Laserfiche WebLink
FROMIEVERETT BUILDING DEPT TOT 2066433475 TM'i 171 1992 2:13PM 11412 P.02 <br /> APPLICATIO14 FOR CONSTRUCTION PERMIT <br /> TO BE COMPLETED IN B!-ACK INK-PLEASE PRINT �rr- <br /> BUILDING DEPARTMENT HEATING SYSTEM; GA° U ELECTRIC IJ i l <br /> 259.8810 <br /> I I DEMOLITION I I COMBINATION BUILDING <br /> OWNEN --- .rtY 11MECHANICAL _ I IPLUMBING I I SIGN <br /> 4UR ACDRCdf EIP <br /> CITY <br /> PHONk <br /> Jcnci. /Main 9s'yo7�a;x , � i �- 3 <br /> if NA4t NAR ADOnc.ss dS.LA' O_ �e /Grz �3� <br /> PIIpNE <br /> AR,HITFCT OHUESIUNc❑ NAIL WuXe" cur — <br /> r�A?' _ aJ ZIP nlcuc <br /> OEH MI COMPACTOn MAM1 ADDRCff CITY <br /> r <br /> aIIP PNO/JE SUTf I ICEHtcI <br /> _ S /1LJi E e <br /> NfCMANNK Cd1IDACTCR MAIL AUVRESN " —tet CW T.S,2lQ (LE <br /> CITY ZIP rXONf 51ATE LICCNSF.A <br /> PLUNtlwC CU'TMCTOR MAIL ALORCes CITY <br /> IIP PXONC BTAIC LICCHsrt —" <br /> d Asl Or wonK _ <br /> VNc4,EW /I I ADDITION I I ALTERATION I I REPAIR I I DEMOLITION - I I WOODSTOVE/FRPL INSERT I I BUILDING RELOCATION <br /> CONTA TPEgfONAND PT1GHFy0. <br /> Gcsr RA(•1 PRICY UP WOnN /� <br /> /V U' _(mac�y-rC/ l��- a 3�-3 <br /> OCSf.ROi WOgR AHU So11411[EODTACC 4Yd VFP/ '• ' <br /> P X C'PO.cO Vs[w DOq nw, <br /> Az'C�•� /J I HEREBY CERTIFY THAT I HA <br /> VE READ AND EXAMINED THIS <br /> _ APPLICATION AND KNOW THE SAME TO DE TRUE AND CORRECT.ALL <br /> LEOALu ClurnuH Or rBpP:Nry OWN BELOW Un ATTACH POUR aPIESI PROVISIONS OF LAWS AND ORDINANC<S GOVERNING THIS TYPE OF <br /> 1nT_ /oZ_. eLaN p9 WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ✓ -• NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> +�- OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> �J <br /> PERFORMANCE OF CONSTRUCIION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> -' APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> �P S� <br /> CONTRACTORS LAW 10.27 ROW AND 296.200 WAC. <br /> Ph��pJk��p��l�/�D��DIICSi�� 4MIVI1- �• �1N 3— <br /> —s1LZ= <br /> PLUMBING CIIYY13Iw/Ffllr./HIr MO. <br /> MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT <br /> WATER CLOSET(TOILET) <br /> ' <br /> A1C•-AIHNDLG UNITS-H.P <br /> _ /'/ FEE <br /> . —T- <br /> BATHIUB / 77— I FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) M// i <br /> SHOWER UNIT HEATERS-O.T.U. M <br /> _ / �- -'-'--- DRYERS ' <br /> ' CLOTHES '- <br /> / KITCHEN SINK d DISP I ' <br /> 1 VENTILATION F„N — <br /> _ DISHWASHER ”- �" ' <br /> LAUNDRY TRAYI RANGE HOOD _ - —r- <br /> T- ! WATER HEATER <br /> CLOTHES WASHER '_ WOOD STOVE ' <br /> URINAL. _ - METAL FIREPLACE d CHIMNEY <br /> DRINKING FOUNTARJ <br /> FLOOR ORAIFIREPLACE INSERT <br /> N "" - <br /> T -" <br /> BACKFLOIY PREVENTERS HEAPUMP - . <br /> I GAS PIPING <br /> ROOF DRAINS-RAINLEADEFS I EXHAUST FAN 'i' 'T- <br /> SINK(SERVICE-DAR, <br /> _ I <br /> I • <br /> tC ✓ <br /> _. SUB TOTAL S ' SUB TOTAL S <br /> ._. PERMIT PERMIT 5 <br /> TOTAL FEE $ r TOTAL FEE $ <br /> I <br /> OR OFFICE USE ONLY: <br /> 'ZNT•r TAAC nCAR SCIALC <br /> SIDCCCWAC rWICIICCK C� HU.AY^R �I nFCkt Hp. <br /> 'k 1.01 AXLA VACANT SITE DUFEES — ' <br /> VALUATION FEE <br /> 10 cfutL All CwAlll rrf r ,xtt.AC11HI ahlw:r unnMILDINO <br /> -IJ y_ I I2,a / PLUM6ING <br /> [ rD1M Sf f ND.rx,NTCAIFl Dns[ucNr / - •- /� - <br /> �Z ti T MFCIIANICAL 127 <br /> 7T CCA0 <br /> CuonNGY IOW Tln[fPAHrI GR6 PEOU It[K:IOLIMITATION ADDITIONAL PLAN CHECK <br /> A/o <br /> uaN ron srRlHglcRs —BPAWKLGA— I I / I _ <br /> STATE BWLDINO SURCHARGE ' <br /> KEDY A / ' <br /> rTAv: ,P7:jv (I BY CITY OF EVERE7T .• <br /> �JJLf1r LOCAL SALES PUBLIOWORKS <br /> 5/26 93 TAX CODE IS 3105 TOTAL / <br /> I c5 <br />