Laserfiche WebLink
C� � <br />H <br />�Hp�t~i� <br />Hx� <br />�p H ti•�tl <br />'�tl � � <br />y ��x <br />o�d <br />��g <br />�Y (] <br />t"y� <br />HH <br />g �' <br />�rJN <br />�� <br />HOv�i <br />. 1 / ' <br />APPLICATION FOR CONSTRUCTION PERMIT <br />���«e+<��p����.� TO BE COMPLETED iN INK—PLEASE PRINT <br />cn v ov <br />everett <br />BUILDING �EPARTMENT <br />259�8810 <br />DEMOLITION i COMBINATION <br />HEA7ING SYSTEM: '� GAS ❑ ELECTRIC U <br />MA�LL R/n�Un�E�ss- <br />� _la,G Y l i��'f' <br />� uAR �DDRrE� 5 �� <br />'l /02 �%- oZ `% <br />� BUILDING <br />y( MECHANICAI !� PLUMBINO I:! SIGN <br />ar vHou[ <br />• �•-�— "`� PNONE <br />� J�ITECTOR�C5�6NER 1MRADDRESS Giv 2IP <br />GENEMICOHTRACLO� ��ILADDIiESS Gii� 2��' PNONE LICENSE� <br />CL�SSOF WWiK <br />kEW I��. ADDITIOk � ALTERATIUN 1 REFA�R <br />rnu.n�r.i cA�c[Of WORK ����" � — <br />LOt __ OLOCN <br />�DO�ESS <br />AATHTUB <br />SINK 8 <br />I DEMOUTION ' WOODS70VE/FRPL INSEHT . i BUILDINO RELOCATION <br />cor+uci r[nwr+nNo riwn[ rro <br />��- I HEREBY CERTIFV THAT 1 IiAVE NEAD AND EXAMINED THIS <br />�`�`��''/ APPLICA710N AND Y.NOW THE SAME TO BE TRUE AND CORRECT. ALL <br />�W pqq� M fOURC i[si PROVISIONS OF LAWS AND ORDINANCES OOVEflNINP THIS TVPE OF <br />WORK WILL BE COMPLETED WIiH WHETHER SPECIFIED HEREIN OR <br />cr NOT. THE GRANTING OF A PERMIT DOES NOT PRESUtAE TO OIVE <br />AUTHORITV TO VIOIATE OR CANCEI THE PflOVI610NS OF ANY <br />OTNER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br />y PERFORMANCE OF CONSTPJCTiON. THAT t AM AUTHORIZEO BY THE <br />OWNER OF TNI$ PROPERTV TO PERI'ORM THE WORK FOR WHICH <br />�PPIICATION IS MADE AND I COAIPLY WITH THE STATE <br />G�NTflACTORS LAW 1827 FCW AND 296200 WAC. <br />— 9i•NAIUNEO���RAUInOfl2EDf EUT L�7E <br />�PPIICANfS CILY BUSME55 L�GCNSE M1O A D B115 4E55 NA�1 <br />� TOTAL FEE 5 I _ <br />FOR OFFICE USE ONLY: <br />iROMSEfBeCK NE�RSE�B�tU � 5�7ESETB�CK <br />_ _ _..� � — _"__ _.. <br />VSEIONE tOiR'iCe V�CANIS�JE <br />tri[qfAMfS+�IIOW�lIF irNpfAMSfAGIWI act�'�'<• �� <br />�JUY <br />� <br />54[O� BLDO I �� StONiES � 9ASC1ACN1 <br />I <br />OCLUVANCv10�� Fl�ESPNHY.IE(�SREOD nEK.MIIiMIIe <br />�__ <br />�[�Spl f OR 6POINNLCRS <br />CRAKEP� ' r`ANS�PPPOVEOBY i� CITYOF <br />I LOCAI <br />TAI( C00 <br />IA�I <br />NES <br />�� WOOD S OV EACE 8 CHIMNEY __ �_ <br />FXHAUSTFAN . <br />gi �p T07AL S YC_i __ <br />PERIdi� � S — /S �O! <br />PI�NCHECKH�JUPf4�---- I fFf I HEGt <br />FEES <br />BUIIDING <br />dM111MGYVlf{ —' <br />PLUMB�NG <br />MECNANICAI __ ___ <br />id�'— ADDITIOHAI �'LnN GHECK <br />OTHER <br />STAl6 tlUILU.', 7 SURLMARGE <br />EVERETT PUBLICWORKS <br />SALES <br />FIS 3105 TOTAI <br />