Laserfiche WebLink
APPLICATI4"`J FOR CANSTRUCT;::�N PERMIT <br />- �hoEverpreen everett <br />�. CI7V OF � i <br />everett <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK—PL�E�A E PRINT <br />I ❑ DEMOLITION ❑ COMBINATION LJ BUILDING 'l�'�7ECHANICAI_ ❑PLUMBING ❑ SIGN . <br />� WNEIiI 11��IM.UI�M�ILAppU�L �.'^'1.c.t/:li "'✓1�tY�V`V�zl� VZU� PIION�✓��[ 1—/� <br />Z <br />TENANT . MAILA�DRE55 CITY 21P VHONE <br />� ARCHITECTORDESIGNEII MAILAOOPE55 QTY ZIP F110NE <br />� OENEPRLGONTR�CTOR AIAILAODIlESS CITY ZIP PHONE LICENSEI <br />I V(.�J� � �..lJ 1'� <br />, ' � FLUMOINOCONTMCTOR <br />❑ NEW ❑ ADDITIUN <br />MRIL /.ODOE55 <br />q�5 •i�4 R�t�ti <br />zC1 �'1 <br />ucensr� <br />•H54 su���owrl <br />LICENS � � <br />ALTEFlATION ❑ REPAIR I.I DEMOLIi ION I 1 WOODSTOVFJFRPL INSERT C7 BUILDING RELOCATION <br />IENANT IMPROVEMENT OR IN7EPIOR REIA07El (�N(L�V�^ �'�('� <br />CONIR�CT PRICE OF W011N: I'[J;�JI/' w <br />OESGNBE WORN AHO SOU�RE FOOT�OE INVOLVED <br />�� ROPOSE� UI OINQ ^ <br />�l.��Ql �9., '�Om�f <br />.� .......................�.,., .. �[....— <br />LOT BLOCK OF <br />;� <br />n <br />FW P COPIES� <br />E� �,�� � � �_ iaTi7:J <br />LAVATOflY (WASH BA; <br />SHOWER <br />KITCHEN SINK 8 DISP <br />Yi:A\1 <br />SINK <br />FRONTSE7BACK <br />ORITEM I FEE <br />SUB TO7l1l $ <br />PERMIT $ <br />TOTALFEE $ <br />IIEAfISEiB�CK SIOESE10r1CN <br />USEIONE I LOTAIiEA <br />TYPEOfWNS1.�LlOW�BIE � 7YPEOiGONSTAGtUAL <br />' ' BIZEOFBL00. I NO.OPSfOIiIES <br />� -- OCCl1P�NCYLORO FIPESPONNLEASIIEOD <br />❑ YES u No <br />' �� APPlICA710NACC.OY <br />PUNS RPPfl0VE0 9Y <br />CONUCT PERSOG RNO PIIONE NO. <br />I HEfiEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE 7RUE AND COf7RECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WFiETHER SPECIFIED HEREIN OR <br />NOT. THE GRAIJTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTFIORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER SiATE OR LOCAL LAW REGULATING CONSiRUCTION OR 7HE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUiHORIZED BY THE <br />OWNER OF THIS PRGPERTY TO PE-RFORM THE WORN FOR WHICH <br />APPLICATION IS M�DE AND 1 COMPLY WITH THE STATE <br />CON7R�CTORS L�W 18.27 FiCW AND 296.200 WAC. <br />SIONAIUf1EOFCON1f14CTOt100�U1110AIZE0�0ENT ORTE <br />�,i.G� O Z�0 3'j z• <br />X S�UrI I�oK. ¢nC • `�.R-�i1--(�.�1�00'n <br />qPPLIC6N15 CITV UUSME55 LICENSE N0. �N� OUSINESS NAME <br />uen�uu�rw� <br />RANGEHOOD � <br />W�TER F:EA7FR <br />WOOD STOVE <br />METAL FIREPLAC'c 8 CF'.iMNEY <br />HEAT PUMP <br />GAS PIPl�vii <br />SUBTOTAL S <br />PERMIT $ <br />TOTALFEE S � <br />P�lN CHECK NUMpEII FEE AECEIPT NO. <br />V�CANI SI7E FEES <br />❑ YES I.1 NO BURDiNO . <br />acurnxcr xoaorrtu�xouxns <br />ORpyP <br />PLUA!OINO <br />B�SEMENi MECHANICAL <br />L] YES I7 NO - <br />HEIGIITUMII�IION OTIIE(7 <br />S1ATE DUILOING SURCNARGE <br />STATEENERGVSURCHARGE <br />CITY Of EVERETT Pueuc wonks <br />LOCAL SALES — <br />TAX COOE IS 3105 Torn� <br />