Laserfiche WebLink
c � m <br />ro <br />H <br />� H t�ii <br />H � � <br />K y � <br />h1 M � <br />U1 H <br />N y � <br />Lv f1 C7 <br />F+ [7 O <br />c� • np <br />� H hl <br />H H <br />n p N <br />�c°ar <br />H O N <br />rl <br />...�-� <br />�11PPE.IC�lTi4�1B� FOR C(�PlSYF�UC'!"lO�i PER�AIi <br />:. � � �,,, <br />TO BE COMPLETED IN INK—PLEASE PRINT <br />arv o� "�� <br />�verett <br />BUILDING DEPARTMENT <br />259�8810 <br />HEATINGSYSIEM:"�{GAS �EIECTRIC U <br />� DEMOUTION � COMBINATION <br />OV:NE{I IdAiL FDpRE55 � / <br />f ' �.i7� 1 �'t V <br />?<��E,� / uaiuooae s <br />i� /1 i' , , '`I //� � l� �� <br />eVl•tt'tl <br />� <br />BUILDING bC MECHANICAL ! � PLUMBINQ I SIGN <br />CIiY 21P PHO��L <br />�L1�o�- as�gaa� <br />)ii pNONE <br />�A�1uiECTOROCSiGqFn nunnooness -... <br />Grtv ZiP PHCNE <br />GENEP4GONiN�CTON 1A�LL�DDRESS <br />U:ENSE� <br />ULC��SF r <br />C o -zGaa <br />/� // .L • <br />VWMBING:A��T AGTOR �M4�LADDRE55 CiIY 2iP PMUNh IIGFNSE� <br />0.n55 oF wonK <br />I 1 NEW I I ADDITION �Q ALTERATION i' REPAIR �. i DEMOUTION '� WOOOSTOVE/FRPL INSERT f. i BUILDINO RELOCATION <br />" CONi�Lt PL�SON AND PIIO�iC NO <br />/ � �n i <br />�e5en�qe wonK nC� <br />J <br />aar vosen usF nF nwi oum <br />a <br />i ee.� ocscAmnoN ov�n.�Nc <br />LOL OLOCK <br />i • <br />Pf10JECT <br />/ I HEREBY CER7IFY THAT I HAVE READ AND EXAMINED TIIIS <br />APPLICATION AtJD KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />:raeiow�recHvouac rtsi PROVIS!ONS OF LAWS hND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILI. BE COIAPLETED WITH WHETHER SPECIFIED HEREIN OR <br />oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTIIORITV TO VIOLATE OR CANCEL THE PROVI610N5 OF ANY <br />DTHER STATE OH LOCAI LA\Y REGULATING CONSTRUCTION OR THE <br />-- PERFORMANCE OF CONSTRUi.T10N. THAT I AM AUTHORIZED BY THE <br />OWNER OF TNIS PROPERTY TO PERFORM THE WORK FOR WNICH <br />qPPIICAlION IS �dADE AND I COidPLY.WITH THE STATE <br />CONTRACTOPS LAW 1827 RCW AND 296.200 WAC. <br />SIUNAIUF�,ULCurvLR4Gi0RGRAUlHO�iZE��ENT DATE <br />�� <br />�Pp ANISCIIYBUSiNE55L�CENSENOA___��-- <br />FOR OFFICE USE ONLY: <br />pRONTSEiBACN PEARSEIBACK <br />tISE 20NE LOT �RF.A <br />�YPLO�COH15e40WABtf iYVfO�CON51A( <br />OCLUPANCY <br />n[nsOr.'foF <br />MLAKE BY <br />SIIR TOTAI S _ <br />F[RIAIT S _ _ <br />TOTAI. �EE S <br />� � SiDE SETOACM <br />IF STOPIES <br />6PqNrclERSFEOD <br />APPROV[D �V <br />0 <br />AIR SYSTEMS—B.T.U. M E.A. <br />RANGEHOOU <br />WATERHEATER <br />WOOD STOV_ <br />A <br />PUMP _� _;_ <br />�IPING � <br />JST FAN <br />OUILPING <br />IXCU��'iC F]UVn111M4UXi15 <br />cxur pWMBING <br />BASCM[Nl MEC��ANICAL <br />NEIGMI L;�nI1nTi0t1 AODITIOIJAL PL�N CNECK <br />OTHER � <br />� STATE UUILDING SURCHAROE <br />CITY OF EVERETT PUBLIC WORKS <br />LOGALSRIES <br />TAl( COOF Is'J105 Tor�� <br />Sl1D TOTAL 4 '/� � ' <br />� PERMR 4 / S � <br />