Laserfiche WebLink
ti <br /> A� APPLICATIL�� FOR CONSTRUCti.ON PERMIT <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br /> BUILDING DEPARTMENT HEATING SYSTEM: ❑GAS U ELECTRIC IJ <br /> 259-8810 <br /> I I DEMOUTION ,�`COMBINATION �BUILDING I i MECHANICAL i I PLUMBING i I SIGN <br /> .�/A11 � A�J���DRS�dS � �UC�-lr W�1�'I Z����.` ' LPv/1E901�I� / rJS" p'�� ! <br /> T NANT MAILADDflE55 CITY —�?If' PIIONE <br /> ARCHITECTORDESN3NER MAILADDRE55 CITY ZIP p�pNE <br /> ��f1'� ��rflir�ms �9�,���r��p rw�"c F���►,p�.s-�+.� �s _ <br /> • �BYlUT�7 �i�/G� DRES'S�OS /�C �(J� �v�� IA� YZ(tiOI� � a��^� /�.RRFT[/ '� I7YaZ <br /> MECHpNIG4CONiM TOR MAILADDRE55 CITY IIP �IIOI�E StAfELICENSEI <br /> PLUMBINGCONTflACTOfi MRILADOflESS CIIY 21P PINNJE STATEIICENSE� <br /> IXA55 OF WORK <br /> ' � NEW I_I ADDITION I I ALTERATION ( I REPAIR I I DEMOLITION I I WppDSTOVE/FRPL INSERT I I BUILDING RELOCATION <br /> CONTACT PERSON�ND PIIONE NO �� ��,,�' <br /> CONTMCTPRICEOF C" �Y3-�'� Qq/ Gt��,��t0_���1�� <br /> DESCflIBE VYORK AND AqE FOOT�GE INV VED '� <br /> � �.� o �2��—��l -S���S.� <br /> PROPOSEDUSEOFBUILD a c�p9�� SF I HEREBY CERTIFY TfIAT I IiAVE READ AND F.XAMINED TNIS <br /> APPLICATION AND KNOW THE SAME TO HE TRUE ADID CORRECT.ALL <br /> lE(3Al DESGRiPTqN OF PROPERTY(S410NRJ BELOW OH ATTACH FWR COPIES� PROVISIONS OF LAWS AND ORDINANCFS GOVERNING TFIIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETMiER SPECIf-IED HEREIN OR <br /> �or e�xK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ' AUTHORITV TO VIOLATE OR CANCEL THE Pf10VISIONS OF ANY <br /> � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.'f HAT I AM AUTNORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFOfiM THF WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMI'LY WITH THE STATE <br /> � CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br /> I 13 C/ x ��v x u ��/ �7� 2- <br /> . PROJECTADONESS 5q n t �— �' <br /> _ / 9 �Q.�.� .rt- ��c ��,.�,�,Eu���E�� <br /> � PLUMBINO MECHANICAL <br /> � NO. TYPE OF FIXTURE OR RF.M FEE NO. TYPE OF EOUIPMENT FEE <br /> . WATER CLOSET(TOILEn � A/C-AMNDLG UNITS-H.P. —,r- <br /> � BATHTUB � FORCED AIR SYS7EMS-B.TU. M E.A. ; <br /> . �, LAVATORY(WASH BASIN) � UNIT HEATERS-B.T.U. M ; <br /> . SHOWER ' CLOTHES DRYERS —T- <br /> � KITCHEN SINK E DISP � VENTILATION FAN ; <br /> . DISHWASHER � RANGE HOOD �— <br /> ' LAUNDRY TRAV ; WATER HEATER � <br /> CLOTHES WASHER � WOOD STOVc i <br /> __�_ <br /> �' URINAL ' METAL FIREPLACE 6 CHIMNEY � <br /> �. DHINKING FOUNTAIN � FIREPLACE INSERT ; <br /> � FLOOR DRAIN � HEAT PUMP �— <br /> �— <br /> . � BACKFLOW PREVENTERS ; GAS PIPING ; <br /> � � ROOF DRAINS-RAINLEADERS � EXHAUST FAN --� <br /> SINK(SERVICE-BAR,ETC.) ; —~_ <br /> � <br /> ' <br /> � ; <br /> i i <br /> _.__r_ <br /> � SUB TOTAL 5 ; SUB TOTAL $ ' <br /> . PERMIT $ � PERM'T S � <br /> TOTALFEE $ ' TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> FHONTSETBRCR RE�flSETBACK SI�ESElO�CN PL�NCIIECNNUMOER fEF RGCEIP7N0. <br /> .�G� /1 �'Ju b2 G 3.3 s7 <br /> OSE ZONE �ot nnE� vncar+t sne FEES VALUA ON FEE <br /> BUILDING � 2 i� <br /> ttPEOifAN(S.ALLOWABtC lYPEOFCONSi.AC1UAl n�suru�:i in�ronMiimaiwi�s � <br /> 'rf'�' � � _I � �i° � �� PLUMAING "�'� <br /> 'Y _�._'—_ <br /> SREOFBlD6. NO.OFSTORIES BASEMENT MECHANICAL ---�— <br /> � t� �l II,b ---'-- <br /> OCCUP,AN^C LO�D FIRE�JS�P-`RNKLERSPEO'0 HEIGHTLIMI�QKKJ ADDITIONALPLANCHECK � <br /> N (Y!'� SPRINKLER �� �(/U <br /> REASONfO(iSPRNJNLEf15 --"-"-� — �-�-"- <br /> ����i�j STATEBUILOWGSUfiCIlAf1GE � i�D <br /> INTAI(EBY PL�NSAPPROVEDBY CITYOFEVERETT PUBLICWORKS � <br /> LOCAL SALES <br /> 7 / 2 JM TAX CODE IS 3105 TOTAL � l � <br />