Laserfiche WebLink
N <br />pPPLICATI ���t FOR �ONSTRUCT�►:JN PERMIT <br />everett <br />nb e�emree� � <br />cin oF <br />everett <br />BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br />259-8870 I I pLUMBING ❑ SIGN <br />❑ DEMOLITION Cl COMBINATION Ll BUILDING I IMECHANICAL <br />OWNEfl 'dAIL ROORESS CITY ZIP PHONE <br />1���}�'e� .5•,�l,�>r.,,'.�1, 9�'a90 S� R�- 0 73a <br />TEN�NT MAILA�OPESS CILVr ZIP PMONE _ <br />/ �� f ' dCA G ✓ ( � <br />ARCNITECiOR0E51G R AIAILA�DRE55 ,CI�Y ZiP PIIONE <br />GENERALCONTPACiOR MAILrADNE::: <br />CI7Y 21P �NONE LICENSE � <br />A1ECH4NICRLCONTF/•LTOR MAILRDDRE55 CItY 21P PNONE LIGENSEt <br />PIUMBMO CONTR�CiOF MRIL r1DOBE55 CITV tIP PHONE ��CENSE • <br />CUSS OF WORN <br />❑ NEW I I ADDITION I J ALTERATION l REPAIR i I DEMOLITION I I WOODSTOVE/PRPL INSERT I I BUILDING RELOCATIO� <br />TENANT IMPAUVEMENT OR INiERIDR REMO�EL ONLY LONiqCT PEASON AND FHONE NO. <br />CONTN�CT PRIGE Of WORF' <br />'p �'ZGD <br />DESCRIBE WORK ANU SOURRE FOOTAGE INVOLVED <br />LEG�L DESGFIPT�ON qF PR�NTY I iHOWN BELOW On n� uu� �vvn wr�coi <br />LOT�_ OLOCH y�,��2_ nF �QWC'� <br />SINY. <br />, DISHWI <br />LAUNDI <br />� CLOTHI <br />' URINAL <br />DRINKII <br />FLOOR <br />BACKFI <br />' ROOF[ <br />; SINK (5 <br />i <br />J <br />FRONTSETUACK REARSETBRCK <br />USEZONE LOTAREA <br />i1PE0FCON5LAllOWABIE iYFEOiCON5CPC70AL <br />II- <br />�IZEOFBLDO. NO.OFSTORIES <br />l 2 <br />OCGUPANCVLOAD PIRESPfINNILR$REO'0 <br />I 1 YES K NO <br />RERSON FOR SPRINNLERS <br />�PPLICATIONACG9V PLANSRPPROVEDBV <br />T _— <br />I HERE9Y CERTIFY THAT I HAVE READ AND E%AMINtU ims '� <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL � <br />PRO\'ISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR i <br />NOT. THE GR�NTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY I <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT i AM AUTHORIZED BY THE � <br />OWNER OF TNIS PROPERTY TO PEFlFORM THE WORK FOR WHICH I <br />APPLICATION IS MADE AND I COMPLY W�TH THE STATE ' <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. ! <br />SIGN�NREOFCONiR�C10RORAUINORIZE�AGENT DATE <br />-�-�-�-��..`,� � <br />R ICANiSC V�USINESSLICENSENO.ANDOUSMESSNAME <br />FEE NO. <br />)TAL $ i <br />f S <br />--�— <br />FEE $ <br />SIOE SE7�ACK <br />VACANI SI7F <br />I' YES CI NO <br />— acuvexc. xo orow�uixci <br />GnJl11' 1 <br />2-3 <br />OASEMENT <br />I.I YES SG NO <br />HE IGMi LIMIT4TION <br />CITY OF EVERETT <br />LOCAL SALES <br />TAK CODE IS 3105 <br />AIR <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACI <br />FIREPLACE INSEf <br />HEAT PUMP <br />GAS PIPING <br />M E.A. <br />1 <br />T FEE <br />PLANCHECKNUMBER I F[E I RECEIPTNO. <br />OUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />S1ATE BUILDING SURCHAFGE <br />STATEENERGYSURCHARGE <br />PUBLIC WOaNS <br />TOTAL <br />0 <br />FEE <br />a <br />