Laserfiche WebLink
APPLIGATIO.� FOR CONSTRUCT.JN PERMIT ''�''"'" <br />, � TO BE COMPLETED IN INK—PLEASE PRINT � <br />citr or <br />eve rett HEATING SYSTEM: ❑ GAS ;J ELECTRIC U__ ---- � <br />BUILDING DEPARTM[NT � <br />259-8870 <br />DEMOLITION COMBINATION BUILDING G'�JIECHANICAL PLUMBING SIGN <br />�v�r�//�% T�i %U/SES(�Z � �G�/� �14rC/Svi��� i�P ����oHE �� %GU _ <br />�"Ar�i �"_ � 1``�Z 1J �oS <br />MAII RDDRE55 ��T I��� � ������ <br />pCllli[Cl OQ D�GNEn / MAIL PDOREiS CIIV I�P PHONE <br />/}/Z�. ��",� ll= <br />/� G�EN[RF/I/LONTRAf.iOP MAILPD�RE5/5 A /� CITV G�Z)IF )� / `7pHON[) /j L�CENSLE� / � <br />Lv/k75 GGSI6y N•is��.s �O� lY/� ��� M4✓!/Sc/% /7JZN bJ J` l/� /�J�SL� ���N CQ� _. <br />MCCHRN�CPLWNiRACtOq MMLRDDR[55 W 21P PMONC UCEN E <br />I���c hi�,, u�, s �.,,,� <br />P;u�AP�NGf,ONiFAC10N MML�ODRC55 CItV IIP GHONE LICFNSF• <br />c�A A55 0F WORN � <br />�IIEW AD�ITION ALTERATION � REPAIR DEMOLITION WOODSTOVE'FRPL INSERT BUILDING RELUCATION <br />CONIACT PERSON hND PNON[ NO. — <br />LONiRRGT {`RIGE OP 1YOPK <br />�CSG IBEWORNRrvDSOWAEfOOTnGL�NWIVE� ,j� <br />� /f�c� �±�• i F4 /� i� /�'' — <br />rnoroscous[ornm�ort+c I HEREBV CEPTIFY THAT 1 HAVE READ AND E%AMINED THIS <br />��/ APPLICFTION F,ND KNOW THE SAME TO BE TFUE AND CORRECT. ALl <br />iecni o[s� �iono Paorenrv iseowrv iowon nr�ncHFouRcoriEsi PROVISIONS CF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br />WORK WILL BI= COMPLETED WITH WIIETHER SPECIFIED HEREIN OR <br />i�i n�ocrc oc NOT. THE GR4NTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />�S� S Z k `� � <br />rnoiecrnoon�s; <br />VLUMBING <br />un 7YPE OF FI%TURE OFi <br />KITCHEN SINi( 8 OISP <br />�ISHWASHC-R <br />LAUNDRVTAAV <br />CIOTHESIYASHFR <br />U91NAL <br />DRIi;KING fOUVTAIN <br />FLOOR DRAIN <br />SUO TOTAL S <br />P[RIdIT 5 <br />TOTALfEE S <br />FOR OFFICE USE ONLY: <br />(qONTSETBACN REFRSFIBACK <br />USEZON6 IOTANE� <br />lvi`f Of GONiS RLIOWABtF iVPF Of COH51 ALiUI.I <br />�� Z6 OF ULOG. NOAF Si0RIE5 <br />USGUPANCY LDAO FIflE SPRNKL[RS REO'0 <br />�•:v..rnv <br />nrrnov[nnr <br />FEE <br />AU7HOPITV TO VIOLATE OR CANCEL THF PROVISIONS OF ANY <br />OTHER STATFE OR LOCAL LA\7 RFGULATING GONSTRUCTION OR THE <br />PEFiFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BV THE <br />OWNEii OF iHIS PROPERTY TO PERfORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMpIV WITH 7HG STAT[ <br />CpNTRACTDRS LAW 18.27 RCW AND 2962C0 WAC. <br />SIGNATIIP[OfCONTP�LiOROR4UIMORl2[DPG[Ni �4TE <br />X ��r� ��� <br />APPLIUNiS CiTY I?1:5M[55 LIC[NS[ ND AND BUS�NE 5 NAM[ <br />VDLG UNiTS—H.P. <br />AIR S`.'STEMS—B.T.U. M E.A. <br />,TERS—B.T.U. M <br />{DRYERS <br />lON FAN <br />RANGEHOOD <br />WATERHEATER <br />WOOD STOVE <br />METAL FIREPLACE & <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />VAC�NTSITE FEES <br />CfUILDING <br />acun�xcv xarnwrtu�xcur��s --- <br />jPp1�� PLUMBING <br />B�sEUENt MECHANICAL <br />HEIGNT uurtnTlm� ADDITIONAL PLAN CHECK <br />OiHEli <br />SiA7G �UILDING SURGHARG6 <br />CITYO: EVERETT r�uoucwor�Ks <br />LOCAL SALES <br />TAX CODE IS 3105 rorn� <br />SUBTOTAL 5 <br />F'ERMIT $ <br />G <br />r <br />