Laserfiche WebLink
�1��E2 yL Q�s�c � �o�-. <br />APPLIICATION FAR CONSTRUCTION PERM!'P <br />CiTY Of EVERETT � BUILUING DIVISION <br />3200 CEDAFi STREET • EVERETT, WA 90201 • 259•BB10 <br />❑ DEMOLITION <br />pROJECT ADURESS <br />COMBINATION lit Bli;:..L'1NQ Tt) MECHpNICAL kl PLUMBINO i_l SIGiN <br />D2 (,�es� �.�� i�f� <br />OWNEII IANL�bb�E55 CIIY iIP PIIONE <br />.�Salr�rf prn,aa: Tnc__�z9�:� 8_L'�1�1Ys_.��lEP.-_2Q,1._I;3LP��t�P�i1��9_2QG/513-9006 <br />IENAN! MNII��UfiE55 CIIY 21P �IIONE <br />At1C1111pCtOR0E510NER MMlAbU11E55 CIIY ZIP PIIONE <br />aENEAAICONIf1A�1011 MAIL�OOIlE55 CIIY zIP PIIONE SITIELICENSE� <br />_��.��L•�tsanes, Tn�-13.A.� t AL-h AyQ„ W BA-2pj-_Eys;,����_p11�9�320'L2D.5I51'�-9(1f16 ��r`rri i nrcm_ <br />MECII�NICAICONIf1,.C1017 M�ILAOUf1E55 CItY ZIP AIIJNE 51NEUCENSE/ <br />PLUMBINOCONIR/1C1IX1 INI�A�Uf1E5S CIIV ZIP piIONE STM1tEIICENSEf <br />GONIfU1CT Pfi10E OF WOfiN <br />�s���wo�n'K�n�o saunnE rooinoe urvo�vEu <br />am�on+o <br />ior �-� eta:K <br />TN(I.D. <br />7 <br />TYPE OF <br />WA7ER CLOSET <br />FLOOR URAIN <br />eeiow on <br />_ or_ <br />FOR OFFICE USE ONLY: <br />(RONTSE7BACH PEAOSElOACR <br />2� ZO <br />USE 20N I� LOI A��r <br />IIEIOIIfLIMII111�011�' . UNII9rbWE�LINO <br />/ <br />F�J <br />U <br />TWO COPIES) <br />SIDE <br />vncnNrsne <br />YES O NO <br />/ <br />❑rES 1�N0 <br />HEA7ING f. 'STEM: DG GAS O ELECTRIC ❑ <br />CONI�CI 1'EfI50N �NU PI IO��E NO. <br />Beverly ICing 206/513-9006 <br />I HEREBY CER7IFY THAT I HAVE READ AND EXAMINEO TH�S <br />APPLICATION AN� KNOW THr'. SAME TO BE TRUE ANO CORRECT. ALL <br />PROVISIONS DF LAWS AND ORDINANCES QOVERNINO THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER Sf'ECIFIED HEREIN OR <br />NOT. TNE QRANTINO OF A PERM�T DOES NOT PRESUME TO OIVE <br />AUiHOpITY TO VIOLATE OR CA�VCEL 1HE PROVISION OF ANY <br />OTIiER STAiE OR LOCPI lAW RFOULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CON57RUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROP'eRSY TO PERFORM THE WORK FOR WHICH <br />APFIICATION IS MAOE AND I COMPLY WITH THE STATE <br />CONI RACTOf1S LAW 1B.27 RCW AND 208.Z00 WAC. <br />Selec anes, I�n,c/.,� <br />xH_y: I%lJ �N� % ua � <br />sideimune on�E <br />BUSiNE55 LICEHSE N0. <br />TYPE OF FI%TUAE OR ITEM <br />NC �— NIiNDLO UNITS — H.P. <br />r.nncGnnincvcrcnna—ar!i i <br />UNIT <br />WAfER HEATER <br />WOOD STOVE <br />METAL FIFlEPLACE � <br />FIf1EPLACE INSERT <br />qAS FIREPLACE <br />QAS RAN�E <br />i <br />SUB l0 <br />PERMIT <br />PIANCiIECK1IUM f:fl FEE �ECEIPT <br />�i�� l� �� ; � <br />BUILbINO �Z� ( l'(J _ <br />pLUMOR!(1 / <br />6�ECI IANICl1l � <br />AOUIIIONl�L PUN CIIECK <br />omen <br />sin�E nuiton+o suna�nnoe /_l , ) � <br />cco��sr. Im.nrisr•FNn�i�uov I CITYOFEVERE?T IrueucwonKs <br />�� LOCAL SALES <br />�—�J unie ��6�95 ��x CODE IS 3105 tOIAL <br />