Laserfiche WebLink
�r� <br />9H <br />C�H <br />t-' rT>� N <br />H xH <br />FC C] <br />H 7J <br />� CHp H <br />L�7 O � <br />OHC <br />��g <br />zy� <br />� z <br />7i-+ y <br />O N <br />H <br />C� Cy N <br />� � �7 <br />H O (�i� <br />'"�� BVl'f('I� <br />AP��,I�A'T.r��l �Q!? ��Lr�,s'r�tUr�'� ��fN P�Fe!u!�T � <br />TO BE COMPLETED IN INK—PLEASE PRINT <br />in� r-� e,��ae� <br />cirv oF <br />everett <br />BU�LDING DEPARTMENT <br />�o <br />HEATING SYSTEM: U GAS ❑ ELECTRIC C.I <br />259-88 <br />DEMOLITION COMBINATION 3C BUILDING MECHANICAL PLUMBING SIGN <br />OWNER I U�ILAp�RE55 LI1Y ZIP PHONE <br />���/ u� �,,,c �-2, CVF�FTT <br />TENAqT ,� MRILA�DRE55 CITY p� �Z[I�P PIIONE � / <br />-IORCi1C� QIZ(n� `�O'J� CVC�( C�Cf1% �V�� �•1EN'TT -I,S��L�� `�CG.. :�1d%" JS'7 2- <br />ARLHITEGTORDESIGNEP MAIIADDPRE55 <br />��tY Z�p PHONE <br />./LI L R�) � C• pryONE LICENSE � <br />GC:REBALCONTPACIOR MAILADORE55 CITY =�P <br />� 1� �- -S ) `% ' <br />IdECH�NICALCONiR�GTOR IAAILAO�PE55 <br />CITV ZIP PHONE LIGENSE� <br />CITV ZIP PHONE LICENSE� <br />PWMDINGWNiRACTOR M4ILAOORE55 <br />GL455 OF WORH <br />NEW �. ADDITION �. '� ALTERATION . REPAIR �. � DEMOLITION WOODSTOVE/FFPL INSERT . BUILDING RELO <br />/ CONT/r '�T P(C�RSON PN� PHONE H/�O ^ q !� <br />MNTRAf.TPRICEOFWORHIi � JJ .�i� �� G`O\ C F �,1 1v `^'" J �`� '7��- 1 C C� � <br />OP�N�NC— �{ �vtw vcu�e{ <br />PPOPOSEO USE OF DUILDING <br />(�An/CGJl- I r�r�n./ <br />IEGAL DESCRIPTION OF PROPERTY ISHOWN OEL04 <br />LOt _ BLOGK OF <br />4C�71 <br />I:IK�Itl <br />SINK 8 <br />i�7:1a11ID <br />I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEC THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />FOUR COPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW FiEGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION �S MADE AND I COMPLY WITH THE S ATE <br />CONTRACTORS LAW 1827 RCW ANG 296.200 WAC. <br />SIGNAft1REOFCONT9ACTOROflAUiNO REOAGfVT OATE <br />X/ <br />FEE <br />NTS CIiV 61151t1GS5 LPENS� 170. /•ND �USINESS NAM1I� <br />r <br />4NIC� <br />TYPE OF EOUIYMENT <br />W'C-NHNDLG UNITS-H.P. <br />FORCED AIR S`.'STEMS-B.T.U. M E.A. <br />UNIT HEATERS-B.T.U. M <br />CLOTHES DRYERS <br />VENTILAI ION FAN <br />qANGEH000 <br />WATERHEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLFCE INSERT <br />HEAT PUMP <br />GAS PIPING <br />- SUBTOTAL 5 <br />PERMIT 5 <br />�— TOTAL FEE S � I 1 — <br />FOR OFFICE USE ONLY: <br />iPONT S[TBFCK REAR SETBACH SIDE SETDACN PLNN CHECN NlllABER fEE <br />US[ 20NE LOT AREA VPCANT SIiE FEES <br />BUILDING <br />IYPCOFWNiS.ALLOWABIE �YPEOFWNS1.ACipAL ��Gnour-v xooro�.�uunGUMs <br />PLUMBING <br />SRE CF ULDG NOAF STOBIES BFSEMENT MECNANICAL <br />AD�ITIORAL PIAN CMEGK <br />OCCUP�NGYIORD FlR[SPpNKLEfl5fiE0�0 HEiGHTIIMRAT10N _ <br />OTHER <br />REFSON FOR SPFINKLERS <br />STATE BUIIDING Sl1flCHARGE <br />imn�E ev r�n� anoveo CITY OF E9ERETT PUDLIC WORK$ <br />j LOCALSALES <br />,�V-L •, Q�, TAX CODE IS 3105 rorn� <br />� uo, oU <br />E <br />