717 40TH PL 2016-01-01 MF Import

,�`b�t�pL��:�,T�A' �AR CO�1S'TRU�Tt �0di PEL�MIT TG 3E CUMPLETED !N BLACK INK--PLEASE PRINT ��'T —_� HEATING SYSTEM: y�GAS ❑ELECTRIC IJ _ __ I UILDIP,'G DGf ARiMEVT �— t59-P 31�: DFMCt.ITIOPJ � I COMRINATION � BUILDING I I MECHANICAL I I PLUE,iBING i i SIGN — --- .._..--- ... ._ _ — 9�4N1N IdAI�AU0RE55 CITY ZIP PHONE .i�-.-�:�'�;r�:y �.� yo� �r�w�« f�� ._�}�< �v� 9�F/o'z _.3LS' -3 / � U _ TEnNiT MFILA�OREaS CIIY ZIP 'HGNE ARCHIIEC70RDE°:GNER M�ILADORESS CITY 21P PHONE / GENEFAICpNipACTOR lAAIL�.DDFESS �i�Y ZIP PHONE STnTELICkNSE� S�`i�7`7 � � 5 OGUNc.� DH�cyNT-_r2o�. 7 MFCHANICALCONTRACTOR MAILA000E55 GIIV 2�P PIIOfVE STATELILENSEt PIUMbINGCONiRACTOR MAILAD�RESS CI7Y ZIP Pi10NE SiATELI�E'JSEI CLASS OF WORK � i�NEW I I ADDITION I I ALTERATION , � RE'.IR I i pEMOLITIG\ i I V✓OODSTOVE�FRPL INSER7 � �� BUILDING NFLQCATION CONTACT PEfiSO�l pIJD PHONE N0. CCN�RACi PFICE OF WCi{K 5�o r7GT7_z « __�S,2 - f0 y� DESCRI�E WORK AND SOUAfiE FOOTAGE �. NEW floGSE � '� l O / � `1 5 ,�� GrAuc.}1Shrrry�)c�,7eR 3?5'�-3770 PROPOSEDUSEOF�UILCING �I � I HE9EB'/ CERYIFY '.NhT I HAVE READ AND EXAMINFD THIS C � S I C�1 E'YI Ct APPLICATION AND KN01'i THE SAME TO BE TFUE AND COaRFCL ALL �ecn�oE FIP(IONU'PROPElii1�5OWNBELOWORAiTPf,HFUURGOPI@5) PHOVI310NSOFL�WSANDORD�NANCESGO��rININGTHISTYPEOF �I WOf1K WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR �or ,3 Y_ a�a:K oF Si l U F '2 Jn " ,J IG NOT. THF GRANTING OF A PGRh;IT DOES NOT PRES�RdE TO GIVE AUTHJRITY TO VIGLAT6 OR CANCEL THE PROVISIONS OF ANY _�T �O/rE��PAR I�- _ OTHER STATE OR LOCAL Ll.W REGULATINv CONSTRI.'CTION OR THE PERFVRMANCE OF(:ONSTRUCTION. THAT I AM�UTF!ORIZED BY THE OWNER OF THIS PROPERTt� TO PFRFOP,M THE WORK FOR WHICH � — APPLICATION IS M1IADE AND I COMFLY WITF! THE STATE CCM�TRACTORS L��W 18.27 RCW AND 296200 WAC. -- x 7�`;1 r "i/ii .,r'2 /� � 93 ^7oJEC7 nDDPE55 /� '"�O"'�" o��F �� /''�Q CC a:.nu=�.uu.,�.uri�.;vio __._ PLUMBING MECHANICAL NO. TYPE OF FIXTUAE OR ITEM FC-E NO. 7YPE OF EOUIPMENT FEE WATER CLOSET(?OILET) � ".rS—A�I I�1DlG I�NITS—hI.P. BATNT�B ; FOflCED AIR SYSTEM�—B.T.U. M E.A. � LAVATORY(WASH BASRJ) i UNIT HEATER3—B.T.U. M i — —� SHOWER ' CLOTHES DHYEHS KITCHFN SINK 8 DISP I VENTILATION FAN � --T— � — ---- DISriWASHER RAN:-I i00D � LAUNUFY TR,4Y � WATER HEATER ' CLOTHES N'ASHEP. --� WOOD STOVE � UR!NAl METAL FIREPLACE&CHIMNFY ' URINKING FOUNTAIN i i FIREPLACE INSERT _� FLOOR DRAIN � HEAT PUMP ' BACI<FLOW PREVENTERS � GAS PIPING � ROOF DRAIP�S—Fl�INLEADERS —� EXHAUST FAN � � S!NK(SF.R!�ICE—DAR,F.TC.) ' � —— --�— I � — --T— — � � � Sl1B TOTAI 5 SUB TOT.^.L S ; PERMIT S �— PERiv11T S � TOTAL FEE 5 ; TGTAL FEE 5 ' FOR OFFICE USE ONLY: rf707J75F.T04CK r.;nn: re:�c�� si�e5EI8AG�: fIAY.CNECKNL'1.IOCf1 r�e neceiarno. zp' �o' Nc,� S �l� �/ � 3c� a t��3 usEZ�0/�e tornr,ela vnCnNTsne FEES VALUATION FEE It `�� S BUILDING ` � -- � �� ,� � iYPEOFCONIS.ALLO'NAOLE IYPfOFCONS7.At1U�l o.[uvu¢r HOoloWuub,chn5 i a0�'�v PWM�ING i �-n/ �� I -� SREOFji lOG NO.OFSTOfiIES DASEMENT MECHANICAL � �72(O Sf' l� 4 � $ -ri h Z 0 � OCGUPANGYIOAD FIRESPRNKLERSREO'D HEIGHTLIIAITAiION ��DITIONALPLANCHECK i j, i .Q �`� S2&INKLER- 1 ��U/�i� �� fiEA50N FOR SPRINKL[f15 ' STATE BUILDING SURCHARGE L/ �� imnneov r�nrvsnrrnoveoor CITYOFEVERETT auoucwonKs '1�) ; J J� LOCAL SALES , 7AX CO�E IS 3105 TOTAL ��F' 12/�Y/i 3 --- i /'� �->� --- � -- — � , :«, : . „,.. _ ,. _ _. , . . . ... � i�'Mb�•�+✓�,,.�,.»'«.^""' +�..•ny.y�:1!.+"''+;+�+sL..,.i....... ..�.fit3+.�"'q1�ier,v! �.:ett ..... '"_r..,�+�' ,.-..:�`....�.