Laserfiche WebLink
Q►PP(�I,G�T90. d ��R ��fN�Z'RIJ�T► .�� �`���wi7��' ��� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT I <br /> HEATING SYSTEM J GAS 'J ELECTRIC !J_____ _----- _— � ��I <br /> BUILDING DEPARTMENT � <br /> 259-E810 � <br /> y o � DEMOLITION Y COP.981NATION BUILDING MECHANICAL PLU�dBING SIGN <br /> oc:r:ca unanooa�s> crtv •iv r��or�e �7 1 <br /> iD '.�7x �_. , 4� � � ' �1. , 17C�� G1 '. ��.��1��F��1 l��;l J '���'_JJ17 �� <br /> C, I--1 ,�ier�n��r � �� i�Ae.s � cirr zia ai�or+e � <br /> > H m .�� �� �: t - - '� ( ��� - _- - C �I ��1 _�J:J�� _ � � <br /> y !C{� l <br /> �'"� C � �nCHIiECi<FOE.iGNER �411��DP-55 �� �J� � ZiP 1 P�����E � <br /> H z F-+ �;,�,, �,� � �, rJ. tYs'fi. �L2`c�` �'z����;�-�=��Z�C�� � �-�T�-11�— <br /> ��— <br /> � x Q cc�cna�com qrcroa +ni�nooaEss cir � zir ai+or+e srnreuceusea j ��, <br /> '� � H - � 'v . �l2'Y'� C� e �r�,¢�'���'' � � ��L�����'�— <br /> �� - <br /> , <br /> F3z � ..CC��n4iC�LC NiRAGTOR FI�iL�DDR[55 – CiTY ZiP PHONE SiATEIIGENSEp � <br /> � O �__ I <br /> � H b PiuMBINGCONTRAGTOF MAiL�U�RE55 CIIY 21P PNCNE STATELIGENSLn <br /> � n d `_ <br /> H C� O �i_p550F WORK <br /> �"�V � NEW ADDITION 1 ALTERATION REPAIR DEMOLI�ION WOO�STOVEiFHPL NSERT BUILDING RFLOCATION <br /> yy �'x7 1 � � r,r�oyn'J6W�or�E r,c, I <br /> y <br /> � HH CJNT9ACTPRICEOFWORK C i� ��� �Z�� �� - <br /> bU' C�[SCRIDEWOfiK�NDS011AREFOOTrtG i"lVOLVED 1�Yj. , n /�'� �-�-7 , <br /> � t7 c~i, �'=i :j � �.��t_ur,yn `� '���������—�J I 1 I <br /> qg rr:orog-.o i uvpui�ou�c ` ,� � i HEREBV �ERTIFY THAT I HAVE PEAD AND EXAMWED THIS <br /> C�7� tr+] `S.�( I _ � . - w � APPLICATICN AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL � <br /> z �3 Cn ( '� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> F] O � L[GALDES MPiIONOFPROFE ISNO' d�GLOYlORATUCHFOURCOPiES� <br /> WORK WILL B[COMPIETED WITH WHETHER SPECIFIED HEREIN OR <br /> �ur s�ock cF NOT. THE GRANTING OF A PERIdIT DOES NOT PRESUME TO GIVF <br /> AUTHORI"i V TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> ���,i�'.�C� n�'�'_j l y� � j��_ fj��Y.���_ OTHER STATE OR LOCAL LAW REGULATIPIG CONSTRUCTION OR THE <br /> �"' ���r� � PERFURMANCE OF CONSTiIUCTlO"!.?NAT I AM AUTHORIZED BY THE <br /> OWN�R OF THIS PROPERTY TO PERFORM THE WORK FOR WNICH <br /> — APPLICATIO� IS MADE AND I C0�.1PLY WITH THE STATE I <br /> ON RACTORS LAW 1827 RCW AND 296,200 WAG. � <br /> j�, i /, �`q}q` / <br /> ' � C - . J X .� - `` �,.>: V f��� <br /> rr�o,iecrnoor�[ss�� � ��Q,� "_" � _ � � <br /> ) f(c'� <br /> PLU1d81NG MECHA �AL � <br /> / � NO. TYPE OF FIXTURE Ofl ITEM FEE NO. TYPE OF EQUIPMENT FEE I <br /> I �� A C—A FINDLG UNITS—H.P. ' � <br /> - ' 1 WATER CLOSET�TOIL[T� _ _ _ <br /> � BATHTUB � FORCED AIR SYSTEMS—B.TU. 61 E.A. <br /> , LAVATORY(VJASH BASIN) /� UNIT HEATERS—B.T.U. M ' <br /> I) ,�_ SHOWLR j CLOTHES DRYEFS . � i <br /> � KITCHEN SINK 8 DISP / VENTILATION FAN <br /> ��'�' �ISH WASHER / RANGE HOOD —r— <br /> � LAUNDRV TRAV � WATER HFATER <br /> � CLOTHES WASHER WOODSTOVE /� <br /> . UHINAL METAL FIREPLACE&CHIMNEY�' <br /> ��� �� DRiNKING FOUN'iAIN � i FIREPLAGE iNSERT � � <br /> —T— <br /> FLOOR DRAIN � HEAT PUMP / <br /> BACKFLOW PREVE 5 RS GAS PIPING � �� <br /> '`y� _ ROOFORAINS—RAWLEADERS _ EXHAU,�'.TF�.�J , <br /> � SINK(SER'JICE�BAR,ETG) <br /> � S <br /> /� ---�-- '. <br /> — / —— <br /> � �0 I - -- / — <br /> � SUB TOTAL S SUB TOTAL 5 � <br /> � PERMIT S PERMIT 5 � <br /> i ' ��' TOTAL FEE S TOTAL FEE S �— � <br /> � FOR OFFICE USE ONLY: _ __ <br /> ' iRONiSEl�A6K REARSEiDAGK SIDFSE1pAGH PIAHCI�ECKIlIlIAf3El1 FE[ NtCPPiNO <br /> �j�. L/�� �� 1 <br /> usezoNe �oraaea � � vncnutsire FEES / VALUATION FEE � � <br /> uui�oiNc _ �rj C;�'=C L' — — ��%1`-, I <br /> ivrLaFcoqiS.allm9AOLE 1vaEofcall9aClunl a.::Acr r,oa�oy�.-'••^' PWtd�ING — --- I <br /> �vo GNA��� — -- _ �� ----{— <br /> SiZEOFOLOG NOOFSTORIES �AS[61Et1� h7ECHANICAL <br /> NU GL{�A,'(G��> <br /> nCCIIPANCVLOAD — 1 FIR[SPFfJKIERSRF:OD NEiGHTLi6liiAilON ADDITIONALPLANCHECK i <br />' __ �, SPRINkLEF _ __ __'_ I <br /> REASONfORSPRIN eR5 � <br /> STATE f3UItDING SURCHARGE � S �' <br /> :ri�nk=or a�nnsnrrnoveoo� CITYOFEVERETT pu�uc�vonKs <br /> LOCALSALES <br /> �1, � . � TAX CCOE IS 3105 TaTA� �7 5'I 5 ' <br /> '-i,`r' 'JM _ <br />