Laserfiche WebLink
�_._ _ _ _..�. .�:_ _ <br /> AiPPLICATIG.a FOR COIdSTRUCT . JNI ���'� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT �-� �-� AUG 3 1 i9 , <br /> HEATING SYSTEM: J�GAS ❑ ELECTRIG �� CITY OF FVFR <br /> ETTI <br /> BUILDING DEPARTMENT Public �Vorks De t <br /> 259-8810 P . <br /> DEMOLITION COMBIN�CTION BUILDING �MECHANICAL PLUMBING SIGN <br /> OVfH[H Id41LA[)DRESS CIiY 21P PHONE <br /> Cc�vTu � �5 1 !-fu� 9`� � r-.2.- q zo 3ss- 53s <br /> 1�;1nN7 ��L'I C��ILAO �/7�1".� ��L_� ��(:�����Y-_--� PHONE1�l ��� — <br /> 7 <br /> nFf.N1TECTOR ESIGNER MA �RE55 CITV 21P 7HONE <br /> G[�![fiALCUNIHAGTUR 61AILAOORE55 CITV ZIP PMONE STATEIICENSEa I <br /> 1.'.CCHANICALCONiPACTOR MAILFDORESS CITY 21P PHONE STATEIICENSEa <br /> .`�`+�C /fC-RTIAIC�.TUL �DC''�dC88'�- NoRTlff3�N0 9�50'-f5 g31-6$00 �EHr-�r�issnn� <br /> PLUIdBINGCONIRAC70R � MAILAO�RESS QTV ZIP PHONE STATELICENSGa <br /> CLASS OF WOR:c <br /> XNEW ADDITION . ALTERATION REPAIR DEMOLITION WOODSTOVEiFRPL INSERT . BUILDING RELOCATION <br /> p�/, CONT�CT PERSON�ND PHpNE NO. / <br /> CONTRACTPRICEOFWORK OY��X� . � I -1�� f� � <br /> �LSGPIBE WORK FND SOUARE FOOTAGE INVOLVED <br /> Sa,r�+c� 3 c 4=r�4c.c=s , D�--T�.x{a-k�3i1�n s <br /> -s =s '3 �� <br /> aaoaoseouseoFew�oiN, i HEREBY CERTIFV THAT I HAVE READ HND EXAMINED THIS <br /> ��I _ �,:�� —� _ APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br /> LEGFL OESCRIPTION OF PROPERTY�SHO'NN 3ELOW OR ATTACN FOUR COPIFS� PROVISIONS OF LAWS AND ORDINANCES GOVER�JING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �OT _ BLOLK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE <br /> AUTHORITY TO VIOLATE OR CANCEL iH[ PROVISIONS OF ANY <br /> ���� ��� � Z OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMADJCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THF <br /> L(/UI"�S C LC— L OWNER OF THIS PROPERTY TO PERFORM TFIE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STAT[ <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> X 1L1�`""` �'—CI���'+�''� b% —/ <br /> PROJ[CTADDRE55 �i.D PbRM�T ,� S+'�*+��unt onr[ <br /> ��- p vz� �i �z_ <br /> � � ���� -�� � � � 1 �`J cirvovsn�ss�_�wseuo <br /> PLUMBING MECH�INICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) A�C—A;HNDLG UNITS—H.P. <br /> 6ATHTUB FC�RCEDAIRSYSTEMS—B.T.U.�M E.A. <br /> LAVATORY(WASIi BASIN) I UNIT NEATERS—B.T.U. M ; <br /> SHOWER ' CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN ; <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY 3 WATER HEATE ' <br /> CLOTHES WASHER WOOD STOVE � <br /> URINAL ; .v1ETAL FIREPLACE&CHIMNEY � <br /> DRIMKING FOUNTAIN I FIREPLACE INSEAT ; <br /> FLOOR DRAIN HEAT PUMP � <br /> BACKFLOW PREVENTERS ; Z GAS PIPING ; <br /> ROOF DRAINS—RAINLEADERS c%HAUST FAN i <br /> SINK(SERVICE—BAF,ETC.) I _ <br /> — - � <br /> � <br /> � <br /> � <br /> SUB TOTAL S i SUB TOTAL $ i ; <br /> PERMIT S PERMIT 5 � � <br /> TO'fAL FEE S TOTAL FEE S — <br /> FOR OFFICE USE ONLY: . <br /> FRONTSETBFCN flEAR5ET6ACK Si�S`ETBACN PLANCHECHNUId6EH FEE FECEiPTNO. <br /> / <br /> usezoNe LOTFREA VACANTSITE FEES VALUATION FEE <br /> r <br /> BUILDING � <br /> iYPEOfWNiS.ALLOWABLE TYPEOfCONSf.AGTVAL ottuvArin r.o0f�:,Rlr.,CniS i <br /> cnou� - pLUMBING � <br /> SIZEOFBL�G. NO.OFSTOR�ES BASEMENT hiECHANICAL � <br /> � <br /> OCGUPANCYIOAD FIRESPRNKLERSREO'D HEIGMTLIMITATION AeDITIONALPLANCHECK <br /> SPRINKLER ' <br /> REASCN fOR SPRINKLERS T <br /> STATE BUILDING SURCHARGE <br /> INTfvE�V PLANSAPPROVEDBY CITYOFEVERETT PUBLICWORNS <br /> � LOCAL SALES <br /> I TAX CODE IS 3105 .TaTA� <br /> � <br />� <br /> ; . �. . .- - ,. _ .. . <br /> _ , _ _. .,,h _ ., ... � <br /> . .. . _ ._ . . . .. ... , . � -. . . .- . . . _. r,_ a;. ,.,... <br /> _.: . .. . ,... ..., . : .... <br />