREPLACE 8 CHIMNEV <br /> DRINKING POUNTAW FIfiEPLACE INSERT _ <br /> �+��' HEATPUMP <br /> � FLOOR DRAIN � _ - <br /> HP.CKFLOW PREVENTERS GAS PIP'NG _ <br /> ROOF DRAINS-RAINLEADERS EXHAUST FAN _ <br /> ! SINK�SERVICE-BAR,ETC.) 1-- <br /> � — — <br /> — --� <br /> 'el_� _ __— <br /> SUB TOiAL $ SUO TOTAL S __�`�C._Q <br /> - — --- —PERMIi $ __ ______ PERMIT S I 4.�J�Q . <br /> _�p. <br /> � - 70TAL FEE 5 TO7AL FEE S P �" <br /> • <br /> FOR OFFICE USE ONLY: <br /> �Ii'nl ;!113/.Cv. II4ARSETBACK SIOESELBAGN PI�NCI+CCNt1U1.INlR RL PECFIPlf10 <br /> „�.�oNE � �ornnea vncnNTsrte fEES VALUATION FEE <br /> OuiLuivG <br /> IrvEINCONISALlOWR9lI lYPEOiLON51ACN�L MCwwC� Nororzeuv4auMu5 —"--- -- -' � <br /> '9�° PLUMOING <br /> SREOFBLDG NOOFSTORIES fl�S[MENi MECIIANICAL 3a'p(� <br /> Of,CUrpNCYtO�� FIRESPRNNtER511WD HEIGHTLI1AIinliO'J ADCITIONALPLANCHEGK <br /> OiHCfl <br /> t:LA50N FOR SPPINM ERS � � <br /> SINE OUIL�ING SUIiCHnRGC: <br /> imnK�m rinNsnr=rarn;uiar CITYOFEVERETT puouGWORKS • <br /> LOCALSRLES , <br /> TAX CODE IS 3105 TOTAL �� ;C� <br />