Laserfiche WebLink
� � rTi <br />ayv+ <br />y�H <br />/C C� <br />y� <br />[sl N � <br />�i <br />� b <br />� �, g <br />y�r (� <br />'Y.H <br />H <br />gyy <br />n�y�y <br />HOV� <br />� � � <br />� <br />APPLICA7' ON FOR CONSTRUt� rION PERMIT <br />(Oe Evaigroen <br />CITV OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br />I DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING <br />..._ .______ ..�... om PHOflE <br />everett <br />e <br />SIGN <br />� i[+,� D lk>� � As-rr,,. S/ 40 �/��S/.,St.J. �I7�!)O J 9f �%�JS�_�l�?s/ <br />GENENAL CONTRRCTOR MRIL �pORE55 CITV / ZiP PHON[ LiGENSE • <br />�/IG)--- - — <br />MEGNANICALCONiRACTOR I.INLAOpHE55 CITY ZiP PHONE LICENSE• <br />PLUMBINGCONTFRCTOF l.IAILAD�R[55 CITY ZIP PMONE LICENSE� <br />ClA55OF WORK <br />. �. NEW i.�. ADDITION �. ��. ALTERATION <br />TENANTIMPROVEMENTOFINTERIORREMOOEL NI� <br />GONTRACi PRICE OF WORN: <br />� S (J <br />1 DESCRIBEWORKANUSOUAREF TFGEINVOLVED <br />� /� <br />�� �i� 6 �/%�J// — /�.n�i/�/L . <br />" PROPOSE USE OF �LDING , <br />�i � �� <br />LEGAL� GRIFTIONOFPPOPERD ISHOWNOELOWORN <br />y� i <br />`1 LOT PLO�K _____ OF _ <br />r,v <br />� <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRVTRAY <br />DRINKING <br />SINK <br />FHONTSETBRGK <br />USEZONE <br />ttPE OF L�NSI. AIIOWABLE <br />SIZE Oi BL�G. <br />OCCUPANGYLOAD <br />REASON FOR SPPiNNLEPS <br />APPLICRPON ACC. BY <br />REPAIR <br />L i l'��z'F' /�c `l %�' LL'L,.0 <br />ITEM17 <br />TOTAL FEE $ � <br />REAR SETBACK I SIOE SETBACN <br />LOT ARER <br />1YPE 0! CONSt. PG10Al <br />NO OF STOBIES <br />FIRE SPPNN�ERS PE00 <br />Li YES NO <br />p�nNsnrrnaveoov <br />,� �C�.-J. <br />DEMOLITION � WOODSTOVE/FRPLINSERT i_, BUILDINGRELOCATION <br />I CONTALiPEP50NA1lDPHONENO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE S�ME TO BE TFUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDih,`NCES GOVERNIhG THIS TYPE OF <br />WORK WILL BE COMPLETED WITh NHETHER SPECIFIED HEFiEIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESLIME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING 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 IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SIGNAiUREOFGONTPACTOFORFUTHORIZE�AGENi DATE <br />X <br />APPLICANTSCITVBUSi4E55UCENSENO ANDOUSMESSNAME <br />TYPE OF EOUIPMENT <br />HNDLG UNITS—H.P. <br />D AIR SYSTEMS—B.T.U. M <br />:ATERS—B.T.U. M <br />=S DRYERS <br />ATION FAN <br />HOOD <br />HEATER <br />STOVE <br />FIREPLACE 8 CHIMNEY <br />ACFINSERT <br />UMP <br />PING <br />ST FAN <br />PERMIT 5 <br />TOTAL FEE 5 <br />PLANCHECNNUAIBER FEE RECEIPTNO. <br />VFCRNT SITE FEhS <br />, � VES � � NO BUILOING <br />OCCO�IHCY MO OipN'L'IN�Gp'i��5 <br />caouP PLUMBING <br />pASENENi MECHANICAL <br />�, YES f �. NO <br />II6IGMT LIMITATION OTHER <br />STATF DUILDING SUFCHARGE <br />STATEENERGVSURCHARGE <br />CITY OF EVERETT PUBLIC WORKS <br />LOCAL SALES <br />TAl( CODE IS 3105 TOTAL <br />5 <br />• <br />� <br />