Laserfiche WebLink
AP�L�CATiOhe F�R CONSTRUCTL.�N PERMIY �`"""� � <br /> rrn�e�e�g�rr� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> GTY O` • <br /> everett HE�TINGSYSTEM GAS JELECTPIC J _ --� <br /> gUILDING DEPARTMENT <br /> 259-8810 � <br /> DEMOLITION }( COMBINATiON BUILDING MECHANICAL PLUMBING SIGN <br /> U�ticER AIAILAOOFE55 CiiY ZIP P��O'iE <br /> p}�,,k^iC1.,...i�-.. 0 t�i��l �9141<�-.�..-F���ic_ . C. c.:1t 'ld�.o� "3y3 l:� i.1, <br /> iGNANT MAit 40DRE55 CI1Y LIP P��ONE <br /> m'C�IIiECTORDE5IGNER MAIL�DDRE55 CITY ZIP PNONE <br /> GE�+lRRLGONTR��.T9H k�\ILA�ORESS i%ITV 2�P PHONE LiCEHSE• <br /> xC'TJ Sr_�.�-.�. •.1 «�a o�:. _ .__ <br /> r 9 y r,iTr zin rHONE ucer+se. <br /> MLCMFNICALGONTRA..TOli UAILAp�PE55 <br /> m�.`L� <br /> 9H� PLtIM9iNGCJNTRACTC9 UNLADDNE55 <br /> Lltt 2�P VHONE LICENSE� <br /> 3 �H � C1A550FV/URN . <br /> �� n Ng,v \^DI�ION A�tERATIDN REPAIR DEMOLITION WOU�7ST�^`JE/FRPL INSERT BUILDING REIOCATION <br /> H�7 � - `-- ---------- ---- ��- - '--� - -- <br /> � y 1-�� ./L�G n G� L�+- � ^C01lTnCi PERSON ANO PII]"R d0 <br /> �s �.<_ � <br /> �H � CGNiRAGTPRCiiOFWORN /vgG0. 0'Ir "�� �''N`.�� ?53" �• -• � — <br /> z �ESCRIBE WORH CNp 50UARE FOOIAGE INVOLV[D � <br /> � ��-7d c�r_.��zc. �,.� '�+,w /)ouT6. b� _',,,. ',� , ._ 2s� . NeB <br /> O H aaoroseouseoFauaoinc fi yG�� S� `f I HEREBY ERTIFV THAT I HAVE READ AND EXAMIMED THIS <br /> H �O �f� APPLIChTIGN AND KNO'N THE SAME TO BE TRUE AN�CORRECT ALL <br /> �" nC. �ecn�oes�,aivuc�;oFr�orearvlSHowr�oE�owoQan�r�ma��r.o�uync�ovie,i FRGVISIONSOFLlWSAtJDORDINANCESGOVERNIN;THISTYPEOF <br /> Z H 3 �oi ?j- BLOCN oF ��� �27 _ NOT TFIE`GRANTING OF AD ERMITyDOES NOT PR1E UMEETOIG V6 <br /> � y Z AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> ;�y S`t Gtt..�` OTFIER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> CJ Cn "� PER°ORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> � �� OWNER OF THG PROPERTY TO PERFORtd THE WORK FOR WHICH <br /> G, C APPUCATION IS PdADE AND I COMPLV WITH THE STA?E <br /> 3, C�]� COIJTFlACTORS LAW 1837 RCW AND 296200 WAC. <br /> Cz y� sicr+nrui•EOFwrilRnc*oaaNau�HonizEoncErvr oatE <br /> H O[A <br /> i�r���r.crnoonE,s /7�„�-C7 ��-���--���I�F— - <br /> 4oP�iC NTSC'TVBUSME55LiGF�5E00:'�[�BU`i•�ESSua!T- <br /> '�, .��ss<< .i <br /> PLUMBING MECHANICAL <br /> NC. TYPE OF FIXTURF.OR ITEM FEE NO. TYPE OF EOUIPIAENT FEE <br /> WATER CLOSET iTOILET) i� /D A'C-A'F'NDLG UNITS-H.P. _ <br /> � - � FORCED AIR SYSTEAIS-B.TU. M E.A. ' <br /> I � _� BATNTUB i� �� � <br /> '� r UNIT HEAI'ERS-d.T.U. M <br /> LAVATOFYIWASH BASINI i� io - <br /> SHOWER � CLOTHESLRVEiiS _ <br /> 6'�"- "�� � KITCHEN SINK 8 DISP f I_ VENTILATION FAN _ � <br /> —r— <br /> ""' +� DISHWASHER f � � RANGE HOOD _ <br /> LAUNDRV TRAY i WATER HEATER _ _ <br /> � �LOTHES WASHER ,� �- WOODSTOVE <br /> URINAL METAL FIR�PLACE 8 CHIMNEV _ <br /> � DRINKING FOUNTAW FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOWPREVENTEFiS I GASPIPING _ � _ <br /> '� � � ROOP DRAINS-R0.INLEADERS EXHAUST fAN _ � <br /> SINK(SERVICE-BAR,ETC.� � �=--� - �,- <br /> I' ' ' 7`4-• �=^-! 'Z` `U�_ <br /> A/ <br /> —T <br /> __ SUB TOTAL 5 y J' '� J _ _ SUB TOTAL 'S L� _l�cr� � <br /> "'�� r PERIdIT S � __ PERh1R S _ . <br /> —�- ——--- TOTAL FEE 5 �/l� ', '--- TOTAL FEE S C'� '+Td ', - <br /> FOR OFFICE USE ONLY: � � �` - <br /> �, % — — -- <br /> �HOtlISE1�ACk fiEANSLiIi?CK SIDESETOACK / PLANGIECM1NUI.NEF FE[ FELEiPT1�0 <br /> i / �� a7i�6 ��JI�' G �1 s3o -' C" <br /> /� �� � VALUATION FEE <br /> �.,:.�cvc io�rjnnr< VAU�NTSItE FEES r_ <br /> �� OJ�Z� BUILDING — �(�Z �SS H�7.? _��'_ <br /> �if�i G�f.DIllS AIIOWAnLI iYPEOGGOhSi PGIURt MC�r�4'r eo u.L:�u'�,.'..- —� ' <br /> ccouv / p�UMf31HG �f 5`i J✓ <br /> ��-- —��J - - I�.� —/ .— - - - <br /> �.���I[O�-OW �+o0i5i0n:eS nast�.�Ern MEGHANICAL 6� <br /> �I�S� J� t � _'— �'�� - <br /> _S�sJ $f GAV. —�1—�J`�----- ADOITIONAIPLANCMECK A<' <br /> OGCUPANLYI.OAO RRESPRNNlf115(IFOD H(1,4�LiM�l01UJ � �7= <br /> OTHEF <br /> ��dA50N OPSP(i—� �� � -- - — —�'-�. ... <br /> JHl!IiS <br /> STATE BUILOING SUflL114RGE a� �S G� <br /> r,�nKEe� ���a�%��'P�������° CITYOFEVEREl7 rueucwo�Ks �O ;•'�� <br /> -1 --�-- <br /> � LOCAL°�'ES <br /> �_ y '�g TAX CO�E� 3105 Torn� ,` �:.r--�-;^� —r <br /> -�- -- G �/ ✓� 7 � <br /> i�1�'� Y�.1► �+�/ � <br />