Laserfiche WebLink
�����« <br />APP'LI�CATIO..i FOR CONSTRtJCTi J�1 PERMIiT � <br />TO BE COMPLETGD Ih INK—PLEASE PRINT <br />rne e�-e�g�oan • <br />CITY OF <br />eve�ett � <br />BUILDING DEFARTMENT <br />259-8810 <br />DEI�NOUTION COidBINATION <br />ONLER MAILADDRE55 <br />,. ._._... .rG���>�,� .<;^�� <br />71tL�� � <br />:TORD� tSICNFR� <br />� <br />� <br />CONTRaGTCq <br />> �/.B�i�l�i <br />r� <br />� <br />AIRtLA00RE5S <br />HEATING SYSTEM: f] GAS <br />BUILOING <br />C�TV � <br />CI� <br />i�LECTRIC U _ <br />MECHANICAL <br />Z�p PHONE <br />C/ //�� � <br />Z�p PNONE <br />zia vHoue <br />cirv y d � — ��� <br />! <br />_ .! i� �-!�/ <br />Cltt 21P , <br />CITV 21P <br />PLU418lNG SIGN <br />i ���X � 7 <br />'HONE LICENSE � <br />sv 3Gys�� <br />PHONE IIGCNSE 1 <br />PHONE LICENSE� <br />P�UM9INGCONTRPGTOP MAIIP�DRE$5 �. <br />ClA55OF WORN . <br />,-�� NEW -, � ADDITION �ALTERATION ' . REPAIR .. �: DEMOLITION _ �. WOODSTOVE/FRPL INSEflT --' BUILDING 9ELOCATION <br />On GONTAGT PEP W N AND PHONE NO. �/ <br />�CONTdACTPB�CEOF'NOHN�I/ � � � ���� L� �� / �/� `�`f �� �� <br />��0 5 �iB WGRHRNDSOUAR[FOOT�GE�NVOLVEO n` ,' � '. <br />�` {�Q: � �L� <br />pROPOSEq u eovom�oir+� � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS �� <br />�/� � Y S �_ �(,�'Q APPLICATION AND KNOW THE SAME TO BE TRUE AND COiiRECT. ALL <br />T PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />:CG4LOESCP'.PT�ONOFPR eAttlsHowNeE�owoAnnacHFouacovie<_ WORK WILL BE GOMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />`or eL�K �F NOT. THE GRANTWG OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE P(iOVISIONS OF ANY I <br />OTHER STATE OR LOCAL LA�Y REGULATING CONSTRUCTION OR THE �, <br />PERFORtAANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH i <br />APPLICATION iS IdADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. I <br />SiGNATIIPEOFCONTN�•GTORORPUTMORIZF.DAGF.NT DATE /�_'_�/ , <br />S � �M��cv`L� �d�� <br />PROJLCTR�URE/� �/ ^,�p// �J.r �D/ qpp�ICANtS�TV005ME5SUCENSENO.RN ��9NSSNAb�E <br />L'%/7Q �slinA..T�� �r� R Y e- <br />a <br />FOR OFFICE USE ONLY: <br />FRONTSETHAGK REAti: <br />� � ��c <br />USE20YE LOTAI <br />C- � <br />OF <br />REASON FOfl SPRiNKLEFS <br />��� Il?",{� E <br />mrnr�ev <br />B.T.U. <br />M <br />$ <br />FE <br />'BRCK S�OESETBlCK PLANCHn NUMBER �/ �C' <br />.�,�Jc� g.� ai ,z % <br />VACI.NTSITE FEES VALIJi <br />---- �� BUILDING � <br />IrISi.AG1UAL occuvu¢i xoorrnv0.u'n9uniis <br />. /� caouo � PLUMBING <br />i0RIE5 BASErAEr+T O MECHANICAI. __ <br />N PDDITIONALPUINCHECK <br />RJKlER5ii3O'❑ HEIGHT�IMITATION <br />7 <br />� . OTHER <br />�'7s UA�1i�i <br />,�..,9 /` �lJ��fX�j� STATE BUILDING SUflCHARGE _ <br />�GU T7�G�" <br />rrro�eoer CITY OF EVERETT PUBLIC W�FIKS <br />LQCALSALES <br />la.i�li i TAX CQ�E IS 3105 Torr,� <br />� i <br />� <br />__ /pt�i` ' OJ <br />��i <br />� <br />m <br />