Laserfiche WebLink
�i9�i� <br />.O�lx <br />YH(~/� <br />4 <br />!<i�o <br />H �1 <br />'�1 N 'il <br />U1 H <br />�O� <br />Hq <br />�/��g <br />y�Y qC] <br />7a.N3 <br />t" y x <br />HH <br />gy <br />�d� <br />��� <br />HO[y/� <br />� <br />APPLICATIO i FOR CONSTRUCT'- )N PERMIT `'`'`'"'" <br />TO BE COMPLETED IN INK-PLEASE PRINT � <br />pinrrrra,n n <br />cnvor n <br />everett ---__ ---- <br />-- <br />[ _HEATING SYSTEM: U GAS_U ELECTRIC CJ ___ __ -_. - -_ ___ _ <br />DUILDING DEPARTMENT --- <br />259 8810 <br />DEPdOLITION i I COMBINATION i i BUILDING i� MECHANICAL_ � PLUMBING SIGN <br />.�_._.__ ___— _ _ ___ _. _ ci„ z�r rnnr�e . _ __ _ __— _._._ _ . <br />�vnrn 1 �e�a..i, noone5s 7 ��f' <br />� /.71-`-�`/7Mry n��sc �.Q7Y .7� �N—�.'li�!%�{..1 S�_� riior�[ � � _J.���.. ._ . _ <br />I I- I�NI � <br />- I.IAII �D�IlE55 . _ _""_- -_ Cliv )IP PIIONf <br />nnf�0�[ci OR OFS�GN[fl <br />- I.INL�DOIIESS-- -- CIIY —�-___'_l�P PII@IF.----Ilf[NS[• -. <br />i H9lFPAL CONIf1�Cf0� <br />RiPf11ANIC,AILONiMCIDf1 AI�RMDBESS <br />-' -- Giv —'--- ll� PIbNE UCENSF� ----���� <br />__—"_— CItY liP P��ONr UCENSE� ---.._ . <br />nm.mn+cwr+mncroe Mnn.noonEss <br />ri ns . or wonrc <br />I I_NEW I I ADDRION I I ALTFRATION <br />ccwmncrrniceorwon. _ __ <br />rnnros[n <br />lFnnt n[ Sf.Nrnrn1 oF nnoPFnir (SnowN f1� <br />1(11 4_`�JJ�A(Q. ��IX:N _i�. <br />. �� J ��� t�J�-��.y7- <br />BING <br />TYPE <br />W�TER CLOS <br />8 <br />FOR OFFICE USE ONIY: <br />rnnnrse�nncK nenn: <br />USFZONE <br />�rrwr coe�s <br />S2E OP OLOi <br />nCCUPMlOY <br />IifA50�� fOf <br />d�inHe ov <br />iornnen <br />IVI'f Of COI <br />NO OF 51 <br />FlRF. SPfll <br />i��7EPAIR I�'UEMOLI710N I I W000570VE�FRPL INSERI I i BUII DING REl OCN ION <br />--- coranr.irEnsownHor�ro�+eun _-- -------.-. . . <br />_ -IV I_l_.VIMdC1`=— -- ------�---.— _. <br />I I�Ef1EBY CERTIFV 7HAT I HAVE (iE�D AND 'e%AMINEU 11115 <br />AP�UCATION AND KNOW THE SAME 10 BE 1RUE AND CORRECL ALL <br />wnnnirncnrouncoriesi PROVISIONSOPLAWSANUORDIN�NCESGOV[fiNWGTI!151YPEOf <br />WORK WILL BE COMPLEIEU WITII WIiETHER SPECIFIED IIEREIW OR <br />u L��_�!' — NOT. TIIE GRANTING OF A PERMIT C�OES NOT PRESUME TO GNE <br />AUfHORI7V TO VIOLATE OR CANCEL TIiE PROVISIONS OF ANY <br />��Q �K�1 �,�__ pi11ER STNE OR LOC�L LAW REGUI.ATING CONSiRUC710N OR TN[ <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AU7110RIZED BY Tllf <br />OWNER OF THIS PROPERTY TO PERFORM TIIE WORH FOFl WHICII <br />- APPLICATION IS MADE AND I COh1PLY WI11�� THE STAiE <br />CONTRACTORS LAW 18.27 RCW AN� 29620U IYAC. <br />srorimm� cor+mnc�onqnnurt�o ilEQTCFNI ontr <br />-- — - Xi`�rce�a��l�rf C'v���ar� j ?%Z2�9/ <br />-- ,-v .� 7 <br />��7 J 1� ., _ i0. n.nrrur.ruJisr.�ivnuSn�Essuc[n,s[��o nnoa��sn�Fs�NnMF� � <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />SiDF. <br />FEE -� NO. TYPE OF EOUIPMENT FEt <br />--r _.�-_ <br />NC-NHNULGUNITS-H.P. ___ _____�__. <br />� fORGEDAIf15Y5TEM5-B.T.U. M E.A. ' <br />___ _____. . _L ... <br />—r— UNI111EdTEfiS-D.T.U. M i <br />—r___ <br />— ; _ _ -__ -.CIOTHES DRYEf1S _--___.-_ _-'--'___ <br />' VENTILATION PAN � <br />' —______-- --_-� .. <br />- �-- -_�� - fiANGE HOOD ___ _ ____,_ . <br />MEIAL FIREPLACE R CHIMNEY <br />HEAT <br />V�C�NI Si�E __ 1'eeo <br />BUILDR�C <br />ALIVAI 04Urnxn rqnOMuniquvns =�__-___"-- _" _ <br />�""1P r�uMoiNc <br />ES P�SE6iFNt ��[pIAHICAL __ <br />En5vE0D HEit;�ainanAnoN �DUI110NALPlANCNECN_ <br />- _ on+en - — <br />SiATE OUIL�IN� SURCHARGE <br />rvFonv CITYOFEVERETT rumicwonHs <br />LOCALSALES <br />� TAX COOE IS 3105 1orn� <br />SUB TO7AL <br />PERMIT <br />vee I necLr� rio <br />� <br />---- -----�- . <br />� <br />i <br />__ —'.__"_. _ "__—.L_ __. <br />_ ' <br />__ i <br />� <br />-- -- �— <br />