Laserfiche WebLink
�}��t2 ��-� QAsIC �" ��-� . <br />APPLIICATION FOR CONSTRUCTION PEi;MIT <br />CITY OF EVEREI'T • BUILDING DIVISION <br />3200 C:EDAR STREET • EVERET7, WA 98201 • 259-8810 <br />❑ DEMOLITION �1 COMBINATION f�1 BUILDINQ fcJ MECHANICAL kl PLUMBINO ❑ SIaN <br />PROJECTADDqESS ��! p �QS f- MaI� .(�l; <br />v <br />oNT+E� un�nobnEss cnv na �IIONE <br />rS21�F unin�y Tnn 12g�. Btll Ave. W AA-2n7 Everett. N/A_�a 0��7,Q6/513-9006 <br />IEN�NI NAILAUUf1E55 CIIY . ZIP �IIONE <br />At1p11IECfOfiUESIONER GM1II�bUtlESS CIIV ZIP PIIONE <br />OENEMICONIMCTqi M�ILI10IXiE53 CIIY 21P PIIONE SUIEUCENSE� <br />_$g�,Qct Iia���,_Tn�_�7 yll 8 h A� W AA-0�1 ►�� P VIA 9A704 706�577-90pfi RF.T.�rillfltcni <br />MEC{IGMCQCONIMC70l7 MAILAObi1E55 � CIIY 21P PIIONE S7AtEUCENSE� <br />PLUMPMUCONIP4CIq1 MAIIAtlURE55 CIIY iIP pNONE STIIIEUCENSEI <br />CON7Po�CT PPICE OF WOOK <br />ior I "� e�ocu <br />7N9IRIICIION IONI lENOER. �Wf1E99, tELEPHONE NVMBEII <br />/l%•'�. Q�+.r fiLers �s <br />LUMBINO <br />NO. �TYPE OF FIXTURE OR ITEH <br />3 WATEH ClO5ET (701LET) <br />1 BATHTUB <br />3 LAVp70HY (WASH BASIN) <br />1 3HOWER <br />KITCHEN SINK 6 DISP <br />DI3HWASHER <br />IAUNDflYTRAY <br />CLOTHE3 WASHER <br />URINAL <br />DRINKINO FOUNTAIN <br />FLOOR DRAIN <br />9ACKFLOW PREVENTERS <br />SINK (SERVICE — BAR, ETC.1 <br />FOR OFFICE USE ONLY: <br />FpONT5E7BACK ilEM5E78tiCN <br />/ <br />% �, � 2:� <br />-- // .S � <br />1T UMIIIq10N � IIU.OF OWELlINO <br />=i�e , <br />���� <br />IVANCY N0, oi StqaE9 OCCUPANI LOI10 <br />J <br />SIOE SE7 �CN <br />S <br />���µT 5�� <br />b E� O NO <br />s <br />�r e�owr.i. <br />!J SF Ci�wG f <br />S2 SF Gaa.aG: <br />B�SEMENT � � <br />p YE9 ii'AO <br />HEATih"R SYSTEM: Dq OAS U ELECTRIC p <br />coN�nci r_nson nNo rnor+e �iu. <br />I HEREBY CERtIFY iHAT I HAVE READ AND E%AMINED THIS <br />APPIICAiION AND KiJOW THE SAME TO BE THUE AND CORRECT. ALL <br />PROVISIONS OF IAN.'S AND ORDINANCES OOVERNINO THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHE7HEH SPECIFIED HERF.IN OR <br />NOT. THE dHANTItJO OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORItY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHEA STATE OR LOCAL lAW REOULATINO CONSTqUCTION OR THE <br />PERFORMANCE OF CONSTRUCiION. THAT I AM AUTHOHIZED BV THE <br />OWNER OF THIB PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPIICATION 13 MADE AND I COMPLY WI7H THE STATE <br />CONT ACTORS LAW 7827 RCW AND 298.200 WAC. <br />Se ect s, In�9� � <br />xgy: �( ��lJ'CaM Co�2Co�9S" <br />SIaN�IVf1E OM1IE <br />CItY BUSiNE55 LICENSE NO. <br />TYPE OF FI%TUFYE OR ITEM <br />NC - <br />FIREPLACE INSEHT <br />QAS FIREPLACE <br />OAS PIPINa <br />EXliAUST FAN <br />S <br />PUNCIIECKNUMB�(1� � I FEE I RECEIPTNO. <br />/ .f <br />L%G � � <br />emion+a �?•Z %7� �// ) - <br />rwMei��a � <br />MECHAHICAL D <br />AbbI110N11L PLAN CIIECN <br />OIIIEfI <br />S7AlEOU�lbINOSUnCIIAROE �/ �/ <br />CITY OF EVERETT vuouc wonKs <br />LOCAL3ALES <br />TAX CODE iS 3I05 TotAL <br />r, <br />