Laserfiche WebLink
A�PPLICATIO�`` FOR CONSTRUCTI�N PERMIT � <br /> • TO BE COMPLETED IN BLACK INM.—PLEASE PRIN� <br /> BUILDING DEPARTMENT HEATING SYSTEM� �AS J ELECTRIC J _ l <br /> 259-Bd10 �� <br /> DEMOLITION COMBINATION �BUILDING �ECHANICAL yPLUMBING SIGN <br /> <nw�tn uniiaoon[ss cair �m ����,�yp — _ <br /> ���R�'—�a�/�9Qo9-.�3����1�y�.�w�.1�A��Q 1 ��s�?o -- <br /> ILNqNI MNlqppnFss crtv � I�r rnOqf <br /> CRf�iYEsD��s��N.��A!oJos K�v�,�����P�.-11��yTJ,/.----ss�-�9s'y <br /> %'1J'��L'�sTly� /.�a Qox/B�oZyE1 �/,e 9�oy1��9iso MId�i1�s"�yH <br /> .EHCRptfON1RA(]Oq A�Ai� �nppF55 Ciiv � tir P��pNF SiAtEIICFNSE/ <br /> ���1I_011C�f,�rNG �?601��/S,T S.4J G�nl'�omP/W L19d"a?' 9 S-.?9 c Ho,P!=�X'/39 O!� <br /> ECM4MCAI,,GON�iR�CipR I.IAll4DORf.95 Cltv ZIP PNOMC 514ELICENSE• <br /> 'r�,u��nn�c�N���V�b/�.n///��lsN�R_��y�v �✓��.76 w�o�-7L��icr��X�O� � <br /> c�uiqnc�anir.e or wo�K - <br /> '��GO Q0O <br /> 0�Sf RiPE�0�'K 4ND SGl1+N5 FpOiAGE INVOIVED CONiRC 1 1'E RSON AND PMON[NO <br /> �U[1b�9.1SS3 s�:f_L�si������ ��� A�v�E�so�v - a� yai-9r.� <br /> R�S�p�NGG - V0. �U �i I HLREBV CEFTIFV THAT I HAVE RFAD AND EXAMINED iFl!5 <br /> ❑nono��.;nuse ni�euaoiNa APPLICATION AND HNOW THE SAME TO BE TRUE AND COF(iECT.ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVEFiNING THIS TVPE OF <br /> iccni nescr�mnuNorpqorea^ �sNow�ieEiowonannunwoqGo,wEsQ� 7 WORK WILL BE COMPLETED WITH WHEIHER SPECIFIED HEREIN OR <br /> �— e�cee - o� S�#�_J�.7_ NOT. THE GFANTING OF A PFR611T DOES NOT PRESUME TO GIVE <br /> LO1A� �/� t �^ o AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> �f[__rJlF SF_Iy ID�.s.LC�Y-/•�v OTHER STAiE OR LOCAL LAW FiEGULATING CONSTRUCTION OR THE <br /> � - PERFORAIANCE OF CONSTRUCTION, THAT 1 AM AUTHORIZED BV iHE <br /> A�� p3—L/tl� � _/�(— _ OWNER OF THIS PROPERiY TO PERFORM THE WORK FOP WHICH <br /> �r 11 TF -�'� P., PLICATION IS MADE AND I COMPLV WITH THE STATE <br /> re�ac i.Tnxio r+ur.�nen <br /> w�' �w L_ u M�/�OQ O � CONTRACTORS LAW 10.27 RCW AND 296200 WAC. <br /> -d[ �1C��7 7 <br /> COt15if1UG?106lOANlf.N�Ffi 4DDRE55 TE/EPNONENJM81i1i �- (j�j <br /> PROJECTADDRESS �� s,..,����i���-__ -ii;;�Y��-_ <br /> �� �o� )� _�C- ��„����.,,r:�.����,,, , — - <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> �'j WATER CIOSET(TOILET) AC-A HNDLG UNITS-H.P. <br /> Q, BATHTUB --� ! FORCED AIF SVSTEMS-B.T.U. M E.A. <br /> y LAVATORV(WASH BASIN) � I UNIT MEATERS-B.T.U. M <br /> SHOWER / �LOTHESDRVER3 / <br /> _L HITCHEN SINH 8 DISP � � VENTILATION FAN <br /> DISHWASHER � � RANGE HOOD � <br /> LAUNDRYTRAY � WqTEF HEA?ER � <br /> CLOTHES WASHER / WOOD STOVC- <br /> URINAL METAL FIREPLACE (WOOD BURNING) <br /> DRINKING FOUNTAIN i FIREPLACE INSERT L-) . <br /> FLOOR DRAIN HEAT PUMP <br /> BACKfLOW PREVENTERS ; GAS PIPING <br /> RGOF DPAINS-RAINLEADERS � EXHAUST FAN /J� � <br /> SINK(SERVICE-BAfi.ETGI ' _` <br /> � <br /> — �j_��- <br /> - - �.`"y_� <br /> SUB TOiAI $ SUB TOTAL $ <br /> PERMIT $ PERMIT $ <br /> TOTALFEE $ 70TAL FEE S <br /> FOR OFFICE USE ONLY: <br /> �RONiSELqA�;M RFRRSFiB�CK i�OESEIB��M PtnNCHECKNiIMHhR �Ff I�tCPPINO <br /> :�'' ?a ' S '� y �. 3 5 � „ <br /> usv ror �or nnen wcnNr sre FEES VALUATION FEE <br /> �� �J' / VES NU <br /> _' _`a'� — NUILDING �L� 2`�. . - ! �J_ /� <br /> �m[nrt��Hsi Noorsronies ��r��.�.�� nor,i*nn��w.�r,�. ______ _ -______ ____�_--. __.. LL n L <br /> -� 'L �'n„���3 PLUMAING �Ki _. <br /> S�I[j_ �N —� <br /> )f,By�G fiRF SPRINrcLERS(11i0'D PRSF.MFNI <br /> sa3 Sf T � MECHANICAL <br /> 40o S G�t vEs � --- -- �— <br /> ocCUP�.NCvl00 FinEq�pqMREOn HEi,HiliMnnnoJu ADOIiIONhLPLANCH[CK ,,,r <br /> � N'7 . Z�-- OTHER __ ///I�.iT��l - - _ __-��L.'r. . <br /> ��fnsoN - - ��/1 <br /> STAiE BUllf]WG SUqCH4RG[ � �� <br /> _ _. - __- _ . ._ _ _ -- -_-_— — <br /> wrn.i �� rin��s nrrn�wr pnv CITY OF EVERETT PU811C WORKS J� <br /> J 1�� LOCAL SALES <br /> o�,F cJ����c, TAR CODE IS 3105 TOTRL � <br />