Laserfiche WebLink
�� �::I <br />APPLIC�ION FOR CONSTR�TION <br />PERMIT <br />fM EwrprNn everett <br />CITY OF � <br />everett <br />BUILDING DEPARTMENT <br />269-8810 TO BE COMPLETED IN INK— PLEASE PRINT <br />MIUL�OOPE59 CITY IIP PMONE �1 <br />� n�,.,ll. Sc6.,�{- IS Ok 9i1��( l�d Snoh 68.�90 3:3�/-USf/7 . <br />PIIONE <br />pqptllTERORDE810NER 1MIL�DOHESS QIY ZIV PNONE <br />RUMlINOCONTPACTOR MMIADDRES3 LItY 21P PHONE LICENSE• <br />„ �,. o.._. � ooY� ic�_oe.�T Ssvr-n1,�Pl8cml <br />��y�� ��� <br />R7 NEW ❑ ADDITION ❑ ALTEH1ITION ❑ REPAIR ❑ OEMOLITION '❑•rWOODnuON�PHONE oSERT BUILDINGRELOCATION <br />► <br />LOT� �aK OF <br />Sa o �iv� .r � <br />rWM�INO <br />; �, <br />� U6[20N <br />i �� I <br />TRAY <br />PERMIT s <br />TOTAL FEE S <br />qFAReETB�CN BIDESETB�GN�` .�w <br />�� / � ' V- V I <br />LOTNIE� J W gTSIDENO <br />%000 � <br />OCLUVANCY0110UP NOAFOWELLINOUNITS <br />"` —3 � <br />� NO.OFBTORIE9 BSMT. OLGIOAD <br />� I ❑Y <br />HEIGNT UNITRION <br />REOUIPEO O VES Oy6� <br />1Y"" , <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND <br />KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS OF LAWS AND <br />ORDINANCES GOVEFNINQ THIS TVPE OF WORK WILL BE COMPLETED WI7H <br />WHETHER SPECIFIED HEREIN O(i NOT.THE ORANTINOOFA PERMITDOES NOT <br />PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE PROVISION8 OF <br />ANYOTHER STATE OF LOCAL LAW REOULATINO CONSTRUCTION ORTHE PEiF <br />FORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BV THE OWNER OF <br />ANID IRCOMP VTWITHRTHE S ATE CANTRAC ORSHLMN 1&27 NRCW �� <br />298200 WAG p p.p � �� <br />SION�TUPFOFGONTIIACTOPOH�UTNORREDAOENT D�TE / <br />X �'� ,� �.�- . <br />APPLIC�NTSG� U4INESSLICENSENO.�NOBU <br />MECH�NICAI <br />NO. 7YPE OF EOUIPI <br />NC — NHNDlO UNITS — H.P <br />FORCED A�(i SYSTEMS— fiT <br />UNITHEATERS-6T.U. M <br />CLOTHESDRYERS <br />'„J VENTILATION FAN <br />RANGE HOOD _ <br />� WATER HEATER <br />WOOD STOVE <br />� ETAL H�MNI <br />PLACEINSERT <br />HEAT PUMP <br />6AS PIPING _ <br />ar33o <br />BUILDINO <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERQY SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />u <br />