Laserfiche WebLink
� <br />O <br />q � H <br />��� <br />� <br />��� <br />Hy <br />�i <br />O � d <br />M � � <br />p• f� <br />t"y� <br />HH <br />W <br />c� t557 W <br />�y� <br />� '_' <br />AIPPLICATIOF..��FOR CONSTRUC7i� ��1 PERMIT "� <br />TO BE COMPLETED IN BLACK iNK—PLEASE PRINT <br />� HEATING SYSTEM: lU GAS iJ ELflCTRIC J _—_ _ _�l <br />BUiLDiNG DEP,aRTMENT <br />� 259-8810 <br />DEMOLITIUN COMBINATIUN ,{'BUILDING MECHANICAL PLUMBING _ SIGN <br />OW4ER MAILADLFESS CIIY 21P PhONE 3S,O/ <br />3rF7-- �a <br />G'ARciA ,r�A.��.vn --/osiC uri� Ake" S•E C-�/E:/LE rr 4'GapF — <br />uAa anoaess cirv <br />APGNIiECi OR UES'GNEii <br />% <br />�F.[RpICONiRRGTOR MRLLADDRE55 CITY ItP PNONE STnT[LiL • <br />/iiVNf'/�- GHON[ STNiEI�CENSEs <br />IECNPNIChLCOYiFAC10R MARA�ORE55 <br />QTY 2iP <br />�i�, Z�p PHONE STRTEIIGENSC+ <br />PtUMBINGCONTRACiOR — MAILADCRESS <br />CLASS OF WORK <br />� NEW � ADDI710i� AL7ERATION PEPAIR DEA90LITION WGODSTOVE�FRPL iNSERT . BUILDING RELOCATION <br />-- I CO�ITACT PE�SUN AND PHONE NO <br />CONTRAGi PRICC O' WORH a J V d'� _ — <br />O[SCRIPEWORN�NI150JARE1'OOTAf+EINVqYED �Cv�N� �f <br />.D �G/�-' f'�U��:�-o /_ n G o c.�f� <br />aaovoseo�usecFuuaowc <br />LEGRLDES PiPT�O�OPEFTYISHOWNPEIOWORAiTAC��FWRLOPiE51 <br />LOl HIWK _�__ �F <br />rnoJec*poOaEss <br />,. � �i -v: N.ayE s, �. E <br />BATHTU9 <br />,^.4CN SINK 8 <br />DRINKING <br />:Ld�ltl <br />—� TCTAI <br />FOR OFFICE USE ONLY: <br />FRONTSETB^LK REni15Et0AGH <br />USE20HE LOTAR[n <br />iYPE 0� LO!I15 PLLOWh9lE NP[ 04 LONSt. ACLUaL <br />-rr�� i <br />_�}-N <br />SIZEOFBIDG. NOOFSiOBiES <br />144_'i � 12G�= �i) G�a13A.t�A <br />OCCUFANC LOAO fIRESPPNKL[PSPGOC <br />� �19U <br />R[A50 FOR SPRINNLEIiS <br />iNiAME <br />naaaoveoov <br />T <br />TiNG <br />i HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAA4E TO BE TRUE ANU CORHECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK �V��L BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THF. GRANTING OF A PERMIT DOES IJOT PRESUM1IE TO GIVE <br />AUTHORITY �i0 VIOLA7E OR CANCEL THE PROVISIONS OF ANY <br />OTHER SiATL OF LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORM1tANCE OF CONSTRUCTION. THAT I Ald AUTHORIZED BY THE <br />OWNER OF TIiIS PROPERTY TO PEFlFORh1 TIiE WORK FOP. WHICH <br />APPLICATION IS Ml:DE AND I CO�dPLY WITN THE STATE <br />CONTfiACTORS LAW 1827 RCW �ND 290 200 WAC. <br />����=.u.� ,- 9-�� <br />X�,, N� _ o<,� _ - <br />FEE NO. TYPE OF EOUIPMENT <br />, A%C--AHNDLGUNITS—N.P. <br />� FORCED �IR SYSTEMS—B.T.U. M <br />—�� UI11T H�F �ERS—O.TU. M <br />VE�TILATIOW FAN <br />HANGE Fi00D <br />WATERIIEATER <br />WOOD STOVE <br />METAL FINEPLACE 8 <br />FIREPLl�CE INSERT <br />HEAT PUMP <br />GAS PIPI��G <br />E%HAUS�FAN <br />' � � <br />SIDESETpAGN PIANCMECKNONPLI � <br />%��-� %(� <br />vncnNt sirr- FEES <br />BUILDING <br />au�w.u. n�mnnmrn:��s <br />� PLUM6..G <br />DASE6�ENi MECHANICAL <br />�L"D C�b1l�Y�� - <br />NEtGirt uMrtnnorv PD�ITIONAL PLAN CHECK <br />SPRINKLER <br />STATE DUILDING Sl1RCHARGE <br />CITY OF EVERETT aueucwe�Ks <br />LOCALSALES <br />TAX CODEIS3105 ror�� <br />�1 <br />[LE�Pi NO <br />n..»� <br />i <br />