Laserfiche WebLink
�_ <br />. .PPLICATION FO� . <br />1�� Erup,�sn C O N Si R U C T I d N <br />CIfY OF <br />e��;,� et�: P�aMIT <br />BUILDING DC-PARTM[NT <br />25S•F3745 TO BE COMPLETED IN INK- PLEASE PRINT <br />everetl <br />� <br />❑ DEMOLITIC�h' ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />o�vuin h1411A0011E$5 cirv zir rnoi+e <br />St. Vincen� De Paul 6430 Oroadway Everett 90203 355-35U5 <br />,nr.nn�r.i on uesia+[n rnnu nnmmss cirv zi�� ruom. <br />(iCNCRAL WNIBACIO� n � IdAIL TpORE55 „ CITY LIP i'uONL IICLNSL � <br />�Y U�.J:f•�; L.Jc Intr,_ .� ., ,� <br />raiaw+ir.a Comnacin�7 uni�annncss Citt zu� rnni�t uCF�+x[. <br />YLIII.IUVIIi CUNIfIiC. <br />I.IAIL <br />cnv zn� <br />CLA$S UI lVIl1iN <br />❑ NELY ❑ ADDITION � ALTERATION ❑ REPAIR ❑ �[MOLITION ❑ WOODS'iOVE/�FiPL.INS[RT <br />VAl11AIiPN OI' WONF ICG51 OI 1.1AIC qI:.LS �LUS LAB0�1 <br />ttsuo,�o <br />OCtiC11pIL WJ(In _ <br />remove walls <br />inr or ovn o�rm <br />❑ �UILOING REIOCATIOfI <br />r�'ta 11 1 HER[BY CERTIF1' THA7 I NAVC- f1EAD AND EXAMINED TIiIS �P• <br />PLICATIONANDKNOWTIIESAMETOBETRUEANDCORRECT �LL <br />� tG>l nE5[�irtiON o� <br />i m _ owc�—u.-- <br />6SUD Evergrean Vla <br />�'ROJLCi <0[1RF55 <br />6500 Evergreen Ulay <br />PLUMBING <br />NO. TYPE OF Fi%TUf <br />l'lATEF CLOSET �TOILEn <br />�ATHTUO <br />LAVATOfiY (�YASH BASIN� <br />SHOWEfl <br />KITCHEN SINK 8 DISP. <br />DISH\'JASNER <br />LAl1NDRV TRAY <br />CLO�IIES WASHGR <br />IVATEIi HEATER <br />URINAL <br />ORiNKING FOUNTAIN <br />FLOOR �FAI11 <br />VACWId BREAHERS' <br />ROOF Of7A�1�5—HAINLEADERS <br />SRJK�SERVICE—BaR,ETC.I <br />11}E LONL <br />N•9 • <br />� N <br />�u: [ ur� m na <br />N. � <br />oaar�ac��vouncociEs� PROVISIONSOFLAWS�NDORDINANCESGOVERNINGTHISTYPE <br />OF WORK IYILL BE COMPL6TED WIThI WHETHER SPECIFIED I1ERE� <br />IN OR NOT. THF GRANTW G OF A PER2,71T DOES NOT PRESUMC- TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS GF <br />ANY OTHER STATE OR LOCAL LAIN fiEGULATING CONSTRUCTION <br />OR THE PERFORIAANCE OF CONSTRUCTION. <br />SIGNATUREOFCONifiACTGfiORAU7110RIZEf1AGENT OAiE <br />jfJ f / <br />X �� ✓'�/r: _.�..C.Ji ���'�/ �i.. <br />FIRED <br />UNITS—II <br />T.U. M <br />PERMIT 5' ' — <br />TOTALFEE S TOTALFEE S <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />NEAHSE�BACH� SIOESEIOACN PLRNCH[GNNU1.10EP 1'la��GUFGNi[E <br />.��•�4 �da�iuti -�y: Ifv <br />•,rJ� <br />N •A-- <br />�UPARNf.Y GR( <br />//� � <br />Of SfORIES <br />z <br />]�IECN[D OY <br />�� <br />VACANTSITE <br />ores yi+o <br />NO.OFOWEU <br />� <br />C <br />��� ner.[�nn�o <br />FEES VALUATIO�� fE[ <br />rs <br />oui�oir+c s <br />PLUMBING <br />IAECH4NICAL <br />OTHEF <br />PGNALTY <br />OY <br />TOTAL <br />