Laserfiche WebLink
Ai�PLICATION FOR CONSTRUCT�ON PERMIT �'`'�'E'" <br /> mae��..e�e��� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITY OF <br /> everett HEATING SYSTEM: ' GAS U ELECTRIC J <br /> BUILDING DEPARTMENT <br /> 259-8870 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUM8ING SIGN <br /> �01Y�F. ' YMAIL DRF�55 J C�� � 1/ �fln/^ ��C17101:E !// <br /> ('ry �?�C;>. �� .//'.�. ��/���G '�.� L-trr.4�T� `/��f'L�/� !-` 7!' l? / �.:.� <br /> ��-� IL ADORESS GtY �ZiP � P��ONE <br /> �! • i`�/. <br /> ARLHIT[GTONOESIGNER MAILAD�RE55 LIiV ZIP PMONE <br /> G[NERALCONiIIACtOA �AAiLADDRESS CILV IIP PMON[ LICAISE• <br /> yG�H <br /> � ��f `[CIIRNICALCONiRP 1 R MAILAD� �5 � CIiY ZIP PMONE LiCENSEs <br /> �y � ,S , ,,� /�«_�- 1�./�. . l��i•G. 9P.�-�� ,�ri� f��:� T�t=.;;�'��.2Fo� <br /> � � PLUMBINGCONiPALiOR 41LAODPE55 � z�� I PMONE � LICENSE• <br /> � H!n <br /> H��i LLRSSOFIVOFN <br /> H �"� NEW � ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVFJFRPL INSEFT . BUILOING RELOCATION <br /> � y� CONLAC�PERSON PNO PHONE NO / <br /> � N� cor�ranc*rnicE or wourc � �� • � ` �`�'����� <br /> y�y�"� oesc�is[woaKnr so/u1n/{YJ r�oor ei �1,cn.v�Eo I�l �i�/j. / { ' <br /> �il� .F^C � �K'J /'i/R��YMW�K2CY��Y� Y �^\� _ i '�.' Y.�C�J� <br /> � .-1 n1r� r <br /> � PROPOSEOUSEOfBWLOMG I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> O H �J APPLICATION AND KNOW THE SAME TO BE 7qUE AND CORRECL ALL <br /> I-�I P+7 Q LEG4L DESCRIPiIONOF PROPEFiV ISNOWN�ELOW ORATT�CHFOUflCOP1E51 PROVISIONS Of LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �� n WORK WILL BE COMPLETED WITH WHETHER SPEpP1ED HEREIN OR <br /> x H ❑ �o* o�ocn ov NOT. THE GRANTING OF A PERMIT DOES N0T PRESUME TO(iIVE <br /> 3 � AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> �i y z /H-��J f''j—� j�/�'�?`�� OTHER SiATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> N H �� PERFORIdANCE OF CONS7RUCTION.THAT 1 AM AUTHORIZED BY THE <br /> gy OWNER OF THIS PROi cRTV TO PEFiFOR�d THE WORK POR WHICH <br /> n ty y APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br /> 9 CONiRACTORS LAW 19.27 RCW AND 296200 WAC. <br /> LV C'� SiG4nivaLOVGONiRnCTOPOn4t1iNOR�ZEOAGErvT Oni[ <br /> � <br /> H O Ui � , <br /> �!a�U�/E�CT�_O_D�R�5 /� �/y [�/ � \� / L^� �' ��/—�J ���J <br /> � //Cl � /� / C� /7 � � /�^!I' �( � I AFPLICANiSCItV0U51NE55UCEN5ENOAND�O5ME55N ME �s 7 / <br /> {'V. T.i . .� (. : . G��' 45.. C-���. <br /> i PLUMBING MECHANICAI <br /> 1! NO. TYPE OF FIXTUfiE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> ( �� — WATER CLOSET(TOILET) A�C—A'HNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR S`!STEh1S—B.T.U. M E.�. <br /> LAVATORV(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK 8 OISP VENTILATION FAN <br /> � - <br /> I � DISHWASHER � FANGE HOOD <br /> LAUNDRV TRAV [J/ �'�'ATER NEATER <br /> CLOTHES WASHER WOODSTOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> � DRINKING FOUNTAIN �EPLACE INSERT <br /> i <br /> �� FLOOF DRAIN HEAT PUMP <br /> PACKFLOW PREVENTEFS GAS PIPING LZ) <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> ' SINK(SERVICE—BAR,ETC.) _ <br /> �� <br /> �` <br /> --� <br /> ��'. SUBTOTAL 5 SUBTOTAL 5 <br /> PERMIT 5 PERMIT 8 <br /> TOTAL FEE 5 TOTAL FEE 5 <br /> FOR OFFICE USE ONLY: <br /> FRONTSEiUACN RFARSEIOACH SIpE5ET0ACN PLRNLHECKNUMDER 1[[ RECEIPLNO <br /> f.�/ <br /> us[zorve iornaen VACANiSiE FEES VALUATION FEE <br /> AUILDING <br /> ivv[p(CONIS.AIIOWABIE iMFOiCONSiGLIWI accv>evc+ noaVn'ur�i��.s�is <br /> cewv PWM��NG <br /> SiZ[OF�LUf.. NO OF StORiES BPSEMENi MECHANICAL <br /> Of.CU1`ANCY LOAD FIRE SPRNNIER':REOO HEIGNi LIMITATION ADDITIONAL PLAN CMECK <br /> OTHER <br /> RERSON FOR fPRINKLERS --1 <br /> STATE BUIIDING SURLHARGE <br /> urtnKeer v�nHsnrrnwconv CITYOFEVEHEiT PUBLICWORKS <br /> LOCALSALES <br /> TAX COOE IS 3105 TOTAL <br />