Laserfiche WebLink
L" C�J hl <br />� 7 H <br />p x <br />C N <br />7 H fn <br />y <br />k n <br />O p7 O <br />�y H h1 <br />N H <br />H <br />m �i � <br />O N <br />71 f� O <br />Nnc <br />z H � <br />� y H <br />n C IA <br />� [[7 t� <br />2 H N <br />H O N <br />APPLICATlOh FO�i C06�SiRUCTIv�➢ P�Ft11A�'� °�`'"'" <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />mc evmg,oen <br />OF <br />CITY <br />evere�tt <br />BUILDING DEPARTMENT <br />259-8810 <br />HEATING SYSTEM: � GAS ❑ ELECTRIC U <br />DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br />OWNEF MAILADDRE55 GITY 21P P��ONE <br />� . (' � .�� � � / _ / �. I � : <br />i.�r <br />I� tV�.c�.: i n��, ,'i�'�: � � fi��i'i�;�l �-.�� i,F il �l �'� i <br />�E� M/ILRO�flE55 CITV ZIP PHONE <br />ARCHRECtORDE5IGNER MAILqDDR[SS GItY 21P PHOAE <br />CITY ZIP PHONE UCENSE• <br />G[NERAICONTFALTOF M4iLA�DRESS <br />!>(�117 Q/�/ <br />f.'[CHANICALLOhTRRGTOR MAILqDDRE55 LITV ZIP PHONE UCENSEN <br />PLUIdBiNGGONTRAGtOF M�ILApDRE55 CITV 21P PHOIJE LICENSE4 <br />CLASS OF WO�a <br />�. NEW �. � ADDITION �t: ALTERATION _ <br />CONTRA^T PRIGE OF WOAK / /C� '_ <br />OFSCRI9E WOFK ANO 501JAPE FOOTAGE INVOLVEOn <br />1 r. i i, e..'iiF i��_ �J�-:(� %� I<'/�✓'i� <br />�{�'F�,tl�!=1�"i ��;1, <br />LEGFLOESGFIP IONOFPROPERTVISNOWNBELOWOR <br />�or BLUCK oF _ <br />PROJ[CiAD�FE55 ! <br />1 <br />� <br />�j�) j ,-)7,�IiCi�)r� <br />- � PLUMBING <br />I��� �p, TYFE OF FIXTURE OI <br />��►' j WATER CLOSET (TOILET) <br />dATHTUB <br />_ REPAIR <br />! v�uL' <br />FOUR fOPI�S� <br />DEMOLITION �. �. WOODSTOVE/FRPLINSERT .-�: BUILDINGRELOCATION <br />I CONTACiiPERSONANDP/pN'cNO. <br />i <br />� I l. 1 �\ � _%'}r" (.J ) :; -; _ � l <br />LAVATORY (WASH BASIN) S � -' <br />SHOWER 5-; _ <br />KITCHEN SINK 8 DIS° <br />DISHWASHER <br />LAUNDRYTRAY � <br />T <br />CLOTHES WASHF.R - <br />URINAL _ <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVEIJTERS <br />ROOF DRAINS�-� RAINLEADERS <br />SINK (SERVICE-BAR, ETC.) <br />SUB TOTAL 5 aYJ � <br />PERMIT S <br />TbTALfEE 5 !iD I <br />FOR OFFICE USE ONLY: <br />FRpKt SETBACH REAR S� GK <br />za ' <br />USE20NE LOTAREP <br />!'e 3 6oe�' <br />lYPEOfLONiS.ALLOY/ABIE 7YPE�FGON51ALiL'AL <br />1L-ti 7L-N <br />S�RE�/O�F 5L�DG��. NOAF STORIES <br />�/3"/ I r "v 2. <br />OfCUPANCYlOAO KiRESPRNKLERSRE <br />%vti <br />H_ASONfOR <br />irvTAKiDV � PLRNSAPPROVEOBY <br />� I . . . ,1 . . . .. : ���h .. <br />I HEREBY CERTIFY THAT I HAVE FiEAD AND EXAMINED THIS <br />API'LICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />f�IUVIS10NS OF LAW3 AND ORDINANCES GOVERNING THIS TYPE O�� <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEfiMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOL�TE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING COUSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TC PERFORM THE WORK FOF WHICH <br />APPLICATO^: IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />SIGNATURE OF CONTRACTOR OR �l1THORiZEO AGENt �ATE <br />Xi , . / � � 1 <br />!�riU"I � %% �'-?''� — <br />qppL1:NN 'GITVBUSINESSIICEN5EN0.ANOBU5�NE55NAh!E <br />FORCED AIR SYSTEMS-B.T.U. M E.A. <br />UNIT HEATERS-B.T.U. M � <br />CLOTHESDRYERS �_ <br />VENTILATION FAN �_ <br />RANGEHOOD _ <br />WATERHEATER _ <br />METAL FIREPLACE 8 <br />FIREPLACE INSERT <br />HEA7 PUMP <br />FAN <br />SIDE SETBPGK PIAN CMECK NUMBEf1 <br />St ���J�� 7� <br />vncnr+r srtE FEES <br />n� BUILDING <br />occu�axcv xo orowuuncuuns — <br />°A01� I pLUMOING <br />BASEMEN� T MECHANICAL <br />HN.• <br />rPi .-7 <br />HEIGittl>u.��rtnTloN AO�ITIONALPLANCNECK X' <br />N � <br />OTHER <br />STATE PUILDING SURCHARGE <br />CITY OF EVERETT PUBLIC WORKS <br />�ocn� sa�es <br />TAX C�DEIS 3705 TOTAL <br />3S. /D dc <br />FEE /' 1� <br />REGEtP t NO. <br />.. �T ��— � �L. <br />°� � <br />