Laserfiche WebLink
a APPLICATIVN FOR CONSTRUGI ION PERMIT °�°'c" <br />TO BE CC"dPLETED IN INK—PLEASE PRINT � i <br />��� <br />C H <br />i VJ <br />H � <br />K � <br />� <br />� Vl Mr <br />�O� <br />OH <br />��g <br />4� O <br />ry� <br />�py y H <br />f]l�VJ <br />W� <br />O �A <br />lha E�rorgreen <br />CITY OF <br />everett I HEATING SYSTEM: U GAS ELECTRIC C.l <br />BUILDING DEPARTMENT <br />259-8810 / <br />I I DEMOUTION Yi COMBINATION i I BUILDING � I! MECHANICAL I I PLUMBING l I SIGN <br />OWNEfi MnILRDDRESS Qrv 21P PIICVE <br />L,nNr2�,�u[ n..v.i✓n.�-[ r✓n�4�ua ��3L lllG���flro •9aE Ec�",v'!�",l��9,`1L'ui LSL�YS'= <br />Mnanooness cnv nr ' rnoue <br />nRCN�tEttonDE51cHER MnlL�oonEss cliv zm r11oN[ . <br />j✓A�Qqu� f.�r-�1T 11 i � NlNi vh-� <br />GENF.fUlCON1RACT011 MMLR��R[BS CItY 21P PIIONE LICENSE i <br />!✓A�-q.7Ni G�r3T L13t H�Ly�� n�f f'v�2�S>7 �)QLd� LJL^%YSa /✓�J�6A��' L3ocj� � <br />MECIUNICRLCONi(1ACTOR 1.IAil�ODRE55 CILY ZiP PIIONG UCENSE� <br />PWMBINpCONIR�CTOfI MML�DDRE55 CIIV ZIP PIIONE IICENSE• <br />ne�,. a-,1Hf,r 3vr� ki°"-,�� C�i__c,r an<I•1qS� _ <br />CUSS OF Wp1iN <br />11i�NEW I_1 AD�ITION ( I AUERATION I.I PEPAIR f I DEMOLITION I1 WOODSTOVE/FRPLINSERT ❑ BUILDINGRELOCATION <br />76ee rF � ��y Fa S� -�n� � �*� CONTACTPE(i50NFNDP110NEN0 <br />y...��o1�i�c n�v�nnK� 1 7.i J Gt� 3/ ?% 00l� Lfl R/1 ti' I`�H LCJ.7 4: L/ L L/� �Li� v�.�n <br />Gor37Rucr N�`N 1�Y Duf'c� <br />rnoroseo use oF ooaoina <br />� .c.�t ye-�,� <br />LEG�L DESCRIPiqN OF Pf10PEPTY 15110NT: BELOW OR RTt�GI� fC <br />rM�,a. Wr,� <br />�or 1�1.nro BLOCK 4 S; OF <br />v►�o <br />� <br />� <br />� <br />SUBTOTAL S <br />PERMIT 5 <br />TOTALFEE $ <br />FOR OFFICE USE ONLY: <br />FRONTSET&1SN REARSE7B�CK SIDESEIB�CN <br />. �, <br />usezorg� �or�ne� vncnn� <br />f�� <br />IYffOfCONIS.FLIOWAfl1( IYMOfCONSf.ACIWI ��M <br />✓ ' '�/ V n� i�- 3 <br />FRE OF �LDG � n� NO.OF STONES OASEMI <br />�a �► � �,�� z , <br />OGGUPANCYLO�D FIOESPRN1flE0511EOD NEIGni <br />iJ IV D � <br />nE�50NroIi5r01NNLEns <br />u�mKeor r�nr+s r v�oor � f.IT <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS �I <br />APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL � <br />PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF � <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED IIEREIN OR <br />NOT. THE GRANTING CF A PERMIT DOES NOT PRESUME TO GIVE � <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV i <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH � <br />APPLICATION IS MADE ANU 1 COMPLY WITH THE STATE i <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />SIGNRiU�EOFCONiRRCTORORAUiHOi11ZE0�GENi ORTE I—G'��L ,I <br />�✓n��iv, c-0�usr, , <br />X�.�r—`�� ��L �/ � B 3 3 �� <br />eP IICAM5C11VAU �NESSI�CEN5EN0.�NOBUSINESSNRME I <br />MECHANICAL I <br />un TVPFOFEOl11PMENT PEE ' <br />�Q i - A/C-A/HNDLG UNITS-H.P. � - . <br />� p ;- FORCED AIF SYSTEMS-B.LU. M E.A. � <br />J—C —� /y UNIT HEATERS--B.T.U. M �_ <br />�� CLOTHES DRYERS ' � <br />��i i - VENTILATION FAN � �I <br />• -T <br />�p �- ,2, RANGEHOOD �� � i <br />FAN <br />A:3s-`JY�- <br />: ri I i3� ! — <br />PERM�T <br />fE[ <br />'' 3S��uY) Ir�S9s:yo <br />FEES <br />BUILDING <br />xa a nnnurcunnx <br />PLUMOING <br />� MECNANICAL <br />lniioN �DUITION�LPLANCII[CK p <br />7 i <br />i OTNER <br />S7ATE OWL�ING SURCHMGE <br />�F EVEflETT ruuuc wonr.s <br />LOCAL SALES <br />' i � TAl( CODE IS 3105 ror�� <br />a .�r • - <br />S � I <br />5 /�r r <br />necemTNo <br />S"7 J u % <br />FEE <br />, �—�— <br />i0 n <br />8f� <br />� <br />I.�G ;ao <br />'= <br />i I� <br />--�r— <br />� 's� <br />i <br />' I <br />1�� I <br />