Laserfiche WebLink
. <br />�']C7� <br />xr-. <br />�'ay <br />�zx <br />� H f~i� <br />y z� <br />FC i�i <br />y`� <br />�x� <br />� Cn H <br />[x-y O LT7 <br />H t7 <br />OH <br />�n� <br />� � .�. <br />YH� <br />rHH <br />C7 � <br />O �N <br />� r� r <br />Z �3 tnn <br />H O rn <br />�g � <br />�'- +a. <br />�� �� <br />!' f <br />� <br />r ' ' <br />Ai�P�E�r��'10.r FOFi CONS'i RUCT..lN PERNi1T �`'``"" <br />TO BE COMPLETED IPi INK—PLEASE PRINT � <br />� .. i',G�i-a. ♦ <br />l I r',pI <br />�ve rett f HEATING SVSTEM: 'J GAS J ELECTRIC J_ __ I <br />LUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION COMBINATION � BUILDING : MECHANICAL PLUMBING _ SIr,N <br />;p;�q MniLA0�RE55 Ciiv ZiP FHO�lE <br />-f {,� Y�1�I <15;z-'7?4.�; <br />I rc•��4 A ci�.o„ 3•..16 Ncy Av� ��.-r< — <br />�.��,��pNt MAILADORE55 Gtt 1�P PHONE <br />..�� HiLECTORDE5IGNER MARnD�AFSS CITV ZiP PHONE � <br />GEI![RALGONTRRCiOR IAAILPpDRE55 CITY 21P PHONE LICENSEt <br />!9.CHRNIOALCONTRAGTOR M1IAILA��PESS CITY ZIP PHONE UCENSE• <br />�LUMPiNGGONTRPCTO� M4RRDORESS C�iV Z�� PHONE L�LENSE� <br />l.V l5 G� WORN <br />NEW �. ADDITIDN � ALTERATION .1C AEPAIF DEMOLITION WOODSTOVBFRPLIMSERT BUIL�INGRELOCATION <br />� CONIACT PERSON AND PIIONE NO I <br />rcr�r�acrvaiceoFwoarc � i.�U' j�iDll � �-�rU� i �'�Uc15t>.t 36�-77L�S <br />sZ.q�gC 1vOPN RNO SOUARE FWTnGE IHVOLVEO(` (` ) r � <br />��`c'.�a.ce �DD Sr�.�'� c C YOJI�bi� l.� i I r _ <br />�covoseouseocouiioir+e I I � I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMWED THIS <br />�� �-,� �- I p� S I� r�� - si �� w� � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT...LL <br />.cai r,escaianonoFPeocearv�sHowNeE�awoannncH�ooncowes� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />� WORK WILL BE COMPLETED V/ITH WHE1HEfi SPEGFIED HEREIN OR <br />. e�ocK oc NOT. THE GFiAN11NG OF A PERMIT DOES NOT PRESUME TO GIVE <br />�'�QIELTAD�RESS <br />3s �c� Fioy'f Avr; C-�rcr t�, <br />PLUMBING <br />NO. TVPE OF FIXTURE OR ITEM FEE <br />WATER CLOSET ;TOILET) <br />BATHTUB <br />LAVATORV�WASH BASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAV _ <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUIJTAIN <br />FLOOR DRAIN <br />BACFFLOW PREVENTERS <br />ROOF DRAINS—RAINLEADERS <br />SINK �SERVICE—BAfl, ETC.) <br />SUB TO7AL 5 <br />PERMIT 5 <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUC?ION OR THc <br />� EFFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORH FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THe STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />;I�:NA*UREpiCONiRACiORORRUiNORIZE�AGENT �ATE <br />� ��1� . �Y-.d:ii. f . J ,i `� �� �' <br />APPLICANTSf.IIY� SItiE55LICEN [N0.4NDOUSMES$lP61E <br />�_ TOTALfEE 5� I <br />FOR OFFICE USF ONLY: <br />.�!;'i16iI0nCN �[ARSEI�ACN SIpE5E10ALN PI�N <br />ub� IONE I LOi AHEA <br />. �� cOi�IS AIIOWABIF � ivPE1)iG�N51.AL1UAl <br />.'�. Lf IILOG. <br />. . . ::f.�lCY l <br />�... � �,�on�. <br />�n <br />HPE SPRNNLEPS REO'� <br />...:;.T.��,'--'-- r�nHSaarRovtcur <br />� <br />i <br />FORCED AIF SYSTEM3-6 <br />UIJIT HF_ATERS--B.T.U. M <br />CLOTHES DRYEFiS <br />RAN�E <br />METAL <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />VAGANi SIiF YttS <br />DUILDMG <br />oauwucv xammnumeunns ----- <br />LP�wP PLUTAOWG <br />OASHdENT MECHANICM. <br />HEiGNiuMIinT10N ADDITIONALPIANCHECK <br />_ .,_ OTHEfl <br />STATE BUILDING SURCHARGE <br />CITY OF EVERETT ruoucwonKs <br />LOCALSALES <br />TAX CODE IS 3105 rorn� <br />fFE <br />M E.A. <br />SUB TOTAL 5 <br />PERMIT 5 <br />HFt.CiPi NO <br />FEE <br />� 5U <br />