Laserfiche WebLink
� i=i � <br />9H <br />A�x <br />C H <br />9H5�n <br />H x� <br />�! C7 <br />H� <br />"�� H tiC <br />[/1 H <br />[� O � <br />H <br />�/��8 <br />y�Y �q <br />9 H l+1 <br />t� H H <br />g�' <br />� <br />C�^�, C7 y <br />L� � [rs1 <br />l H fn <br />HOV� <br />�� <br />� <br />APPLICATIO�.'' FOR CONSTRUCT:'�N PERMIT �°`"�'� <br />� E 2�� TO BE COMPLETED IN INK—PLEASE PRINT � <br />CITv OF <br />everett HEATING SYSTEM J GAS ] ELECTRIC [.I —� <br />BUILDING DEPARTMENT <br />259-8870 <br />DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br />OWNERn /�,� ,,1 /[� (..M.�4il�AD��RJC(S/%S l/ //�.��Q GcTV y� ZIP PNO4[ �p �C� <br />.��OIC NL W, f""��-IY(� / l�`.-() L'.l i`it��� [� �I��l / �S ZO� J J J"Z3/JO <br />RRGIRECiORDE9GNER MA�I <br />MRI� ADDPESS <br />MNL qODRESS <br />CiTv ZiN <br />CITY Z�P <br />CITV 2iV <br />CITY ZIP <br />CITY 21P <br />PNONE <br />PHONE UCEKSE/ <br />PMONE L'CENSE • <br />P��ONE UCE115E � <br />SS OF WORN `/ <br />NEW ADDITION /� ALTERATION REPAIR DEMOLITION WOODSTOVE/FPPL INSERT BUILDING RELOC..� ION <br />COlRAGi PERSON PN� PIIONE NO <br />ITNAGT PPICE OF 1YORK <br />C���E N'ORK AND SOU�f1E FOOiAGE IHVOtv[ <br />w � —e_/ l _ idiA-T�% � St�%— <br />raoroseo use oF omimna <br />l[ WL DESGRIPTION OF PROPI <br />LOI FLOCN <br />nooFcss <br />NO. <br />WATEF <br />KITCHEN SINK 8 <br />WASHER <br />BACKFIOW <br />ROOF DRAI <br />SINKISERV <br />P,EIOW <br />or <br />PERMIT <br />FOR OFFICE USE ONLY: <br />FPONTS[iBAGK �ERRS[ipACK <br />USEION[ IOTRREA <br />1YPFOttONtS.�LIOWABI[ iYPEOiCONS[AC10Al <br />SIZ[OFBIDG. NOAFSiORIES <br />OCCUP�NGYLOAD FiBESPRNNlERSRE <br />NI T`A4 fOB SPNINKLERS <br />iH1AnLNV PlRNSAPPROVEDO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION N�D KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />COPIESI PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OF <br />NOT. THE GRANTING OF A PERMIT DOES N0T PRESUM1IE TO GIVE <br />AUTHORITV TO VIOIATE OR CP.NCEL THE PROVISIUNS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOAIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />-- APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRAGTORS LAW 18.27 RCW AND 296200 WAC. <br />9CNATIIREOFCONTRACiOROPRUTMOHI(EDPGENT OR-E <br />X <br />pPPLICPNTSCIiYF�US✓;[SSUCENSENO AHDBUSiNESSNAME <br />FORCED AIR SYSTEMS—B.T.U. td E.A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />r,nF7AL FIREPLACE 8 CHIMNEY <br />SID[SETanCN Ytnn�n[�nuumnv. <br />vnc�NT SrtE FEES <br />OUIIDING <br />CLNMNCv N�flPNiIVHLUM.S <br />ceav p��M01NG <br />onSEM1IENt MECHANICAL <br />HEiGHTuuiunON AODITIONALPLANCHECN <br />O7HER <br />$iNE 13UILDWG SURCH�FGE <br />CITY OF EVERETT ruuuc worvKs <br />LOCAL SALES — <br />TAX C00[IS 3105 rora� <br />TOTAL 5 <br />NIT 5 <br />1L FEE S <br />FEE � RECEIPiNO <br />— ��— <br />m <br />