Laserfiche WebLink
1 <br />FROH: EVERETT UTILITY SERVICE TO: 6535011 9C 18r 1991 1:57PM P.02 <br />bs APPLICATION FOR CONSTRUCTION PERMIT everLtt <br />the 17vgrgro0n TO BE COMPLETED IN INK —PLEASE PRINT <br />CITY Of r i 1 <br />ever eti - HEATING SYSTEM: U GAS ❑ELECTRIC Q _ -� <br />BUILDING DEPARTMENT — <br />259-8010 <br />f I DEMOLITION COMBINATION I BUILDING <br />owl lf MAIL ADDIILbs CItY_ <br />IENANI I WAIL AVL14Ll5 1 ❑IT <br />AFCNIIEUf Oq DESIGNER 1.1All ADURE65 CITY <br />OENCRAL CONTRAC7OR <br />ary <br />PLUMBING CONTRACIOR MAIL AUDRFRc------- --- l'ITV <br />C',l $ U IUIIK �- <br />NE L j AUUIfION f I ALTEIAATION i i HF'FAIII L.1 DEMOLITION <br />CONTRACT PRICE OF W'.NIK <br />DEBCnIPE WOW AND SOVARG FOOTAGE INvOLVF.D Ua L' /; <br />L_I MECHANICAL MPLUBING SIG <br />Zln _/—�_—___ pI•K7�N7E •_— IN / <br />zip <br />PHONE UCENSE11 <br />- 926 v <Y-;-/�T — <br />5Ssl 95 <br />Ll',ZNSE r <br />LI WOOOS70VE;FRPL INSERT 7 BUILDING RELOCATION <br />/_,O1 pE' COIltACTPERSUNANDPIIONCNO <br />PROPOSCDlr.GOFR DINO I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />I EDAL DE6ORIP110N Or PROPGRTY (BHD'WN BELU! <br />LOI BLOCK Ur <br />OM ATTACI I <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />At ITunRITV Tn Vln! ATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />---f=3t "-------- <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION I' MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAY. i.27 RCW AND 296.200 WAC. <br />b1nNATURF�OF CONTRACT R 01 AUTHOnIZED AGENT DATE <br />rnOJECT ADUNFSY <br />-- —~ ��— <br />WUC'AN{R CI TYBUSINBE K:E c 0 AND BUSINESS NAME <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE. OR ITEM <br />_ <br />FEE <br />NO, <br />TYPE OF EOUIPMENT <br />FEE <br />_ <br />WATER CLOSET (TOILET) — <br />----i <br />AIC-A/HNDLG UNITS-H P. <br />BATHTUB <br />-'---..._--- T- <br />I <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />- --- <br />; <br />—... <br />LAVATORY --'-'-------'------- <br />(WASH BASIN) <br />UNIT HEATERS-B.T.U. M-�_ <br />I <br />----- <br />GLpTHES DRYEliS <br />-VN—TIL—ATI67N FINKITCHEIJ ----- <br />_RA�NGE <br />' <br />-----r' — <br />SHOWER <br />SNK G GISP <br />'----•- <br />-_-_-__ <br />HOODDISHWASHER <br />LAUNDRY TRAY <br />;_ <br />WATER HEATER <br />' <br />_ _ <br />- <br />CLOTHES�WASHER <br />1 <br />I <br />WOOD STOVE <br />__ <br />URINAL <br />__ <br />METAL FIREPLACE G CHIMNEY <br />; <br />__ <br />_ <br />ORIIJKINO FOUNTAIN <br />---� <br />^— <br />FIREPLACE INSERT <br />' <br />�- <br />-��— <br />FLOOR DRAIN <br />---�— <br />HEAT PUMP <br />-..--' <br />_ <br />BACKFLOW PREVENTERS_ <br />_ <br />GAS PIPING <br />_ <br />ROOF DRAINS-RAINLEADERS_____ <br />_ _ _ <br />I <br />EXHAUST FAN <br />_ I <br />SINK (SERVICE -BAR, ETC.) <br />_ <br />I <br />_ <br />I <br />' <br />SUB70TAL b <br />—_--- <br />i <br />— — <br />- — <br />SUBTOTAL S <br />— <br />— <br />PERMIT g <br />T—_ <br />PPERMITS <br />_ <br />— TOTAL FEE_E <br />�- <br />TOTAL FEE b <br />' <br />FOR OFFICE USE ONLY: <br />FR(5J160 BA":K NEAR SETBACK <br />'OT, to, <br />USE ZONE N1504 <br />IYPI Of CONIS ALLOWABLE TYPE OF COOSI ACID <br />61ZE DE BLDG. I NO. OF STOPIF6 <br />OCCUPANCYLOAU <br />6PHINKLERS <br />FIRE 6PRNY.LERS REO D <br />S`_TBACK <br />0.V LM1aL'Y4 UY 1E <br />-— <br />INTAKE BY <br />PLA0.P <br />NS PgOVEO DY <br />f f: <br />CIlY OVERETi <br />LOCAL SALES <br />LAX CODE IS 3105 <br />1MOGn FEE RECEIPT NE <br />s3 1 7,� <br />BUILDING <br />PLUMBING <br />) _ <br />MECHANICAL <br />' <br />ADDITIONAL PLAN CHECK <br />3(J ! ai <br />OTHER <br />STATE BUILDING SURCHARGE <br />'J V <br />PUBLIC WORKS <br />TOTAL <br />/ J / <br />