Laserfiche WebLink
1�� Ernpresn <br />LITY OF <br />everett <br />BUILDING DEPAfiTMENI' <br />259•8745 <br />'���'APPLICATlCJ�N Fl:`��R <br />CONSTRUCTION <br />PERMIT <br />TO BE COMPLE'fED IN INK- PLEASE PRINT <br />evcrell <br />e <br />❑ DEMOLITION ❑ COMDINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNE11 RUtLA0Df1[55 CITY ZIP PIIONE <br />bie��za`�,1J �w�ti�uS A`;f...t�cu�TL--S tltC��112E��-'lA Sf-_-saii� zlo -;;��11� ��-"� `�IUS • 7_23 `!'1Efv <br />�RCIIItEQ0110E51pNEP MRILRD�ItE55 CIiY ZiP IIONE <br />� <br />MECHANiG: CONIMLiOq <br />ym <br />CIIV <br />rn� <br />13 <br />PIION[ <br />PLU�BINOCO��1�ACfOR M11�ADDRE55 CITY 21P PIIONE �ICEIiSE� <br />CLASS OF WOBN <br />� NEIl ❑ ADOITIOt� ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOOOSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />werwn oF woaK icosr ov Mnremais r�us ueon� <br />I5, 000 <br />DE5cRI11EwCnK � <br />, USEOfpUIIDING <br />� <br />lE� A OESC�IPLION OF PROPERfY�SNOW:I pELOW Od AItPCII GOUR C <br />LOi_OLOCIL_OF <br />i,Ur'Z OF �l�lilf.l(D (7�CL' ��4l�1 <br />� ��=�aS1231�,0U� <br />aa�,�,� <br />. PROJFGTADOPESS <br />'��15 ��p�ei�J W!� . <br />PLUMBING <br />� NO. TYPE OF FIXTUNE <br />WA7EF CLOSET ITOILET) <br />BATHTUB <br />LFVA70RV (WASH BpSIN� <br />SHOWER <br />, KIiCHEN SINKB DISP. <br />� DISHWASHER <br />LAl1NDRV TRAY <br />' CLOTHES WASHER <br />\4ATER HEATEF <br />UflINAL <br />�RIIJKING POl1NTAIN <br />I HEREBY CERTIFY THAT I HAVE READ AND EX�MINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BETflUEAND CORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCFSGOVERNING THIS TYPE <br />Of" WORK WILL BE COMPLETED WITH WHETHER SPECIFiED HER'c• <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PFESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIOtJS OF' <br />ANY OTHER STATE OR LOCAL LA1N qEGULATING CONSTRUCTION <br />OR TI1E PEFFORMANCE OF CONSTRUCfION. <br />SIONATURE Uf CONiRACTOR OR RIJTHORI2ED AGE1l7 DATE <br />X /a/�%� <br />�PPLICPNTSCITY�USINESSLiCENSc°���k #-_oiQ�a3 <br />COND. <br />VENTILATION <br />EA. <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSOMNEL <br />, vnor+rsernacK <br />Q <br />USEZONE <br />1 ^w / <br />V <br />TYPE Of CONSi <br />. �•� <br />srze or n�oc <br />�, �� %GY' <br />, FIRE SPRINKLER: <br />� APPLICRiIONACC.OT <br />W;,� , <br />� V <br />107RIlEA .fi yp�pryTSItE <br />� !� �� pYES�ND <br />OLCUPRHCYGROUP NO.OF�W[LLINO❑ <br />S-2 �- <br />PLFNS CIIECKEO �Y <br />. /W <br />RPVR. �OR IS.LIA:!( <br />i � <br />O ! <br />FEES <br />ew�owc� <br />r�un+eiNa <br />MECHANICA� <br />OTHER <br />PENALTY <br />TOTAL <br />��1�� <br />I� <br />G�`.� - <br />FEE /O� �� �ECEInrNo. � <br />VAIUATION FEE <br />�� <br />l�'ti � N/�/�_ !c- '���.: <br />