Laserfiche WebLink
� i <br />� APPLI�A'�i� ; FO1� C0�1�'��UCT )�1 PERMIT �� <br />� TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> �� <br />� I_ HEATING SYSTEM �GAS ❑ELECTRIC �! _I <br /> QUILDING DEPARTMFNT <br /> 259 8810 <br /> DEMOLITION COMBINATION BUILDING x MECHANICAL PLUMBING SIGN <br /> I MAILAD�FlESS CITY ZIP PHONL <br /> OVJ R <br /> �j,j oMe� <br /> ��Ty ZIP PHONE <br />' 7��� �T IANLADOPE55 <br />� �tcy �yome — <br /> CITY ZIP PHONE <br />� A[R�CHIyTECTOROESIGNER Id4�LADDRE55 — <br /> GENEPn-GONTR�CTOR MAILA��RESS GTY ZIP PHONE STATELICENSEN <br /> Lt Wv��e <br /> h}�MAN CFL ONT CTOR MFIL�DOR � CITV,/� IIP PHONE ST�LICENSE p <br /> Ib_��vY'�A� 'E�,�o �x '7olJI I�P.LC Z9iY�o!] 7y�7/�30 S,A,EZoci�l <br /> PLOM�INGWNTRACTOR IA6ILAOOFE55 ��T� <br /> GLASS OF WORN <br /> �CNEW �. � A�DITION � ' ALTERATION REPAIR DEMOLITIO�J WOODSTOVEiFRPL INSERT ' BUILDING RELOC I <br /> CON fAGT PERSON�ND PHONE NO. ''') <br /> GONiRACT PRICE OP WORK ZI — �y C O � J(` / �" �. G <br /> DESGHIBEWORKAN�SOUAPEi00TAGEINVOLVE �� � ���� <br /> �,���A�� �M���e, �� � y <br /> PROPOSEOL'SEOF�UILOING i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> PROVISIOPlS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> IEGALDESGRIPTIONOFPROPERTV�SHOWNBELOWORATTACHFOURCOPIES) yyORK WILL BE COMPLETED WITH WHETHER SPEGFIED HEREIN OF1 <br /> �pT� BLOCH oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> 6THER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TH[ <br /> PERFORMANCE OF CONSTFUCTION.THAT I AM AUTHORIZED BY THE <br /> pWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APP�ICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTOR AW 7827 RCW AND 296200 WAG. <br /> � / � <br /> �o G- y��_- ('�. X � �2/s�� <br /> ,,,,� <br /> SiG���1ME <br /> PROJECTAOORESS <br /> Ci1VP'J9,f55UCU14. �. <br /> MECHANiCAL <br /> PLUMBING FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE N�� A�C-AiHND VE OFT OUIH M ENT <br /> WATER CLOSET�TOILET) ' � <br /> � � FORCED AIR SYSTEMS-B.T.ILSSa�'A" <br /> BATHTUB ' <br /> LAVATORY(WASH BASIN) UNIT HEATERS-B.T.U. M _ ' <br /> � CLCTH[S DRYERS <br /> SHO'NER ' <br /> � VENTILATION FAN ' - <br /> KITCHEN SINK 8 f�i�P ' -�— <br /> DISHWASHER RANGE HOOD ' <br /> LAUNDRY TRAY ', _ INATER HEATER � <br /> CLOTHES WASHER WOOD STOVE _. ' � <br /> - METAL FIREPLACE&CHIMNEY ' <br /> URINAL ' <br /> ORINKING FOUNTAIN FIREPLACE INSERT ' — <br /> � HEAT?UMP <br /> _ FLOOR DRAIN 3 ; <br /> BACKFLOW PREVENTERS ; GAS PIPING . , <br /> ROOF DRAINS-RAINLEADERS EXHAUST fAN <br /> SINK(SERVICE-BAR, ETC.) � <br /> - � <br /> � <br /> � <br /> � <br /> SUB TGTAL $ _ SUB TOTAL $ I <br /> PERMIT S PEHMIT S ' <br /> - TOTAL FEE S TOTAL FEE S <br /> FOR OFFICE USE ONLY: F�E ReceiarNo <br /> fRONTSET�ACN <br /> RE�R SET�AGK SIOE SEiBACM. PI AN GH[GK NU1.18EB <br /> USEZONE �OTAREA VACANTSITE <br /> FEES VALUATION FEE <br /> BUILDING <br /> 1\PLOFC@liS.AlL01VA6LE iYPEOFGONSi.ACNpL x[urz¢v tioar�wELW+Ounns <br /> cP0'�° pLUMOWG <br /> BnSEMEN7 MECHANICAL � <br /> SRG OF B�DG. NO.OF STORIES . <br /> i <br /> ADDI7;ONALPLANCHECK ' � <br /> OCCUPANG�LOA� FlRESPRNNLERSREO'D HEIGNTLIMiTATION i <br /> SPFINKLER �— <br /> H[nSOrv FOR SPFIrvKLERS STATE BUILDING SURCHAFG[ — <br /> iNTRKEB� PLANS�PPROV[DOY CIT1' OFEVERETT PUBL�CWORKS �� <br /> LOCAL SALES <br /> TAX CODF IS 3105 TOTAL <br />– � -.�r�,�,, . ", _ -._ .. �c � � � �.:.. � <br /> h�'• in i .�.ix��- . � �:r <br /> .t tr;.,�... '# . �.•..+,.+���; �..}}y'�s�:. <br /> .,, ;.�. _�e �,. <br /> . -"r <br /> . �. ., . . . -�.��.�.a:� - � <br /> 'i ..�_: �. � , „�_�1� �. <br />