Laserfiche WebLink
y�r'�� <br />C,jH <br />,e�m <br />� H f~n <br />y zH <br />� �! � <br />bx0 <br />:j H'TJ <br />y� <br />G7 O �7 <br />H C7 <br />� �Q <br />� V � <br />ay� <br />r z <br />H �3 <br />g� <br />N <br />C'] C VJ <br />� � Csl <br />zym <br />HO� <br />B.. � <br />i <br />i "� <br />APPLICAT��rI FOF� COPiSTR�JCT�Jt�E PERMIT <br />, cveri�t�� <br />everett � � <br />BUILDING DEPARTMENT � <br />��i9.8870 TO 6E COMPLETED IN INK—PLEASE PRINT � <br />DEMOLITION COMBINATION x, BUILDING idECHANICAL PLUMBING SIGN ' <br />i <br />...r.:n inm�nooness � crtr na —.�.-- ., <br />1��1K 1-�a�,�es 2�S- 10�'� ST SC �-�•,til� 9�2.�b' 3HS-.i7%7 _ i <br />� ::,yf M1IAiLA0�RE55 L�iV ZIP JHOhi '. <br />„..:!ui[�TOR�ESIGNEA MRILAD�RE55 CIiY 21P PMONE <br />i�.':�fmLCDNiqACTOR M�ILnD�NESS CITY Zln PHONE IICENSEv <br />-G�iJe �.Ic`C.��+• �.� 3�� zs57 5.�.-e�- 55r>_�k 35:�-y`iy7 �-�� <br />i!ECifdNiCALCO���A4CT0 MAItAD�R[SS CITY ZIP PM@!E LICENSEI <br />Goib€�C ia� �E <br />i��,�. FiNGCONiRAGTOR MAI�pO]flE55 CIiV iIP PHONE L�CENSEM <br />U.e55 0= WDRK <br />iJEW � ADDITIOIJ AITERATION _ REPAIR DEMOLITIOM . WOODSTOVE/FRPLINSERT �� BUILDINGHELOCATION <br />i�rY,ni iIAPROVEMENi GR INTEPiO�- AEh10�JEL ONLY C0�lTACi PERSON RNO P40NE NO <br />u;�irnncrvaicecFwonK:4 Z 8' Q�= _ �� 3�� �" y�iJ ! — <br />I'.c51; Pi9E WORK AND EOIIPRE �OOTA6[ IN\'OLVE� �- <br />vr.�i �osec �se <br />i I't:a� �ESCRIPTION OF PROPER1v �SnOWrv BELO W OR AiTACH iOUR GOFIES� <br />i01 BLOGK �_ OF� <br />TVPE OF FI%TUR� OR ITEM <br />1►tVi\Z�7:1'1 <br />KITCHEN SINK 8 <br />UISHWASHER � <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOF DRAIN <br />ROOF <br />SINK ( <br />I SUB TOTAL 5 __ <br />� PERMIT $ <br />TOTALFEE $ <br />��...•,iy[T9�bK I A[MSETBRGN I SIpE5Ci0ACN <br />. :n4[ I LOTAPEA <br />! r�� LpNSi �IlOWABIE � iYPF Of CONSL AC111A1 <br />� OLOG <br />. �� i PANCYIOAD <br />.. ,�.�.�uGJ:iSPRINKLEHS <br />NO OF STORIES <br />vin� sraNkiEns neo�o <br />YES NO <br />..,�.,u�orvnccer I r�nNsnrvr�ov�na. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TNIS <br />APPLICATION AND KNOW THE SAME TO BE TflU[ AND CORRECT. ALL <br />PROVISIONS OF LAWS AND GRDMANCES GOVERNING TNIS TYPE OF <br />WOFiK WILL BE CO�dPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GFANTING OF A PERMI7 DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHEP STATE OR L.00AL LAW REGULATING CONSTRUCTION OH THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEq OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />kPPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 qCW AND 296.200 WAC. <br />g�uniu�EOFLONTRACtOPORAViHORRE�AGENi ppi[ <br />X Lk� ` �„� <br />navucnr�ucirvnusinessuseuser+oi ousu+essNn�ae <br />'YPE OF EOUIPMENT <br />A'C—A'HNDLG UNITS—H.P. <br />FORCED AIR SYSTEMS—B.T.U. M <br />t1M1T HEATERS—B.T.U. M <br />RANGEHOOD <br />WATER HEATER <br />R'OOG STOVE <br />METAL FIREPLACE 8 <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />PLAN CN@CN NUI.IOf P <br />vncnvrsire FEES <br />' VES � NO puaoiNG <br />acu��nrn r�naox�uwuu�.,:s <br />:novr <br />PLUh101NG <br />OASEM[Ni MECHANICAL <br />VES NO — <br />uEr.uruui;atioi� �THER <br />_— STATEBUILOINGSURCHAFGE <br />SiATEENERGVSURCHAPGE <br />CITY OF EVERETT auouc wo�i<s <br />LGCALSRLES <br />TAX COOE IS 3105 TaTA� <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE 'i <br />FEE A[CEiPt NO <br />FEE <br />r <br />. <br />