Laserfiche WebLink
�Pro <br />C � N <br />y � n <br />o�o <br />� y N <br />O M+ � <br />��� <br />� N � <br />N H <br />N <br />O N <br />��y ro <br />O y <br />N <br />AP�LI�ATIO.i FOR CONSTRUCT:�JN PERMIT `'`'""'" <br />E „ TO BE COMPLETED IN INK—PLEASE PRINT � <br />CIIY OP �j <br />everett �EATING SYSTEM '�(GAS U ELECTRIC CJ _ ---- — I <br />BUILDING DEPARTMENT <br />259-8810 <br />ncuin� iTinu rnMBINATION 1C BUILDING XMECHANICAL ,�'PLUMBING SIG� <br />WNFft • MAR�U�R[SS LITY <br />��iflf r2YEi� ��zs r,HP�ast �=✓e���� <br />��rypry1 AIAILr1DORE5� ❑tY <br />ARCMIiEGiOPD[y�'� A141LADORE55 CIiV , <br />QL a�f� 6 il ��T� <br />cc��a �coNranc�on n+nar•oma�ss <br />R � CDA�StRuetip,� MARyfU///l <br />AI[CNA71y�ICONiRACTOR R1AtL�D�g�55 ��tY <br />/VD Sobs !is Of I/Pf �ry <br />PLUMpING CONLPPCIOR MN— L �����55 <br />Nd sa6s as o� v�� <br />CUSSOf WOFN <br />NEW jCADDITION .eA�TERATION REPAIq DEMOLITION <br />r�p PIIONE <br />9�idl zs8-�so 3 <br />_�p PHONE <br />Z�p PN04[ <br />21P PIIONE IGENSE a <br />bs -�Gy � e /G /0� �r <br />Z�p PNON[ LICENS[ � <br />Z�p PMONE LICENSE • -- <br />WOODSTOVE� RPL WSERT . BUILDING RELOCATION <br />'.ONTf�T�fl50NRNOPHON� D� � ,�J�;✓ <br />� �'DD � � <br />COqiqACT PRICE OF WORN j <br />0[SCf10EWORKANO50UAR[FOOTPGCINVOIVED 2�6 _ ,y:3_ �'6 y�' SQ-1S <br />�J J,�p (,%QRA G � !b 2D /N � �Qn'D <br />' OPOSED�oFeua rt+c - I HEREBV C FY THAT I HAVE READ AND EXAMINED THIS <br />S/N �Q� /� �� ��! APPLICATIO AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />tecn�D[ScnianoNOFaaor[nrv�sN�)VNBELOIVORRTTACHFOU COPIES� PROV1510 OPLAWSANDORDINANCESGOVERNWGTHISTYPEOF <br />� PQ pL.at o�° /svexe7i W�FK WI BE COMPLETFD WITH WHETHER SPECIFIED HEflEIN OR <br />ioT�oiaK oF OT. GRANTING OF A PERA7IT OOES NOT PRESUME TO GIVE <br />,Lst -��j.���. AUTH ITY TO VIOLATE OR CANCEI THE PROVISIONS OF ANY <br />�! ✓/Si o A� %- OTH 5 ATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE <br />OR ANCE OF CONSTRUCTION THAT I AM AUTHOR12ED BY THE <br />�13 P�� Si <br />,oRE:s . E✓eee <br />� �/i✓E S� <br />BING <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />PE <br />NER f THIS PROPERTY TO PERFORM THE WORK �OR WHICH <br />PPLIC TION IS MADE AND I COMPLV WITH THE STATE <br />'GONT .CTORS LAW 7827 RCW AND 296200 WAC. <br />sI�NAtUREC'CONiRAGi0RO11AU1HORRED4GENT DniE <br />KITCHEN SINK 8 OISP VENTILATION FAN <br />DISHWASHER I RANGEHOOD <br />LAUNDRY TRAY WATER HEATER <br />CLOTHES WASHER " — WOOD STOVE <br />URINAL METAL FIREPLACE 8 <br />DRINKING FOUNTAIN i FIREPLACE INSERT <br />FLOOR DRAIN — HEAT PUMP <br />_...�,.�,.,.�....�.,�.�rcoc , GASPIPING <br />FOR OFFICE USE ON : <br />fBONTSEiBACN �AflSETp•\CK <br />2a' 20 ' <br />usEzor� ^� �ornnen <br />g � � <br />iYPE Of LOYtS AtIOWABIE nTE Of [ON51 ALNAL <br />- � —��1/� <br />SREOPOIa.sr 'rt N�-OFSTORi[5 <br />�' (6 1 Z <br />OLLUPAFGVLOAD FiR[SP��iNLEPS�K <br />N� <br />RL4:AN FON SPPINKlEqS <br />INIABEOY I PL�NSAPPBOY[DD'I <br />S <br />S <br />� i <br />DUSINE55 NAM[ <br />M �_ <br />� <br />IMNEY 3CJ' ' <br />_ -----r— <br />i <br />i <br />�•,,�� TeeeJ'P �i i � <br />� <br />SUBTOTAL 5 //O ' — <br />PEflMIT 5 <br />TOTAL FEE 5 //l/ ; � <br />y�2.SD <br />SiDESEIp�C�t� PIAN�NECN lADER F�E, <br />� �/� , 51"� � <br />vncnNisiT� "FEES � VA UA <br />- /O �o a 1 <br />/V BUILDING rfj� <br />acuwrtr uocrcnnr,�.:u���s �� <br />�^O�1° J PLUIdBING <br />9n5EMENT MECHANICAL <br />�� ADDITIONAL PLAN CHECK <br />NEIGNI UTAIiAIiDN <br />�7 ' OTHER <br />STATE BUIL�ING SURCHARGE <br />CITY OF EVERETT rueuc woaKs <br />LOCALSALES <br />TAX COUEIS 3105 TOTAL <br />c <br />