Laserfiche WebLink
� � � <br />!HC~a <br />, <br />K n <br />7tl <br />� � <br />�w <br />�r � <br />NC <br />� [�C <br />My <br />'Yy. N <br />C" y <br />M <br />N <br />H <br />� � <br />[�a <br />�� <br />� <br />� <br />1 <br />I �� <br />� 1 ' d�ppLICATIC�! �01; CON5TRUC�N PERMIT �� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT � <br />BUILDING DEPARTMENT <br />259-8810 <br />HEATING SYSTEM: ❑ GAS 7 ELECTRIC <br />COMBINATION BUILDING MECHANICAL <br />OWNER "'_—� MAILPD�R655 LITY ZIP ,/ PHONE <br />/'� _ li.. .... n.- .� C�i»� C,iO r.�hn n n /i i7 i i,E 1�. �%�o%/)�-/ ( <br />SIGN <br />?CNANi J MAILAO�RESi O GItV LiP rnv�.= <br />Shnyzn's �oi�7�) >J���• �1'L—�Vn��c�d 980.3L 77/ 577�/ <br />AqGHRECTOR0251GNER �aAi�A0DRE55 � � CRY ➢P PNONE <br />GENERALC'JNTAAf,TOR MMLAD�RE55 Li1Y ZIP �HONE STATELICENSE• <br />�nc� nine �'tr�Sf��QL9 �fcu 9 ,�^,',,,T^�l `��FG3(� 77/-Jr�77 �Ccai) ��[f�CKl�50�Bn <br />IdEG�AMUL LGNiPACIOR MAII A��RE55 iTV ZiP PHONE STATE UCENSE t <br />PI�".1bRJGCONIPRGTOR MAILAOOP[55 CITV 21P PHONE STA�ELIC[NS[� <br />Ez (�I,�n �u�a PO +�oX a3�3 �UnncvaDcl 980�3(0 �7�1-�5�1 �P�U�`�'/OIJfj <br />CLASS OF lVOi1M <br />. _.._ ...�,_,...� �/.����onnnn� FiFPAIR DEMOLITIO�� WOODSTOV6fRPLINSERT _ . BUILDINGRELOCATIOM <br />J� ,_ QO CONTACnT PEPSON �ND PMONE NO. v- '%[� <br />GONTRPCTPPICEOF\YORH (O`�L1/ I��(-� ���r ��-�-r���1 -_ � 'J� �7 8 ! <br />DESCBIBL VlORN AND SO�AFE VJG fAGE RrvOLVE� <br />r�roaoseouseoFow�on+c d�/ i FIEREBY CERTIFY T4AT I HAVE HtAD AND EXAMINED THIS <br />8�/1 riI 4 � C��-/i�P / Y� ll , pPP�ICATION AND KNOW THE SNME TO BE TflUE AND CORRECT. ALL <br />��ROVISIONS OF LAWS nND OFDINANCES GO\'ERNING THIS NPE OF <br />l[GRLOESCRIPTIONOFPHJPENTV�SNOWNOELOWOF�TTRLHFOURCOPIE51 h'ORK WILL BE COMPLETED WITH WHETHER SPEGFIED HEREIN OR <br />ior. eiaK __ or' I NOT. THE GRANTING OF A PERMIT DOES N0T PP.ESUME TO GIVE <br />AUTHORITV TO VIOLAT[ OR CANCEL TNE PROVISIONS OF ANY <br />OTHER STATc OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRU.TION. THAT I AM AUTNOR12E0 BY THE <br />OWNER OF THIS PROPFRTY TO PEFFORM THE WORK f-OR WHICH <br />_-- APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTFACTORS LAW 1827 RCW AND 296200 WAC. <br />LAVATORY <br />SINK <br />FOR OFFICE USE ONLY: <br />FRONT SETOACK REAR SETE�CK <br />USE20NE <br />7YPE Of LOMS ALLOV <br />SIZE OF BLDG <br />OCCUPRNCYLOAD <br />R[ASON FOR SPRII <br />1YFE Oi LOIISt RG1UPl <br />NOAF STORiES <br />FIRE SPRNKLlPS REOD <br />PlANS RPPROVtO BY <br />F"cE <br />FEE <br />SiOE <br />X l�fTYld.�C1�1�'�1�h-i /G -/C -�Io7 <br />DR�L <br />—.,,�;, �o �as�� `-1 88 <br />cuvnvs•rtssurir:rrno . <br />FORCED AIR SYSTE�dS—B.tU. <br />UNIT HEATERS—B.T.U. �v1 <br />CLOTHES URYERS <br />VENTILATION FAN <br />RANGEI100D <br />WATER HEATER _ <br />WOC'D STOVE <br />MEI,�. °IREPLACE 8 CHIMNE� <br />FIRE?�ACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />FXHAUSTFAN <br />NUMBEIi � FEE <br />BUILDING <br />IXN>�'.LI tSOOnilVN6WiR <br />�;o:v � PLUMBING <br />BaSEMEr+i MECHANICAL <br />IIEIGNTUMitnnor+ ADDITIONALPLANCHECK <br />SPRINKLER <br />STATE BUILDING SURCHARGE <br />CITY OF EVERETT PUBLIC WORKS <br />LOCALSALES <br />TAX CODEIS 3105 TOTAL <br />S <br />NO. <br />�'L � — <br />r <br />