Laserfiche WebLink
� y <br />4�H <br />9 H (/� <br />, <br />K�� <br />� H � <br />Hy <br />�o <br />OHd <br />��g <br />�r n <br />C"y� <br />HH <br />y <br />f�Ct�i� <br />��yLY <br />HO[yi� <br />APPLICATIOr� FOR CONSTRUCT.JN PERMIT `"°"'" <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />Iho Erergrern <br />GTV OF <br />everett HEATING SYSTEM: S J ELECTRIC U _� <br />BUILDING DEPARTMENT <br />i 259-8810 <br />' DEMOLITI�N COMBINATION BUILDING MECHANICAL PLUMBING_ SIGN <br />��E,� l�nhr) �� � ",I�I�s �EsS ��q <br />TEN� i/ AIAIL AOL�PE55 <br />/�� .� i <br />AJ� <br />nnhwiECTOFDESiGrvER AiniLADDRE55 <br />CITY 21P <br />PN".NE <br />__ \ <br />CLA55 Oi 1VORN � <br />NEW � ADDITION � A4TERATION PEPAIR DEMOLITION WOODSTOVE/FRPLINSERT � BUILDINGRELOCATION <br />— _._�. .\. I CONiACT PERSON ANu PNONE NO. <br />oF <br />l[GRIL ��RIPINnUvnvrc <br />LCf__ _ BIOCK <br />PROJ[GTRDDRE55 / <br />KITCHEN SINK 8 <br />FLOOR <br />oF <br />I HEREBY CEflTIFY THAT I HAVE READ AND ExAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TFiUE AND CORRECT. ALL <br />�c�� FouncoPies PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL B�� �OMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVF <br />AUTHORITY TO VIOLATE OR GANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL lAW FiEGULATING CONSTRUCTION OF THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WCIRK FOR WHICH <br />APPLICATION IS MADE AND � COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SiGNAiU1VEOFCOu1RnCTORORAUTHOHi EDAGENT �ATE <br />i / <br />x � � � , , ��_ (g <br />��� I � A nNTSCi�VOt15iN �iC[NSEH FNDOUSMESSNAI.IE <br />l <br />� SUB TOTAL 5 <br />PERMIT 5 <br />TOTAL FEE $ <br />FOR OFFICE USE ONLY: <br />FRONLSEiBACK REAR SEipAGK <br />,E ZONE LOT AREA <br />IVPE�fCON15AllOWA9l[ LVPEOFCONSiRGiURL <br />SREOFBLDG. NO.OFSTORIES <br />OCCUPANCVlOAO FlRESPRNNlER5RE0'0 <br />REASONFOPsvNmrt�[ne <br />p�7pkEpy PLANSAPPROV[DBY <br />FORCED AIR S`.'STEMS—d <br />UNIT HEATERS—B.T.U. M <br />RANGEHOOD <br />WATER HEATE <br />WOOD STOVE <br />METAL FIREPL <br />FIREPLACE IN: <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />8 CHIA7NEY <br />SiotsErencn a�nHCNtcrcrvurneen <br />vncnrvi site fEES <br />oui�owc <br />ocw��v�r xoaonn.r.-.�.�v's — <br />49UJn ���1J��0��`:Ci <br />�nSEMENT MECHANICAL <br />NE�G�iT ��UiiAnoN AD�ITIONAL PLAN CHECK <br />OTHER <br />STATE OUILDING SUflCHARGE <br />CITY OF EVERETT PUBLIC WOFNS <br />LOCALSALES <br />TAX CODE IS 3105 rorn� <br />SU� TOTAL S <br />PERMIT 3 <br />TOTAL FEE S <br />� <br />a <br />