Laserfiche WebLink
/ <br /> RECtivcv <br /> o�,��u•�t <br /> FEB �� �°�PPLICATION r'OR CONSTRUCTIO.� PERM�T � <br /> iryk�SY��kf'�� E`�� TO BE COMPLETED IN INK—PLEASE PRINT <br /> f:IIYUV — ---� <br /> everett HEATING SYSTEM ❑GAS U ELFCTRIC U ___ <br /> �UILDING DEPARTMENT <br /> 259-8810 SIGN <br /> DEMOLITION COMBINATION � ' �UILDING �Q MECHANICAL ' PLUMBING __ <br /> CIIY PNCtIL <br /> Mu�.AOUNf55 /� /-� Z�P � <br /> �,v�,i�. �iPnPir2� �l Fi1ff r �I��y� �u�� �1�,,'l-����f�� ��'L('(r l=�' - „��C`l, <br /> c� <br /> I[4ANl � . . 1A�ILPDD�iE55� � ^ QfY 21P rr )/� <br /> � P ro ��A^l� I��'' ic«� 1'a��n � I 33L� f�cx-�Q.it;ller ����t� _ Ic���' �, t�lp. ;_�._� ,�o�r <br /> (a � � CITY -�P <br /> �HCHITELT OA�ESiGNEfi MRII�DO SS <br /> YJ <br /> b H N C�TY ZiP PNOHE UCENS[• <br /> t�i q GEN[RALCONfP�CTOR MAiL�DDRE55� _ � <br /> HL F+ ��r���� <br /> K t] � MECII`NiC�I�OMiR�C1�R M�ILROOItE55 <br /> dLV 71P PNONE IICENSE• <br /> � y ro _ �if � �"v , �r�c��P�Pry� 7('R 5 ���t'' cd. ?4cu'N+r� ��vr� � !�'4oy_ i iL�9'I5Y fJ„ `";tV,27 k <br /> y � � PWMOINGCON fi�CTOR IAAILA00FE5 <br /> CITY ZIP PNONE 4LENSE/ <br /> a <br /> f`"°""::`�� I � WOODSTOVFJFRPLIHSERT _, BUILDINGRELOCATION <br /> H � p ', NEW �� ��ODIiION X ALTERATION ! REPAIR I I OEMOLITION <br /> � , �� CONT�CT PEPSON AND PNONE NO <br /> I/I/ � <br /> b �] � CONIR�GT PiitCE OF WOAN �1 `1^ / __ <br /> `~ � DCSCRIEE WO N�ND SOURRE 1 OOIRGE INVOLVED <br /> y H � <br /> � ta _t L .C.=- - i- �� . <br /> d y PROPOSEO 5@9OiOUiI iHc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � � trtl � ' �I(C�� . 'LW ___ _ �PPLICATION AND KNOW THE SAME TO BE TRUE AIJD CORRECT.ALL <br /> � y y PROVISIONS Of- LAWS ANO OROII:ANCES GOVERNING THIS TYPE OF <br /> N O N �muoescniPnor+oF Ui'E�TYI`�'�NNO'.��W�RATi�G11POURCOPIE51 y.�ORK WILL BE COMPLETED WI7H WHETHER SPECIFIED HEREIN OR <br /> iar oux:n _ � _- NOT. TH[ GFANTING Oi- A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PP�VISIpNS �F ANY <br /> � �. ,-,In.��. _� Q OTHER STATE OR LOCAL'.AW REGULATING ��.nJSTRU�Ti�N CR THE <br /> ��' � T � J ` PERFORMANCE OF CONSI flUCTION.THHT�Ah1 AUTI'JFIZED BV THE <br /> [/ / �, OWNER OF THIS PROPERTY TO PERFORN THE '.':JRK FOR WIIICH <br /> �}IOGI(. Z /�+ ,-�'� • ul�} I'�, qpPLICATION IS MADE AND I COMF:� W�TH THE STATE <br /> CONTRACTORS LAW 1027 RCW AND 296200�'dAC. <br /> �I(� 7 �'� '� �V � / ' � _�L sien��ua�orcer+m�croau��nurHowzEOACEr+r o.r� n.n_ a�� <br /> > <br /> I 33�� �'`oc I�e 1 r �� e, �e r 11 '� �A• X�_"%�%s�� .—%��r=7 j�/ — <br /> Pf1UJCLiAD�j�P[55 � 1 '` �yp����NISG1Y0U5�NE55UCEN5ENO�HUBUSitiF:SN�M! <br /> G J 7� A �l.�T.[ �5V <br /> PLUMBING MECHANICAL <br /> i��.��, ryp, TVPE OF FIXTURE OR ITEM FEE N�- q�C-NHNDLG O TS UH M ENT FEE <br /> L_ WATER CLOSET(TOILET� <br /> FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> DATHiUB ; <br /> 1 LAVATJRY(WASH BASIN) UNIT HEATERS-B.T.LL M �_ <br /> I �,_ SHOWER ' CLOTHES URVERS <br /> I ' ' _ HITCHEN SINK 8 DISP _ VENTILATION FAN <br /> _ n n..;/;c�nnn _ <br /> n�c�.nuncurc7 _ <br /> , --�—=�-' '---' WATER HEATER <br /> LAUNDRV TRAY WOOD STOVE ' <br /> � CLOTHES WASHER -- - �- <br /> METAL FIREPLACE 8 CHIMNEY <br /> 1 _ U�71NAL ' <br /> � GRINKING FOUNTAIN FIREPLACE INSEFiT ;_ <br /> FLOOR DRAIN <br /> H6.T PUMP <br /> BACKFLOW PHEVENTFRS GAS PIPING <br /> fs�� - EXH�UST FAN <br /> ' ROOF ORAINS-R�INLEADEFS <br /> �� SINK(SERVICE-��R,ETC.) <br /> !1—' . — __ _ --� <br /> SUB TOTAL $ SUB TOTAL $ <br /> � — PERMI� S PERMIT 5 _ <br /> � t� TOTAL FEE $ TOTAL FEE S <br /> \�� _—_ -. <br /> FOR OFFICE USE ONLY: neccirr r+o <br /> fRONiS[lO�CN NE�RSETOAGK SIpESETp�CK PUNCIIECKNUMOER FCE <br /> ? 73/ S <br /> USE lONL <br /> �orenu VAC�NTSIIE FEES VALUATION fEE <br /> �UILDING - <br /> 1��'(04GONI5 A��OWPNIE 1VV(Of[ONSI�G1UAl rcfpapn �dDwLLOMcuxnS ; <br /> PLUMBINIi _ _�,�_ <br /> Silt Of OIDG N0�OF SiORiES OASBM[NT MEGHANILAL J� <br /> OCCUP�NLVLO�� FlRES�qNNlER5RE00 HEIGI/7UTAILRPON <br /> ADDIiIONAL PLAN LHECK <br /> OTMLR �_ <br /> RLASONFORSPRINXlERS i <br /> STA7E DUILDING SURCHANGL <br /> iHuxc ur ^vuNs nrrrwven or CITY OF EVERETT PU�LIC WORKS � <br /> G� 7�RI�I.7— �OCAL SRLES �— <br /> TA7(CODE IS 3105 retn� <br />