Laserfiche WebLink
evere[t <br /> APPLI�ATI�h. FOR CONSTRUCTi.,�d REFiMI � <br /> TO BE COMPLETED IN INK—PLEASE PRINT <br /> fn�Evo�9reen <br /> CITV OF <br /> eve rett HEATING SYSTEM [il GAS IJ ELECTRIC ❑ _— <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION �: BUILDING MECHANICAL PLUMBING SIGN <br /> owHen nmaauoness <br /> cirv ziv �Hor�=_ <br /> �n �Y [� �J� �Ll`-i "+---•i°ulSi1..�J-��_�K—t��'2L `" �o�r �i74=z43S <br /> � {� 61AiLA000C55 CIIV LiP PNONE <br /> [' �U lENA1lT <br /> p0 <br /> i0 A � r �f1- zia a�:or�E <br /> citv <br /> C � y ARCHI EGTORDESWNER MAiLAODR[55 ^ L <br /> 9 _.ojS �_' �✓ "�IC�l7.t:4 �L'�" p }� <br /> ['' � 1 �G- 1 PIANE IICENSE n <br /> CITY 21P l� <br /> N � GE ERALCOtiTPACiOR MAIL�DDRE55 �� `_j�.SS 1-:�IRkIJ-�Q-S��r�y � <br /> K �] '�,�,����,1 .Llhoi.— �- -c5 _.e� .N- . L�.� `9005�., � <br /> O C1 O -l—�+=�'� �iJy 21P PHONE LICENSEs <br /> R7 M �O MECHANICRLCONiFAGTO ��A�LADORE55 �`�< _��,..!- <br /> y M E� � � - <br /> �C]I / ' �� �� �� ` GitY 21P PI�ONE LIGENSEM <br /> tq ;J � �YI.U610iNGGONTPACIOR MMLAD�RE55 _ � <br /> �3 <br /> ! <br /> rp+ cna � C�nssovwonK " � <br /> H � � y NEW � �. ADDITION ,-���. ALTEFATION � REPAIF DEMOLITION ... WOODSTOVE/FRPL INSERT . _ BUILDING REIOCATIUN <br /> y� M � � J-/�--- CONTACiPER50NPNDPNONENQ ---- � <br /> t� H 4S5�uoo '� dlr7 c� r <br /> H .� �3F '— �2^—'�5�—�-435 <br /> y GONTPAGT PR�CE OF WURK <br /> � N DESCPiBE WORK PND SOURRE FOOTA INVOLVE ,1, <br /> C S .+r ' ''-,-M �_'� ((�.�7�r — <br /> � btl [" � I HEREBY CERTIfY THAT I HAVE READ AND EXAMINED THIS <br /> � y �flOPO5EDU5EOFBUIL0ING <br /> y 5 y ^` y _ APP�ICATION AND KNOW THE SAME TO BE TRUE AND CORRECL A <br /> P R O V I S I O N S O F L A W S AND ORDINANCES GOVERNING THIS TYPE Or <br /> LEGALDESCRIPTIONOFPROPERLV�SNOWN9ELOWORPTfAGHFOUFiCGPIE57 yypRK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> oT � o�aK op � cl= =uW '� �`�F - NOT. THE GRANTING UF A PERMIT DOES NOT PRESUME TO GIVE <br /> — AUTHORITY TO VIOLATE OR C�NCEL THE PROVISIONS OF ANY , <br /> � OTHER STATE OR LOCAL LAW REGULAT!tdG CONSTRUCTION OR THE i <br /> �'��c..� N o S �'i�°� '�-o��5 '��� � — pERFORMANCE OF CONSTPUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> c� ��-Zpz,r,�p APPLICATION IS MADE AND I C01dPL1' WITH THE STATE � <br /> CONTR CTOHS LAW 18.27 RCW AND 296200 WAC. 7 j <br /> SIGNATU OFCONTPAGiORORAUTHORRE�AGENT OATE i <br /> �� <br /> _ �� � S � �� �I�$�q� �-� I <br /> PRQIECTPOORESS pp � - I USINESSL�CENSENO.ANDB �NE NAME � <br /> r". . ._�� � - �'• .• � MECHA L <br /> PLUMBING FEE <br /> � C� NO. TYPE OF FIXTURE OR ITEM FEc N0. TYPE OF E�UIPMENT <br /> WATER CLOSET(TOILET) � ��� NC-A/HNDLG UNITS-H.P. <br /> ' L FOFCEDAIRSYSTEMS-B.T.U. M E.A. <br /> BATHTUB <br /> 1 '�_ LAVATORY(WASH BASIN) ' �� � UNIT HEATERS-B.T.U. M T_ <br /> SHOWEfl s' '� CLOTHES DRYERS I <br /> �1 — .S ; � VENTILATION FAN . <br /> '� KIlCHEN SINK&DISP � RANGE HOOD <br /> DISHWASHER Y� <br /> � LAUNDRYTRAY - l WATERHEFTER <br /> � CLOTHES WASHER - WOOD STOVE � <br /> � I �� . METAL FIREPLACE&CHIMNEY <br /> URINAL O ; - <br /> DRINKING FOUNTAIN l FIREPLACE INSERT <br /> FLOOR DRAIN _ HEAT PUMP <br /> ' BACKFLOW PREVENTERS � GAS PIPING <br /> _� ROOF DRAINS-RAINLEADERS EXfiAUST FAN <br /> SINK(SERVICE-BAR,ETC.) , / /_ �`.,s / �� <br /> J ' <br /> I 1 1 • <br /> I �� SUB TOTAL 5 (� I - SUB TOTAL $ 9d '� � <br /> PERPhIT $ PERMIT $ � <br /> �r�� TOTALFEE $ -" � TOTALPEE $ !`o ' �" <br /> FOR OFFICE USE ONLY: � d. s <br /> � PLANCHEGKNUM� FEE FECEIPTNO <br /> FFONTSETBACN REAFSETBACN SIDf.SE�AGN � � I lnu��� /�� `� O�j�� <br /> �� I r y !" CQl J 'N � <br /> ~ v VALUATION FEE <br /> IISE 20NE LOT APEA VRCANT 5 T[ � FEES / <br /> /� 3�f BUILDING ��'fl j3 5 ' � <br /> � � <br /> 1VPEOiCON15.ALLOWABIE 7YPEOFLONSI.AC�UAL aNve.cr �ia'�Ow[u�'icWurs PLUMBING S 'D <br /> �,/T LPOIIP <br /> SIZEOFBLDG. NOOFS'OfliES BASEMENT MECHANICAL �U �vU <br /> IGRti SFf I 0 � <br /> � ADDITIONAL PLAN CHECK � ' � � <br /> ' OGCUPRNCY LORO FIRE SPRNNLERS REO'0 HEIGIIi LIIAi�TION � i <br /> N� OTHER <br /> REASON OR SPRRM�ERS $TATE BUILDING SURLHABGE �S� <br /> MTRNEBY PlANSAPPROVEDBY CITYOFEVEHETT PUBLICWORKS �O i0�/ <br /> ��ji LOCAL SALES � <br /> i��p TAX COUE IS 3105 TOTAL S 1 Y.� , • <br />