Laserfiche WebLink
� <br />t.y� C'i7 <br />L7 t+! <br />.Qi `a r"s <br />9 H [/� <br />rx> <br />y Y i-�+ <br />�C C� <br />H �7 <br />"�+] H '� <br />V1 H <br />Z <br />� H �G <br />OH�y <br />H L�Ti O <br />� V �] <br />9 H� <br />r z <br />h+ H <br />�N <br />H <br />CC], C7 y <br />RI � [�7 <br />Z H fA <br />H O cn <br />APPLICA'TIOr�I FOIR CONSTRUCT�ON P'ERMI'i �'��'��''� <br />�h��E„�an�,;� TO BE COMPLETED IN INK—PLEASE PRINT � <br />CIIY OF <br />everett � HEATING SYSTEAI: ] GAS U ELECTRIC J __ --- � <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBiNG SIGN <br />OWN[R M1Ir11LA0C�P,ESS Cii1' 21P ���C`lE <br />,) •� �-" "'f( " /(UIj�L ifl7 - C b J L-6�C�tC : � _.'J:: . �./l.r.:_ <br />.'. L i�d<�' r,. .�° i' Gu , � <br />TENANt MAIL ADORESS GIi` Z�P PHONE <br />ARCMITECTOP065iGNER MpLLA0DRE55 CITV 2iP PNONE <br />GENERRLGONTRACTOfl MARADDPESS CItY ZIP 'NONE LICENSE� <br />�dECHANIGAICONTRACT/OR MAILAODRE55 CITv 21P PNONE LiCENSE� <br />_�✓� J fE 7 i✓r ��ca l�-- t .N� `�r^�t'� T `�i^T��S i33-33-/y ✓��lt; �y� c�^�:� <br />FWMBINGGONTRACTOR AIAiLpDDFE55 GTV ZiP PNONE LIGENSEI <br />NEW . ADDITION X �LTEFATION <br />— y�� - <br />iTRALTPRICEOFWOPY . <br />�CRIBE YIORY RND SOU�RE FOOTAGE i4\'OIVED <br />�[GAL DESCRIPT�ON OF PPOFERTV ISNCWN 6[LOW <br />lOi BIOCN OF <br />NO. TYPE OF FIXTURE OR ITEM <br />WA7ER CLOSET �TOILETI <br />BATHTUB <br />LAVATORY IWASH BASINI <br />KITCHEN SINK 8 DISP <br />WASHER <br />DRINKING FOI <br />FLOOR DRAIN <br />FOR OFFICE USE ONLY: <br />Pi10Ni5[iO�CH RERRS[i11AGN <br />u` [ ZON[ <br />IYPE Of C011i5 AItOWABIF <br />SIZE OF OLIX:. <br />OGCUP�NCYLO�D <br />�irnsor+ron srravix�ens <br />��:r.;.� �i� — � � <br />REPAIR <br />SUB TOTAL 5 <br />PERMIT 5 <br />TOTAL FEE S <br />siu� seronc <br />VACANT SITE <br />iVPE Of CON51 ACIDAL <br />IJOAF STOPIES <br />FlRESPRNNLEBSREOU <br />P�PN54PPROVCDOY <br />DEMOLITION .- WOODSTOVE/FRPL INSERT . BUILDING RELOCATION <br />ICONTFLTPERSONAI�DPNONENO ' <br />.7c� A7cr�h E �.G> ' � /� <br />I HEREBV CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WOPK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. 7HAT I A�.1 AUTHURIZED 8Y THE <br />O\VNER OF THIS PROPERTV TO PERFOPM TfiE IVORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />S�GN�tUREOFCONTP�LTORORAOiNOFiZE�AGENT DnLL <br />X D � <br />Frvucn.�r. cJ. eus��rz ss uct•+s[ r�o ar:o nusr.ess Nni�e <br />\ I <br />MECliANICAL <br />FEE NO. TYPE OF EOUIPMENI <br />A�C-A HNDLG UNITS-�H.P <br />FORCEDAIRS`.'STEI.IS-B.T.U. M E.A. <br />UNIT HEATER5-8.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />�- WOOD 5T0\'E <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSEFT <br />HEAT PUMP <br />/ GAS PIPING , <br />—� EXHAUSTFAN <br />' SU8 TOTAL 5 <br />--T- PERMIT 5 <br />� TOTAL FEE 9 <br />PI�N <br />�UILDING <br />arur��r xoa�mni^.:,r,rs — <br />caou� PLUMBING <br />UASEMENT MECHANICAL <br />��EiGHiuMrtAiior+ �ODITIONALPLANCHECK <br />OTl1ER <br />STATE OUILDING SURCHARGE <br />CITY OF EVERETT PUOLIC WOFNS <br />LOCALSALES <br />FEc I A[r,Eirr No <br />FEE <br />8 <br />r �: S <br />