Laserfiche WebLink
��i�'•��`���:v�C I�uu�'�! ���G� �:�9��,ti1� � �eR��� ,,.1)h�, 5'J�FaL'2NUHB� :�,�r�V^���� <br /> u �+��r <br /> �,�"1� TO BE COMPLETED IN BLACK INK—PLEASE PRINT ��. <br /> � <br /> I HEATING SYSTEM: �� GAS U ELECTRIC J __ ______ _ _ _- ' <br /> BUILDING DEPARTA4ENT -- <br /> 259-8810 <br /> DE�IIOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> i;��NI[R I �dAII.ADJ9F55 r _ C/iT�Y ]IP v PHONE ) ^ <br /> �.�Ir� �~J/�I�u�/�1�. �.�(1� :J;yi`�'��,� }i�. .`�. .�_•):�J h;U ��li �l(� l � �d Z �l._. 7: J ��J _ . <br /> IEPUNT MAILROOFF55 GITY � ZIP PHONE <br /> ARCNRECTOROES!GNER 1AAILADDRcSS CITY ZIF PNONE <br /> 1-3 f']H GENERAL C NTFACTOP I.IAIL ADORE55 CITV ZR PHONE 5-�tE LICENSE p � <br /> ��'� I�ell�� !� mo�� E�s-�J,��� E�, E, S��.�. "' .� '.� q�bz .��;-3770 _`�\ l-t-fL��r- Lo�_,; <br /> ay MEC FNiCALCONTRAGtOR N:\I�r1DOflESS GIT�_ ZIP VYONE S�AtELIC NSE Eq � `+ <br /> .a:�x <br /> �F3� PIUNBINGCONtRALTOR IAAILAODaE55 CITY ZiP PHONE STAtELiCENS[/ <br /> N "�� <br /> �a �H _—_— <br /> K ('y QASSMIVORK <br /> � x� �NEW ADDITION ALTERATII:N REPAIR DEAfOUTION lVO0U570V6'FPPL INSERT BUILDING flELOCATIOh_ <br /> � H� — — 1 CONIACT P'eR>ONANp PHON�NO. <br /> �H� <br /> H zr' CG"11PFCTPRICEOFClORK <br /> � O� fiESCRIHEWORKANO50UAFEF'JOTAGEINVOLYED� <br /> o H d w��e�m,l,.1/�-�P - .!'�65� t�J f Q3rfr�� — <br /> �J n b �°aor seouseoF aoi�ic i HEREBV CERTIF`! THAT 1 HAYE READ AND EXAMINED Tfil� <br /> 4H,� F1� � n�� APPLICATION AND KNOW THE SAME TO BE TRUE AND COflRECT.ALL <br /> F"� LEGAL EScnianor+ocpe Ean�s�*�vrt+eE�owoaannCr+wuncoaiEs� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THI$TVPE OF <br /> 7, H� ] '� WOfiK �VILL BE COMP�ETED \NITH WHETHEF SPECIFIED HEREIN OR <br /> � �z �oT � s�xe oF d NOT. THE GRANTING OF A PERMIT DOES NOT PRESUM1IE TO GIVE <br /> H y AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> ��Ei �I � C��'� d �'e �� i OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TH� <br /> � d� PERFOFIAANCE OF CONSTFiUCTION. THAT I AM AUTHORIZED BV THE <br /> � C r OWNEF OP THIS PROPERTY TO PERFORM THE WORK FOR NlHICH <br /> i <br /> � � � APPLI:;ATION IS MADE ANO I COI.IPLV WITH THE STATE <br /> z y� CONTRACTCRS LAW 18.2i RCW AND 296.200 WAC. <br /> �� O V1 <br /> — x �, �J��� a���f f y' �-. <br /> �'�.O'CCrnoDHE55 " -� Uq1C <br /> ,��1 - . /" ��/ : -- -- — <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIxTURE OR ITLM FEE NO. TYPE OF EOUIPh1ENT FEE . <br /> WATER CLOSET ITOIL[7) ��C—A.HNDLG UNITS—HP ��, <br /> � FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> BAT <br /> ��� _. _—_ —_— <br /> � LAVi UNI"f NEATERS—B.T.U. M <br /> SHC p CLO?HESDRYEFS � <br /> '��•+ KITC . �� � _ VENTILATIONPAN <br /> �� 1� RANGE HOOD --� <br /> ��� _ DISF � � �J' __ <br /> LAU / _ _ WATER HEATER <br /> CLO q�\ WOOD STOVE <br /> 'o� _ �q�� � \ —_— METAL FIREPLACE 8 CHIMNEY i <br /> GRII \\ j FIREPLACE INSERT <br /> FLO U � HEATPUMP —T— <br /> � 9AC p G GAS PIPING <br /> �'' ROf (�\vy�\� '�\ _ EXHAUST FAN _ � <br /> — Iv ` V � I '—. . <br /> SIN ^ _ <br /> � � L � <br /> ,:,. <br /> ��� - � �, ,,ti- _ <br /> � � _- <br /> � <br /> � � SUB TOTAL 5 <br /> �'e PEHMII 5 PERMIT S <br /> TOTALFEE 5 TOTALF[E S �— <br /> �_ FOR OFFICE USE ONLY: ) ���5'�C % <br /> !'fONTSEiBACH REARS[IDACK SIpESEtpAf,N PIMJC��J�ECrc-N-t71�AUER�i PE[ RECEIPiNO. '7 � <br /> Z � y:ar z6� vcn+✓,, S J- /O�`u•c.c �.�7.� /��'J �� / _ � <br /> usezoCCC...��� �or+n/neqa VAC�NTSIiE FEES VALUATION FEE <br /> �—� / J 7� 7�5 B:IIiI:ING /i/� � ' ��L��i�:. <br /> lYPEOFGONf5AlL0VlAbiC IVYEOfL01151A".IIIAI �'.c�ra�;cr i,io�uw:�.,::a:,a�, — — — �l <br /> i <br /> — ._ _ ., � ou> � — p�Uh101NG <br /> �—C�/ —� -�— <br /> SZEOPffLOG. NOAFSTORIES BTSEMENT 1,1ECHANICAL ' <br /> l� � f' � _ – �— <br /> OCCl1PAN/C�YLOA� FIRESPRNNLERSFEOV MEIGHiLiMIiAIION ADDITIONALPLANCHECK � � <br /> N /'7� N� �� __ SPRINKLEfi ' . <br /> RER>ONFORSPBINKLERS —� � —T <br /> SiATF BUILDING SURCHAf1Gf F <br /> _—__- —. _ l )l I <br /> viaee�av ain�+snrnaoeoov T CITYOFEVERETT pUBUCwoni<s �Q '�j/) <br /> �I� LOCAL SALES , <br /> 'j�(�,�{Z TAR CODE 15 3105 Tora� �'�'�;7 <br />