Laserfiche WebLink
�N Er�ryrNn <br />ciTr oF <br />everett <br />BUILDING DEPARTMENT <br />259-8745 <br /><' \ <br />;�.PPLICATION F�O�:. <br />CONSTRUCTIO+N <br />PERMIT <br />TO BE COMPLETED IN INK • PLEASE PRINT <br />everetl <br />Ei <br />❑ DEMOLITION ❑ COMBINATION ❑ B�ILDING ❑ MECHANICAL ❑ PLI�MBING ❑ SIGN <br />OWNER MAI_RpORE55 CITV ZIP PHON[ <br />Ken DeBoer 3224 Hoyt Et�erett 98201 252-6465 <br />ARGMRECTORDESIGNER IAAILRpORE55 Cltt ZIP PHONE <br />GENER�LGONiRACiOR M�ILAODRE55 CITY ZiP PNONE �ICENSE• <br />Eberett Bldrs. Inc. 5606 Eber¢reen Way Eberett 98203 353-7161 EVEREB',3 11L3 <br />MECHRNICALCONiPnGTOq MNLA�DPE55 CItV ZIP PNONE LICENSE• <br />PLUMBWGCONiqACiDR MAILADOFE55 C�IY 21P PIIONE Uf,ENSE. <br />LLASS OF WORK <br />❑ NEW ❑ ADOITIOIJ L� ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br />VA W �TION OF WOflK �COST OF IAATENIAlS �' W 5 UBONI <br />1,590.00 _ <br />uesenioe woFK � <br />Tear oPE and reroof existinR residence (18 sq. comp.) ' <br />PPOJECfA00PE55 <br />3224 Hoyt <br />iRONTSEiOACK <br />USE ZONE <br />iYPE OF CONST. <br />� HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL <br />BEIOWORRTTAGHiOUliCOPiE51 PROV�SIONSOFLAWSANDORDINANC�SGOVERNINGTHISTYPE <br />. OE $R1'�tC OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THC GRAN i ING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHOFITY TO VIOLATE OR CAN��EL THE PROVISIONS O� <br />ANY OTHER STATE OR LOCAL LAW REG ULA i iNG CONSTRUCTION <br />OR THE P6FFORMANCE OF CONSTRUCTIOIJ. � <br />SIGN4iURE Of CONiFnCTGR OR AUTHORIZEO AGENT DATE <br />x ��� G�(�l�s�r -l��g� <br />nPPUCANTS CITY BUSINE55 LICENSE NO. <br />EWerett, Wa. 98201 <br />FEE NO. NPE OF EOUIPMED <br />AIR COND. 11N1T5—H.P. EA. <br />REFfiIGERATION UNITS—H.P. EA. <br />BOILEN�H.P. EA. <br />GAS FIRED AC. UNITS—TONNAGE <br />FORCED AIR SVSTEMS—B.T.LL M <br />THIS POR710N TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />SIDE SEiOACN <br />VeG�NT SIiE <br />pYES pN0 <br />NO.OF pWELIMG <br />OCC IOAD <br />�PPLICAIIONACCpV IPUNSCNEGKEOBY IAPP�FOR1554ANCE <br />NUMBER <br />fEE <br />FEES <br />BUILDINO <br />PLUMBINO <br />AIECMANICr1L <br />OTHER <br />PENALTY <br />TOTAL <br />f <br />RECEIPT NO <br />V�LUATION � FEE <br />FEE <br />