Laserfiche WebLink
� <br /> �,,,:... �_ � �. �� �� � s <br /> ' APPLICATI�i FOR C�DNSTRUCT:a�N PERMIT � <br /> TO BE COMPLETED IN BLACK INK-PLEASE PRINT � <br /> ��i���MM . BUILDING DEPARTMENT �EATING SYSTEM: ❑GAS U ELECTRIC ❑ -� <br /> r � � 259-8810 �� <br /> � � � �, <br /> N�� '• �DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> pWryEN I.UItADDRE55 GItY IIP PHONE <br /> /y1/1,l'rNA�'Odir✓sa.v %eusT/..���y�'sr EG�,�'FTT 9��a 3 �?S,2 9..z,F6' `, <br /> ' i�� " TEtNNT MAiL��DRESS Cltt ZIP PHONE �, <br /> R STEvEGi�ssv.v 33/�S��r.+�UF FriE.�Eii 9r.�d/ 0?5'9-/�3s ` <br /> "�.� � �RGHItECTOHDESN'iNER M�ILADDRE55 ��T�' Z�P �� � <br /> GENERhLCd1TNeLTOR MAiIPDDR[55 GItY ZiP PNONE STAiELiCENSE� <br /> �� MEGHNOCI�L CONTRIICTOR MAM1�DDRESS CITV :iP PHONE SUTf IICENSE• <br /> Qr � <br /> �yg � PIUMBMGCONTA�GtOR MAILRDDRE55 CITY 21P PHON[ SiATE1.IGENS[/ <br /> M 1 <br /> q cussawonK <br /> �� I.1 NEW I I ADDITION i l ALTERPTION REPAIR � DEMOLITION WOODSTOVE/FRPL INSERT I � BUILDING RELOCATION <br /> ' fqNTACT PERSON�1P/N�VNON,E rNO o �J G O <br /> �� CONiRACT PPICE fiF WORK /v /L /—'OG(/L�E/\ L��— / Z a (� <br /> � DESCRIBEWORK�NDSOWREFOOiPGE�NVOlVEO <br /> ---� � ,.��'AL:uF_ ��Ji% C F OFF/Cc .O(//�D/�v G <br /> � PROPOSEDUSEOFBURO�N6 i HEREBV CERTIFV THA7 � HAVE READ AND E%AMINED THIS . <br /> APPLiCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> � iee�i oesceirrwu oF rnoveerr isHowH eeiowoR nr*ace Foua coaies� PRO\'ISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF . <br /> �_� yD WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> � � �or�_ niocK � ov NOi THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> i ' AUTHORITY TO VIOLATE OR CANCFL THE PROVISIONS OF ANV . � <br /> �G/YI/�.42'�/ S f�rPST ff DDlT/G.ti TD OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> � E.� OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> � CONTRACTORS LAW 1827 RCW AND 296.200 WAC. � <br /> � <br /> �2_� �� �'� .t, � ` � -��/�r ��9� <br /> : .:���---�` PROJECTAD�PESSc (� ` c '���10aF ���� � <br /> ` � �J��rN�L�`/U(/` L � f,lIYPVSME�SIICFM5C1q <br /> I PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> � WATEF CLOSET(TOILET) A/C—A�HNOLG UNITS—H.P. <br /> BATHTUB FORCED AIR SVS7EMS—B.T.U. M E.A. <br /> � � C� . UIVATORV(WASH BAS�N� UNIT HEATERS—A.T.U. M , <br /> . SHOWER CLOTHES DRVERS ---� <br /> � KITCHEN SINK 8 DISP VENTILATION FAN <br /> � �� � DISHWASHER RANGE HOOD <br /> ` LAUNDRV TRAY WATER HEATER I <br /> , CLO�iHESWASHER WOODSTOVE I <br /> � I . URINAL METAL FIREPLACE 8 CHIMNEV � � <br /> �'I �� DRINKING FOUNTAIN FIREPLACE INSERT _T_ I <br /> FLOOFl DRAIN HEAT PUMP <br /> , BACKFLOW PREVENTERS GAS PIPING , <br /> ROOFDRAINS—RAINLEADERS EXHAUSTFAN <br /> . �'� . SINK�SERVICE—BAR,ETC.) I <br /> i — <br /> I <br /> � <br /> I 1 ' SUBTOTAL 5 SUBTOTAL 5 <br /> �� PERMIT S PERMIT 5 <br /> - � - T07AlFEE $ TOTALFEE $ ' <br /> FOR OFFICE USE ONLY: <br /> fRONTSE�AGK REARSETBRCK SIDESET�ACN PIANCNECKNUMBGR FEF AECEIPTNO , <br /> ♦J /�� <br /> useza+e iornaen vacnNrsire FEES VALUATION fEE � <br /> BUIIDING <br /> ivPEOfGONiS�LLOW�BIE 1vPCtif�ONS1.AGItIRI acuo�r��r xano-.vnuv,uwrs — I, <br /> �oo;iv PLUMBING ' <br /> � SIZEOfBLDG. NOAfSTORiES BASEMENT MELNANICAL � <br /> OCCUPANLY LDP� FlRE$PPNNlERS REO'0 HEIGHT LIMIIAiION ADDRIONAL PLAN CMECN <br /> SPFINKIER ' <br /> FEASON FOq SPRINKlERS � ', <br /> ST'�TE BUI��ING SURCHARGE <br /> INTAKE BV PLPNS APPROVE�BY I <br /> CITY OF EVERETT auaur,woRKs <br /> LOCALSALES <br /> TAX CODE IS 3105 ror�� <br />