Laserfiche WebLink
� �'� <br />C � H <br />r r�y �' <br />H YH <br />K n <br />H �7 <br />oxo <br />�!~AH <br />H <br />z <br />Oy� <br />��� <br />� V �❑] <br />9 H [i7 <br />r z <br />ri H <br />8 �' <br />� <br />C] C7 V� <br />� r� r <br />C�7 <br />2 H fn <br />�-3 O p� <br />APPLI�ATIOI _ F�R CONS'�RUCTIC- :J PERMIT i` <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT EVF/urr <br />�_� <br />BUILDINGDEPARTA4ENT '� NEATINGSYSTEM: ❑GAS ]ELECTRIC U __ 1 <br />25&8810 <br />DEMOLITION COMBINATION �BUILDING MECHANICAL PLUMPING SIGN <br />��' �[ � MAILA��R[55 CIiV ZIG PIIO'IE <br />j� IA ) V� L� �� Aaiy �to�''��a. l.y r�nu�a�tii ``i �(��-� � 7 is •_ �S �-{�d�-5 <br />iE1Ak � MFILF��RE55 CIT 21P PIIOYE <br />A�CM'iTECTOFDES�GNER MAILADDRE55 CITY 2iP PHpNE <br />N �r1 <br />GEHfRALWNiqApTOR MAILA��RESS Citt IIP PHONE STA7ELIGENSE• <br />�'�)�P✓ <br />if[Cr�ANiCAICONTFACTpq MAILA�DRE55 CRV ZiP PHpNE SiRTELICENSE� <br />PWU.BiNGCONTRACTOR MqILpJDRESS GTV IiP PNONE STATFLICENSE� <br />CLf.S50F WORN <br />NEW ADDITION ALTERATION �PEPAIR DEMOUTION WOODSTOVEiFRPL INSERT BUILDING REI.00ATION <br />�`y,/ - r CON T PENSON AND FHO/NE� NO.- (l (1 <br />CO!ITRAGTPRICEOFWOtiN ('�0��1�-YOC��. ��� v✓\-F"}C 33�' c�_S �- <br />DESCRipE WORK AND SOIIARC ' O'JinGE �.vGu'E p <br />v vweIouseoF/e�uaoe�; �j . • L i HEREBV CERTIFY THAT I HAVE R[AD AND EXh�dWEO THIS <br />'1- • Y�� 1 l V IV � X I� 1 I hG � I� �� �PPUCATION AND NNOW THE SAIdE TO BE TRUE AND CORRECT. ALL <br />ieen oe ca�aner+ov vaorearv�sNo ++eeiowoanr�ncnvouae �v�es� PFOVISIONS OP LAWS AND ORDINANCES GOVEFNMG TH � TVPE OP <br />.,� � �t�.,..k �� c J WORK 1VILL BE COMPLETE� WITH WHETHER SPECIFIED HEREIN OR <br />ior2S � eiocK�. e or W3_ NOT THE GRANTING OF A PER1dlT DOES NOT PRESUME TO GIVE <br />+o-rc* ncow =s <br />`J�IC� <br />AUTHORITY TO VIOLAT[ OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL l4W REGULATING CONSTRUCTION OR TIiE <br />PERFORIdANCE OF CONSTRUCT�ON. THAT I AIJI AUTHOR12E0 �Y THE <br />Ol4NER OF THIS PROPEFTV TO PERFORM THE WORK FOR VJHICH <br />APPLICATION IS tdADE AND 1 COL7PLV WITH THE STATE <br />CONTRACTORS LAW t827 RCW AND 296200 WAC. <br />%��t U.G� _— � �� �' 0=� y <br />� y�— _ ���__- ,a., -- <br />IdECHANICAL <br />E OR ITEM FEE NO TVPE OF EOUIPMENT FEE <br />WATER CLOSET ITOILET� <br />BATHTUO <br />LAVATORV �WASH BASINI <br />SHOWER <br />KITCHEN SINK 8 DISP <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />SINK �SEFVICE—BAR. <br />FOR OFFICE USE ONLY: <br />monrsen+�cn nennsttonr.. <br />USFZONE LOiARER <br />1vPfOfCONiSAIIOWABLE tYPEOFCON5I.A( <br />SiZE OF BLDG <br />OCLUPANCYLOAO <br />PI: ASON FOH SPRII <br />INiAN[ BY <br />NO OF STORiES <br />FIPE S�qNRLER'� <br />PERMIT S <br />TOTAL FEE 5 <br />sio[:.i:�uncK ninn <br />s <br />PLRNS AI'PPOA'F� qv <br />A C A HP;!1LG UMTS—H P. <br />FOtiCED Alq SVSTEtdS—B.TU. M E.A. <br />UNI7HEATERS—B,T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />R�NGEHOOD —� <br />WA7ER HEATER <br />1 <br />WOODSTOVE <br />1dETAL FIREPLACE & CHIMNEV <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING � <br />SUE3TOTAL S <br />PERMIT 5 <br />TOTALFEE s <br />� i r � �ec[iar Nn <br />wcaNrsrtE FEES <br />�WLDING <br />aar�x[r xawnaiu�:.,�...'.. ---_—"—__-_"— — __ <br />cuDul' <br />PWI.I�ING <br />DAS[MC.NT MECHANICAL <br />NEiGHiuMiraTiori aDDIT�ONALPLANCHECK <br />SPfiiNKLER <br />STATE �UIL�ING SURCHARGE <br />CITY OF EVERETT PU�LIC WORKS <br />LOCALSALES <br />TAX CODE IS 3105 rorn�. <br />� co <br />