Laserfiche WebLink
�Qro <br />iV <br />p H <br />9 H N <br />� <br />� H <br />K <br />O R1 O <br />� y M <br />� �i � <br />��R� � <br />zH <br />H <br />� N H <br />8 N N <br />(� O N <br />�°artC <br />H O y <br />ovi�irll <br />�►PPLICA'TIOh� FOR CONSTRUCTI..N PERMI'T � <br />TO BE COMPLETED IN INK—PLEASE PRINT <br />a��, ,.,� � <br />i v ci '/ --- ---i <br />everett � uFa7w(; SVSTEM: U GAS J ELECTRIC �_!L9 �1 �— _J <br />BUIIDING DEPARTMENT <br />25�J-8810 <br />DEMOLITION <br />COMBINATION <br />lONnNT � MRILAOOFE55 <br />nr,c�u�ec*oaoesicrv�n n�aanooivEss <br />� <br />C BUILDING <br />�,r� <br />la „rl �Dr <br />CITY <br />MECHANICAL <br />7i� vHave <br />.� rC � � <br />J�p PHONE <br />Zip PHONE <br />...,.e..� 0�2— <br />PLUMBING SIGN <br />° 3S_ 5=�� Y/ <br />��il I NNS dyJO /J )/ 21P PNONE LICENSE• <br />GLNL� GONTPRGTOR MAIIADDRE55 CIIY� <br />Ll G� � I �� ��T� Z�p PNONE LiLENSE • <br />AIECHANIGRLGONTRACIOH MAILPDDRE55 <br />��ry ZIP PNONE UCENSE • <br />PlUMOiNGCONTBACiOR MAiLADDRESS <br />C1A550F WONN <br />NEW x ADDITION ALTERATION REPAIR OEMOLITION . WOODSTOVEFRPL INSERT � BUILOING RELOCATION <br />CONTACT PERSON AN PHONE NO <br />-__._.__.�����,��� �/� ���: - �d,���J.•�-�� .3s5 �C�(� <br />OF BURDING <br />L L G:.I ut�Cnir n��. v. r,.... �..., w.._.... _"_. <br />�;i_.� z� BLOCK �_ Oi <br />LOt'�7 U�pG��'SL <br />i,om• <br />SINK <br />LOPiE51 <br />I I I I. � PERMIT S <br />t� TOTALFEE 5 <br />FOR OFFICE USE ONLY: <br />FfiONi5Ei0AGN R�A�15Ei0ACN <br />Zo � <br />US[IOf�E ��Tp� 6Y0 <br />IVPE Of LONIS A��OWABIE IVPE Of tOt151 ALiUAL <br />�C'n/ <br />S�LE Of BL�OG NO OF S70NE5 <br />nff.1lPANfVLO4D FIRESPi1NKLEPS��E <br />J�fORSPNiHNLERS � <br />r�nrvs nrpnove o ov <br />o� <br />C%?� 5�,. <br />ce <br />FEE <br />I HEREBV CERTIfV TH�T I HAVE READ AND EXAMINEO THIS <br />APPLICATION AIJD KNOW THE SAME TO BE TflUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMr'LETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANI ING OF A PERMIT �OES NCT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PFOVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV TNE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MAD[ AND I COMPIY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW �ND 296200 WAC. <br />5'LN�LUREOFCOYiFACiORORPUiHO�f NT <br />X �/y� �/�%i/ <br />p PLICAN15CiiP�PUS iG% �CE >F t ANO�USiNESSNAME <br />FORCED AIF S`!STEh1S—B.T.U. M <br />I INIT H�pTFRS—B.T.U. M <br />NEAT <br />GASI <br />FAN <br />VACRNT SRE ttC, <br />rt UUILDING <br />ttiC�rµCr NO O�.nfII�NGVx��S <br />r PLUMBING <br />BASEMENT11 MECHANICAL <br />N� <br />HE�Grr uwinTio�+ ADDITIONAL PLAN CHECN <br />OiHER <br />STATE P.UILDING SURCHARGE <br />CITY OF EVERETT ruouc woaKs <br />LOCAL SALES <br />TAX CD�E IS 3105 rora� <br />S"_' <br />FEE <br />T <br />)�, PD <br />i <br />T <br />L� <br />7 (a !S� <br />