Laserfiche WebLink
APPLICATt�h FOR COIo1STRUCTI�.N PERMIT "`'"�" <br />� TO BE COMPLETED IN INK—PLEASE PRINT � <br />l-J � � <br />ay <br />A #1 x <br />C H <br />syx�n <br />H Z� <br />� H� <br />� H'i1 <br />� ��i"�—�1 <br />[Ti � l'1 <br />�/��8 <br />y� V � <br />t+y� <br />h� H <br />gy <br />C� C❑ y <br />I■1 <br />� O� <br />f❑e eve,a•een <br />CIiV GF � <br />everett HEATING SYSTEM :.1 GAS � ELECTRIC J -- <br />BUILDING DEPARTMENT <br />259-6810 ` "� <br />DEMOLITION COMBINATION BUtLDING MECHANICAL )ct-LUMBING SIGN <br />O �yP� MAI�qCDAE55 CItY IIP PNONE <br />�c c r, � c %� C.l 1� G 7Y-, "� j. � b' C� - ��f �- !� r� L �'� Zi [� v 1�'' z c� : ff �� I,' <br />TENRNT . MAlf�0�AE55 LIiY IiP PHOFE � <br />� <br />ARCNRECTORDESIGNER MAILADDAE55 CITY 21� PMWiE <br />uni� <br />>soFwoaK 'Q <br />NEW ADDITION .`�ALTERATION <br />s- <br />ITRRGT PHIGE OF WORN � � , ! <br />CRiBE WORK AND SOURRE FOOIAGE INVOIVED <br />i,. �c .�f..., y- S,�-K <br />LEGRL <br />lOT <br />raoaEarv is�own oei rn <br />BIOGK OF <br />��� <br />REPAIR DEMOLITION WOODSTOVE/FRPL INSERT <br />CONTAG/T �PERSOt! AND FHONE NO <br />U✓ 6,r .�� � iJ �' L�l'� <br />TADDP[55 <br />zK' �;,,4r-r n�-- � <br />JMBING <br />TYPE OF FIXTURE OR ITEM <br />WAiER CLOSET (TOILET) <br />BA?HTUB <br />I.AVATORY �WASH BASIN) <br />�,-��SHOWER <br />KITCHEN SINH 8 DISP <br />LAUNDFYTRAY <br />� CLOTHES WASHER <br />URINAL <br />� DRINKING FOUNTAIN <br />FLOOR DRAIN <br />�� <br />� � � <br />1 ''�j <br />SUB <br />, � FOR OFFICE USE ONLY: <br />� lROtllSEipRCK REARSEl9RCN <br />USEZONE LOTRREA <br />ivPE fl� LONIS AILOWABI[ IYPf Of LON51 ACNPI <br />;,iilOFBLpG NOOFSTORIES <br />occurnneriono FinesrneK�ensa�c <br />RI n501! LOR SPR�NKLERS <br />W1nnLOv --"�� WI4N54PPROVEDOY <br />5 <br />coa�es <br />n <br />����,.>r. <br />BUILOING RELOCATION <br />S s- o 11-� <br />I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE Gii�NTING OF A PERMIT DOES NOT FRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEI THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOHIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WNICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW PND 296200 WAC. <br />yiGNANHE OF GONiRALi0f1 OR AUiHONiZEO AGENt DATE <br />x j7 <br />�,;_.�: ,/� lJ� � a/ ri ,, <br />APPIILANIS GITY flU5ME55 UCENSE NO AND 6USiHE55 NRA�[ <br />FORCED AIR S`.'STEMS—B.T.U. f.� <br />UNIT HEATERS—B.T.U. M <br />— CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />ExHAUST <br />Slp[SEi9PCN �LANCMECFNUMpbN <br />W CANT SiTE FEES <br />BUILDING <br />occuvercr raavmuixcu�rns <br />wmv p���M01NG <br />BASEUENr MECHANICAL <br />11EIGHTLIMITRnON ADDITIONALPLANCHECN <br />oT�+[r� <br />STATE �UILDING SUIiC1�n1HGE <br />CITY OF EVERETT ruouc woRKs <br />LOCAL SALES <br />TAX CODEIS 3105 1orn� <br />TOTAI 3 <br />NIT S <br />1L FEE 5 <br />FEE � AECEiPTNO <br />� II <br />