Laserfiche WebLink
APPLICATIC� FOR CONSTRUCT'"�N PERMIT �y� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM: ] GAS U ELECTRIC ❑ <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION COIABINATION BUILDING <br />OWNER h1AR�DOFESS �irY <br />�bwR�.l� i '�$°1�Y4N 1-R�aiN � �33iho�C;�,�u <br />TENANt MAiLAOD ESS � CI1V <br />earuncCTOR0E51GNEF I,IAILADDRE55 CRY <br />MECHANICAL PLUMBING SIGN <br />Z�p PHONE �. C ,3� <br />GRE'ii �igc�03 3 S �' <br />21P PMONE <br />PLUMBINGCINITP4CTOR MAILADDRESS CiN ZIP PHONE STATELICENSE� <br />NEW ADDITION ' ALTERATION <br />AND <br />LOT BLOCK <br />33 <br />SINK <br />FOOTAGEINVOLVED <br />iINK 8 <br />1ER <br />TRAY <br />FEPAIR DEMOLITION �Y WOODSTOVE/FRPL INSERT �. � BUILDING RELOCATION <br />I CONT�CT PERSON ANO PMONE NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />veeiowoannncNFouecoPies! PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br />WORK WILL BE COAIPLETED VYITH WHETHER SPECIFIED HEREIN OR <br />oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV ThE <br />OWNER OF TIiIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AN� I COMPLY WITH THE STATE <br />_ QONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />�`` i <br />x �.y��3)�S'J.,�. - . � , _ \3 �y ��- <br />s�cHnrvne o��� <br />RJk �U�� CIIVOVSWESSI�CFNSENO <br />� MECHANICAL <br />RE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br />SUBTOTAL 5 <br />PERMIT 5 <br />TOT�LFEE 5 <br />FOR OFFICE USE ONLY: _ <br />FRONT SETBACN �EARSET9ACK <br />USEZONE ��TAR�p <br />lYPE0FW1li5.AlLOWABLE iVPEOiLOBSt.PLtUAL <br />5¢[OFBLDG. NO.OFSTONIES <br />GCCUPANCV LOAD FIRE SPRNNLERS PEO <br />P[�SONFOR SPRINHL[RS <br />inrnKrnr PLPNSAPPflOVE00Y <br />AIR SYSTEMS—B.T.U. M <br />1TER5—B.T.U. M <br />WOOD <br />HEAT PUMP <br />GAS PIPING <br />PLAN <br />a <br />VACANT SITE <br />BUILDING <br />acuvrscv imwowEun�aurtrts <br />�aaP pWMBING <br />oaSEMENT MECHANICAL <br />HEiGHi uh11TATioN ADDITIONAL PLAN CNECK <br />SPRINKLER <br />STATE �UILDING SURCHARGE <br />CITY OF EVERETT PUBLIC WOflKS <br />LOCALSALES <br />TAx COOEIS 3105 TOTAL <br />it-,, , J,! � ,' iL 'F.:l9i{�, <br />.. .. ._. tib�e•: <br />