Laserfiche WebLink
_ � <br />" APPLICATIO�. FOR CONSTRUCTI.�N PERMIT everett <br />rne e�e�y�een TO BE COMPLETED IN INK—PLEASE PRINT � <br />CI7Y OF <br />everett ,��� <br />BUILDING DEPARTMENT <br />259-8810 <br />DEM�LITION COMBINATION <br />MqILADDFE55 �� <br />'.7f�,.:: � � <br />MAII ADDRE55 <br />5A <br />GENER4l <br />HEATING SYSTEM: 0 <br />MAIL ADORESS <br />QiV <br />cur <br />CITV <br />MECHANICAL <br />' `--Z�P PNONE <br />� <br />��;fi���� i <br />Z�P PHONE <br />PNONE <br />PLUMBING SIGN <br />^3 3 a; AYS <br />'-�A6z <br />UGENSE• <br />--- �"� Zlf` PHONE <br />L�CEMSE r <br />PLUMBINGCONTflFCTOR M�ILADDRESS CITY <br />Z�P PHONE LICENSE � <br />s /i � <br />LLASS OF WORK <br />� �� NEW . %hDDITION � ALTERATION - � R <br />�ESCRIBE WORK AI <br />� '��TC.A� <br />FFOPOSED USE OF <br />� EPAIR . . DEMOLITION <br />( � �5 /1� corvtn <br />INYOLVED <br />or�- ��S S� <br />wnn� oeacnivnON OF PqppERTY �SNOWN BELOi <br />LOT BLOCh OF <br />_��, �.� <br />'ROJECTRDORE55 <br />TYPE OF F <br />WATER CLOSET (T <br />BATHTUB <br />LAVATORY(WASHI <br />SHOWER <br />KITCHEN SINK 8 DI <br />DISHWASHER <br />LAUNDRV7qAY <br />CLOTHES WASHER <br />BACKFLOW <br />ROOF DRAI <br />WOODSTOVE/FRPL INSERT �_ BUILDING RELOCATION <br />ANDPHOy�,NO <br />r�f7mdo�. 334- -z�,-�q /J ., <br />I HEREBY CERTIFY THPT ; HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT..4LL <br />COPIE51 PRQVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WURK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NpT. THE GRANTING OF q pERMi.T DOES NOT PRESUME TO GIVE <br />AUTHOFITY TO VIpLATE OR CANCBL THE PROVISIONS OF ANY <br />JTHER STATE OR LOrAL LAW REGULA�i ING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AU7HORIZED BV THE <br />OWNER OF T'iIS PROPERTY TO PERFCRM THF W�RK FOR WHICH <br />— APPLICATIOh IS MADE AND I CCMPLY WITH TH[ STATE <br />CONTRACTORS LA1V 1827 RCW AND 29E.200 WAC. <br />SIGNATL'REOFCONTRRCTORORRUTNOPIZEDAGEIiT ORiE <br />0 <br />)TAL $ ,Ji � — <br />i $ ; <br />FEE $ Sf _ <br />NO. <br />UNIT <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE <br />FIREPIACE INSER" <br />HEATPUMP <br />GAS PIPING <br />EXHAUST FAN <br />FOR OFFICE USE ONLY: <br />���': �'C'� ; K pE�R SETOA� / SIDE SETBAC! , <br />2 � PIANCH KNUMbER <br />�� � S 9l od�3lv� <br />USL20NG LUTAREA vncnNTsite . FEES <br />R_' �� � � n � BUILDING /✓y r` �w <br />iYPEOiCONiSAtIOWABIf ivPFOfLONSiPC111A1 occerµh xoo��wnuycuuns - ���t<� <br />r,eoun <br />' — PLUMBING <br />SIZ[ Of BLDG NO. OF STORI[5 BASEMENT <br />��� !J� MECHANICAL <br />OGCUPANCv�OAD FlqESPRNNL[RSREO'0 NEIGHTLIMIrJiATION ADDITIONALPLANCHECK <br />AW / 5 i <br />REF50 FOFSPPINKLERS OTHER <br />STATE BUILDING SURCHARGE <br />piiAHf PY PLANS RPPqOV[� 9V CITY OF EVERETT PUBLIC WORKS <br />/�� LOCAL SALES <br />__ ��/,� TAX CODE IS 3105 TOTAL <br />NO. RN� eU51NESS NRME <br />M <br />PJ <br />SUB TOTAL $ <br />PERMIT $ <br />TOiALFEE $ <br />3.60 <br />RECE IPT NO. <br />/ � `� •,-� <br />va�unn F <br />12480 � <br />�p <br />tlup <br />O <br />�� y� <br />