Laserfiche WebLink
��� <br />1ii�x <br />C.' N <br />a�3cn <br />rz> <br />y Z r�-i <br />K n <br />H xl <br />0 r�i � <br />H y C" <br />�yd <br />��8 <br />`] V � <br />�H� <br />HH <br />g `� <br />f] C7 W <br />� � iil <br />xyti <br />�-3 O fA <br />APPLICATIC��'-! FOR CANSTRUCT <)N PERMIT �✓� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br />_ <br />� Hf-ATIMf; SVSTE t.1�� J�+�ti J GI.PCTNIG J <br />HUILDING D[Pl1RTh1[NT � - -� -� "- - � --- -� - � <br />�59�8610 <br />DEMOLITION COMBINATION BUILDING MECh4NICAL PLUMBING _ SIGN <br />--- ___ _ _ _ _ -,.:.,. <br />�� ;,�..:, . <br />�v � ��_, l� ; i � .: r.�� �,'> J � ��'�/ <br />,I�.' � l. . _(1�ti/l l' I/ i.. Y.�IL_I -1____ . __ . . __ ___ _ _ . <br />l' <br />yANi <br />�AIALAI1pqE65 [IY FP�)N6 %� <br />.'�¢]ciEC10RDE5iGNER IUiI�DLRE55 CitY ZiP PHWff <br />Zip PMON[ SIRiE LICFNS[ � � <br />.i,N[Rq.C.A1iPACiOR �AAILAOD0E55 CIiV <br />..CrUNiCALCONIRACIOP M�ILADDRE55 CRv 21V P��ONE STPiELICEN5E1 <br />MAIL AO�RE55 <br />.-ntliRACi PRIGE Of WORN <br />CRV <br />Pt SCpIBE WORN AND SOUAR� fOOIAGE INVpVE� <br />�_�.�LP CII��_L-�: �i�� �u(1�lICi � ��" i.—_ <br />' I !/�i� i <br />;' �.�,� (: <7 �i I% lt i \ I . �., ( i �C �. <' i� ( �. . <br />.._ ��,ti�, cn ��t iq.� rc� ,�, ��_ �.,rr�, T..":i <br />f_�UG��_ ht:i(A�ArD>l:� ']a(i�1_�_iY.Q� Gl��rl! F:..�l•� . <br />���+bvosec �se ov� ��on�a . , <br />���iUi�_ \'du'7.�1�� i.:.1tC��Pi�lP+- _ _,__. <br />�FaPL�ESCRIPtiOqO�PROGERI iS��OYAI2ELOWORAiteCMiIyOCOPiCq <br />,,:r e�ocr oF -- ----- <br />ic��:�.:t�tnx�orwin�en —. _.. <br />.'..usraucurn�ac.iit�r.[naoDnessteurn-�.Cm.n�[nn --'_— ' . _.. <br />PROJECT ADDRESS � ') <br />G��! %7 /'7. L�f' - �l, ; . <br />PLUMBING <br />NO. TYPE OF FI%1URE OR ITEM FEE <br />WATER CLOSE7 i TOiI E Ti <br />_—_ .__'.____ .. _ ... . . . <br />pATHTU� <br />-- ___-_.. - -. _ <br />�� LAVATORVIWASHf3A5iN� <br />SHOWER <br />�. KITCNEN SINK 8 DISP <br />i � DISHWASHER <br />LAUNDHYTRAV <br />CLOTIIES WASHER <br />�� �' URINAL <br />� � DRINKING FOUNTAIN <br />FLOOR DRAIN <br />�� f � <br />b« � <br />�11 <br />- _. __ PERA7IT <br />-- — —._..—..—. TOTAL F <br />FOR OFFICE USE ONLY; <br />— ---- _ ___ _ <br />i nr�r srrf+nr,. �it nn �.[ nu�. <br />i�tiltOrll '� _�i�qneqA <br />i�ri ortaxst �+o ov stom[s <br />�—�-�.— E�tS-�-- <br />�..�.ICOFBIDG fIR[SPqINnLEfISR[00 <br />E-�CtS��U <br />OL�UPRlCV OAO <br />_ iu a <br />ri:nsou <br />min.�n+ .____ <br />r m[ nini�ni <br />r�nr�s nnrnovei� u � <br />�� �:{ <br />, •� i,� / <br />s <br />__.___ - . ___ <br />5 _ __... :. . <br />, u ,t 41nL�.. <br />VnGNIS�i[ <br />ve3 r�o <br />�..3 �- :� . <br />AASEMLtII <br />YES NU <br />11[IGML 111.111M it .: <br />�, / n <br />CITY OF EVERETT <br />LOCAL SRLES <br />rax cooe is 3�as <br />PHON[ S1AIEl�FNSE• <br />CONtAGT PERSON AND PHONE NO <br />�. r{ER[B� CERTIFV THA7 I HAVE READ AND EX�MiKED THIS <br />,:PPLiCATION AND NNOW THE SAME TG 8E TRUE AND CORPECT. ALL <br />r ROVISIONS OF lA7JS AND OPDINANGES GOVERNING THIS iVPE UF <br />WORN NlILL BE COM1�PLETED WI7N Y�HETHER SPEGFIED HcREIN OR <br />NOT THE GRANTING OF A PEHfdiT DOES NOT PRESUIdE TO GN[ <br />AUTHORII V TO VIOLATE OR CANCEL TME PROVISIONS OF AN`/ <br />O1H[R S7ATE OR LOCAL LAVY REGULATING CONSTRUC710N 0�7 iHE <br />PERFOFl�dANCE OF CONSTRUCTION. THAT I AM qUTHORIZED BV TH[ <br />054NER OF THIS PFOPERTY TO PERFORId THE WORK FOR WHICH <br />APPLICATION �S MADE APID I COMPLV NlITH iH[ S7ATE <br />CONTRACTOFS LAW 1B 27 RCW A�D 296200 W:.0 <br />� ' / � , . ; l_ .� <br />X. � _ . .—_---"_— .1�i ... . _ _... . _ _ <br />TVPE OF EOUIPMEN7 FEE <br />„�. nIrt:ULGUNITS--HP ' <br />. . __— ____ __ —___ <br />I C;i{(;EO AIR SVSTEI75 H 1 U 1.1 E A. ._... ' _ <br />uNI1HEATEFS—B1U Id -- --'- <br />___--.___ _____.___. <br />CLOlHESDRYERS <br />�:FNTILATION FAN - �-- -- - -- � '- - <br />q,�NG[ NOOU - —__--- - — ---_ <br />;;niER HEATEA <br />:li�oD STOVF <br />1.L� IAL FIREPLACE I W�D BURNING) <br />i IiiFPLACE INSERT <br />��fAr PUMP — --- — -�— <br />i;;�tiPIPING — ----_---- <br />��r1iAUSTFAN ______ --- — <br />. � _-- _. _�_ _ <br />__ PERMIT —' $ — <br />__—.. —_ .--�__ _ <br />ipTAL FrE S . <br />� � � � , ., .,.,., �. � u i <br />li r .�:) <br />FEES vw��wiiun htt <br />uuu u�wc �'jC0 '�t� �7 '� <br />� _ � <br />ri ur.�muc ; <br />1.�1 CIIANICAL �� <br />__�—"_._ . . ...__ ._. _____"—__ i .._. <br />AI'I�IIIONAL P�AN GHCCK <br />-- <br />nno-i� <br />biAlf IlUIL01NG5U��CHAR(lL __ <br />� ruouc r�or�Ks <br />TOTAL — <br />-- _ _ <br />_ � - <br />_-__.—_ _-... . _ L— ) / <br />/ �� � f,—, <br />