Laserfiche WebLink
��� <br />YH <br />,ozx <br />ay� <br />rxy <br />H YH <br />� H� <br />"�+] H A7 <br />V1 H <br />z <br />� Hd <br />OH <br />H/�ng <br />y�Y �q <br />2' H 3 <br />'� y z <br />HH <br />g`� <br />H <br />C� t7 V� <br />� � CsJ <br />HO� <br />APPLICATIOk..�FO�i �ONSTRUCTI...N PEg3lIIIIT �`'"�`� ����' <br />mee�-nmreen TO BE COMPLETED IN INK—PLEASE PRINT � <br />CITV OF <br />eve rett HEATING SYSTEM: U GAS U ELECTRIC :J <br />BUILDING DEPARTMENT . <br />259-8810 <br />DEMOLITION COMBINATION BUILDING XMECHANICAL PLUMBING 51GN <br />owu[jRp J� anon��Fss a v zm �, PNONe � <br />�� 37c I,�;, O%-7LJ >� <br />/ ///I ���� �/ r <br />' j`C.(' �/�! �/ /�:j_L3�- - 7 7 � 7 �i :,i... � � J " <br />iEflnlli / h1AILADDRES� CI1V 21P PHONE <br />nPCHIiECTORDE5IGNEP MAILADOFE55 GITY ZIP �HON[ <br />� <br />GEN[R/LCONiRAGTOP 6�AiL�DDP[55 CI1V ZIP P�IONE UCENSEe <br />MECHANICAICONiR4CTOR IAAIIA�DRE55 CIiY ZIP PHONE LICENSE� M{�C,17Cf( 24`aSq <br />� 1"T� '1'11"1 OGTCpY dslG_$�{�,1 Sup77�s+ 9bldb"1503 �L'S'9j0� 80��-- <br />r�n�.�r± ��— <br />PlU1.I81NGCON1flACiOR MA�LA�DRESS GTY ZIP PHONE ��CENSE• <br />CLr1550F WORn <br />NEW �DDITION ALTERATION REPAIR <br />Gea — <br />CONTfIP^.TPI :EOFWORN 1QOO� �� <br />OESCRi�E YlORN AND SOUARE FOOTAGE iNVOLVE� <br />,�C�TO? I�AC,kMKtL� 1-k311��P_li�" _I�GL1 <br />PBOPOSEO USE OF OUiLDMG <br />L6G4L DESCRIPTI@1 OF PROPERTY �SNOWf+ PELOYJ OR ATTAGH 1"OUR COPIE51 <br />LOT OLOCK OF <br />enaecT noo�esLs <br />/���(/ (i[/�h� <br />PLUMBING J <br />N0. TYPE 01 <br />WATER CLOSET <br />BATHTUB <br />LAVATORY (WA: <br />SHOWER <br />KITCHEN SINK f <br />DISHWFSHER <br />LAUNDRYTRAY <br />CLOTHES WASh <br />URINAL <br />DRINKING FOU� <br />FLOOR DRAIN <br />BACKFLOW PRf <br />ROOF DRAINS- <br />SINK fSERVICE- <br />PERAIIT 5 <br />TOTALFEE S <br />� j FOR OFFICE USE ONLY: <br />' FfiONiSE1BACK REARS[1�dCK <br />USEZONE LOTAREA <br />1�PE0�[ONiSAlLO'1JR9lE IYPEOICONSiRC10Fl <br />512E OF 9LDG. NOAF STORIES <br />G.:CUPANCYLOr1� fIRESPRNMlERSR[ <br />RH.SO'16GR SPPINHLFRS <br />IIllANLBT PLAN AP�PRO^VELUY <br />� 1 <br />DEMOLITION WOODSTOVFJFRPL INSERT �. BUILDING RELOCATION <br />I cor�rncrPenso�+a�+oaHouerio <br />I HEREBY CERTIFY THAT I HAVE READ AND FXAMINED THIS <br />APPL!CF.TION AND KNOW THE SAl,AE TO BE TR�E AND CORRECT. ALL <br />PFiUVIS10N5 OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHEH SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO CIV� <br />AIITHURITY Tn VIOLATE OF CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATI�JG CUNSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZEO BY THE <br />OWNER OF THIS PROPERTY TO PERFORI�t THE WORK FOR WHICIi <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />SIGNATUREOFWtIT TORORAUIHORRED�GENT pAiE /� <br />X �� ��.�% j� <br />flC�8�19AL�� F-tlLl�t�__Czo�— <br />pPPUC�NTS CITY BUSW E55 UCENSE N0� A��D BUS���E55 t�Ah1E <br />NO. <br />UNIT HEATERS—B.T.U. M <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOV[ <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEl.T PUMP <br />PERMIT <br />TOTAL FEE <br />PIANCHECHNUAlOER I FEE I RECEIPiNO <br />:� / x.� J <br />V�CANT SITE FEES <br />BUILDING <br />o:curu,ev r,ao�nr.m�•.c��ms — <br />ceuuv p�UMBiNG <br />enSEMErvr �,¢CHANICAL <br />i�CiG�aw.mnrior� AODITIUNALPLANCHECK <br />OTHER <br />SiATE BUILDING SURCHARG[ <br />CI fY OF EVERETT PUBLIC WOFKS <br />LOCALSALES <br />TAX COUEIS 3705 TOTAL <br />0 <br />�j Do <br />l <br />