Laserfiche WebLink
� <br />a <br />�r� <br />i>=i <br />A >7 S <br />C". H <br />ayxv� <br />H Z� <br />� H� <br />� p] H <br />Y <br />H <br />O�b <br />H/��g <br />y� Y C] <br />z y� <br />r x <br />h+ H <br />8 `� <br />H <br />C� C7 W <br />��Crt1 <br />zyy <br />H O (A <br />.-. ,. �, <br />APPLICATI�,N FOR CONSTRUC7.ON PERMIT <br />r�c e,nre,�n <br />CITV OP <br />everett <br />BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br />259-8810 <br />DEMOLITION COMBINATION BUILDING M1IECHANICAL PLUMBING <br />TEl:ANT <br />MAILAD�AE55 CITY IiP ��'-'�� <br />�,.,� i�o o.9e� E���i/ 9i.f'�Ul � <br />N.AI�ADDRE55 CITY ZII' PMONE <br />i <br />i <br />everett I <br />�t II <br />SICiN I <br />— ; <br />I.�ECHANiCRLCONTRRfTOR MPILApDRE55 dTY 2iP PNONE UCENSE• <br />FWMBINGCONTRACTOR MRILA��RE55 CITY 2iP Pi�ONE L�CENSE• <br />ClRSS PF 1VORK <br />NEW .� ADDITION -� ALTERATION REPAIR DEMOLITION WOODSTOVE�FRPL INSERT BUILDING RELOCATION <br />TENA1lT IAIPROVEMENT ON INTEAIOtl RE`MODEL ONIy�� � GONiACi PERSON AND PHONE NO <br />B✓ � r.r— <br />CONiRPGT PRICE OF WDRN' <br />DESCRIBE\VORKANDSOUAREFO�nG[I4VOlVCO ^ <br />loi BIOCK <br />SINK <br />SINK 8 DISP <br />�RAIN <br />� � F�ONTSETOACH <br />115[ 20NE <br />i�CE Of GONSI AILOWABIE <br />s¢[oie�DG. <br />OCCIIPANGYLORD <br />RCASUNGORSPPINNLERS <br />APPL�CAiION4CC BY <br />or <br />PERR SEiBACK <br />LOTqRE0. <br />IYPEOf GON57 ALiWI <br />r+o oF stoniEs <br />FiRE SPPNKlERS RE00 <br />YES NO <br />PLANS RPPROV[0 BV <br />id� d <br />FEE 51 <br />sme seioncrc <br />VRCRNT SIiE <br />I HEREBY CERTIFY THAT I HAVE 9EAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING 7HIS lYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIF�IED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NnT PRFSUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL Ll�W REGULATING CONSTRUCTION OR TiiE <br />PEFFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY TNE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY �JITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SIGNRLUREOFLONiRnGTOPORAUiNO�iZ[DAGF�li OAiE <br />��lL' /*�, ��a��"`��t. <br />qPPUCA�1i5 GTY OUSM[ 55 LiCENSE NO A��D BUSME55 NAME <br />NO. TYPE OF <br />A�C—AHNDLG UNI <br />T.U. M <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLA <br />FIFEPLACEINSI <br />HEAT PUMP <br />GAS PIPING <br />EXHl�UST FAN <br />� SUB TOTAL 5 <br />PERMIT S <br />TOTAL FEE 5 <br />PUN CMECY NUMO[R �E[ PECPPT NO. <br />� � YES NO OUILOING <br />cccvvr,xa xrncei,n��.m•s - <br />4PppP PLUMBING <br />BASEMENT MECHANICAL <br />�. VES �. NO — <br />M[IGHT UMIUTION OTNE? <br />'iTA1E BUILOING SURCMARGE <br />:TATE ENERGV SURCHARGE <br />CITY OF EVERETT Pl9LIC WORNS <br />LOCAL SALES <br />TAX CODE IS 3105 TOT.iL <br />