Laserfiche WebLink
� y <br />Q � M <br />�Hm <br />H�� <br />k n <br />'+tl M � 0 <br />Hy <br />ZR <br />� H � <br />��g <br />�� n <br />t"y� <br />HH <br />8y <br />H <br />��� <br />6� <br />1 <br />� <br />APPLICATI4N FO� CONSTRUCI.ON1 PERMIT <br />t�e E�em een l'VQfe[l <br />CITY OF � <br />everett <br />• BUILDING DEPARTMENT <br />259•8810 TO BE COMPLETED IN INK—PLEASE PRINT <br />DEMOLITION COMBINATION ✓BUILDING MECHANICAL _ PLUMBING SIGN <br />OWNER Mf.RAD�RE55 CIT� ZIP PHONE <br />SoHN 6�Tt'ci7 330 /�CJ�THEfZ �uE�t[i� 9SLd3 339 9039 eF�-�'S-lb(.6 <br />T p � � MRILPDDHE55 5✓ITG GiY 21P FHONE <br />QRRLLAti #�ti5�. %Sy3� 5E . S2No�R Cl-qcAr�nS �R yi0/S �s°3�LSf. Iq 8a <br />�RCHRECTORpE IGNER MRILADORE55 CITY 2ia PIIONE <br />GENEHFLCONiRAGTOR MRI1L1Ap�RF55 QTV ZiP PNON[ LICENSE• <br />Dn�c N�xwC�,.;Yo..,Haw.tsTN�. /OSy N,PPa�tO�2 €u�, 98�-�3 �.s939s'� /fiAvSooG,3z9@,Z <br />IAECMRNICALCONTRRCiOfi MAILRODRE55 CiTV ZIP PMON[ UCENSE� <br />PWMBMC.LONTRRCTOR MAiLADDRESS GIiY ZtP PHONE LICEkSEt <br />CLA55 F WORN <br />�. NEW �._ ADDITION <br />TENRNtiMPPOVEMENtORINiEI <br />CCNTRRCi PRICE Of WORN: <br />OESCPIBE WORR AND SOURPE F <br />S1NC.�E FPM\ <br />LEGAl. DESf.RIPiiON OF PqOPEFP <br />IOT� BLOCN _ <br />SE�. 3S � <br />ALTEPATION . REPAIR <br />INVOL\'ED <br />OF <br />PRJJECTADDRE55 �(�//� <br />�R/LJ/71� �-O'�L.C� <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET(TOILET) <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />W .M <br />DEMOLITION . WOODSTOVFJPRPL INSERT I�� BUILDING RELOCATION <br />CONTAGiPER50NANOPNONENO. <br />� , c n� ti - � 59-2.95a <br />� <br />I HEREBY CERTIFY THAT I HAVE READ AND EX�MINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS A�D ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING G� A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATC OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPEf:TY TO P�RFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTFACTORS LAW 1827 RCW AND 296.200 WAC. <br />SIGNATUREOFGONiRAG10HOR�UiHORR[OAGENi DRLE <br />X �, ,` <br />%31i71- �1��E NaNso� C�yTo•+. 1'�o.x[t1iJc, <br />p"tICAN'S GI1 V PUSiN[SS IiCENSE NO PND OJSME55 NAME <br />67�eCHANICAL <br />A'C—NHNDLG UNITS—H.P. <br />FORCED AIR SVSTEMS—B. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DFYERS <br />KITCHEN SINK 8 DISP VENTILATION FAN <br />DISHWASHER RANGE HOOD <br />LAUNDRY TRAY 1� WATER HEATER <br />CLOTHES WASHER \NOODSTOVE <br />URINAL h1ETAL FIREPLACE 8 CHI <br />DRINK�NG FOUNTAI i fIREPLACEINSERT <br />FLOOR DRAIN HEAT PUMP <br />pA!`KFI (1W FVFurcac . GAS PIPING <br />FRONiSET6PCN <br />USE ZONE <br />hPE Of W'�S* .1 LC�� L�[ <br />P[ASON fOP SPRINKL[RS <br />RPPLIGPiIONACC UY <br />PEIPSETBACK <br />IOTAFl[A <br />rv>:. ar cc:sIt 1ncmai <br />� �N <br />NO.OF STORIES <br />I <br />FlPE SVRNKI[RS R[O'� <br />YES D� NO <br />FEE 5 <br />S��ESETOACK PLANCMECNNUM�ER <br />yo ay837 <br />VACANT SItE FEES <br />�. YES : �. NO BUILDING <br />zcuraxr xaarnuuxcvm�s — <br />f.FWi ' <br />�7_3 PLUMBING <br />BnSEMENT MECHANICAL <br />X YES NO <br />NEICNI LIMI1AiloN �1HER� �� � ( <br />GlANSAPPROVEDBV <br />�� F/6 <br />STATE BIiILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />CITY OFEVERETT cueuc woaKs <br />LOCALSALES <br />TAX COUEIS 3105 TOTAL <br />_TOTAL <br />rEE <br />5 <br />RECEIPT NO. <br />} � k� <br />