Laserfiche WebLink
� FI <br />�V <br />H <br />C ti <br />�N <br />N <br />� N � <br />b y � <br />� y � <br />O M p <br />L7 � fCl <br />� y � <br />H y <br />H <br />O N <br />� �y p1 <br />O y <br />N <br />APPLICATIO�� FOR CQNSTRUCT► JN PERMIT '""' " <br />, „,_ TO BE COMPLETED IN INK—PLEASE PRINT � <br />aivoF __ <br />everett I HEATING SYSTEM GAS ] ELECTRIC ❑_— —___= JI <br />BUILDING DEPARTMENT � <br />259�8810 % <br />DEMOLITION COMBINATION BUILDING � MECHANICAL��f� PLUMBING SIGN <br />p.tr�ER <br />— unrt nnoaess r.in. �_� nroru— E ` -- <br />� � � 1 , � � � i •9 r] -'� ,� ' <br />i� _ �, ; �v� 1l l�C �'. i' �l- =!c . l��'�i <br />� ` f � � ` PNONE <br />iENGNT MAR�OORESS � CI1V ZIP <br />ai�G�rtECTOADE$IGNER M�ILADDRE55 Lrtv Zi� PHONE <br />f[NEA�LCONLaACTOH �.uRRODPE55 CITv Z�✓ PHONE UCENSE• <br />NKN�N�CALCONiPACTOR MARRDOfiG55 CILY ZiP PHONE UCENSE• <br />� , � � " � , � � -,,'' i �I C, J I.� I - - <br />l � i ini����I �3iln ��1<� ( �1�r' �'crl�-�� �iK� '�I <<��1 r �l ( (���1',��_�, ��,- <br />m uuniuR C(NiiPALiOR M�IL ADDRE55 GITY 21P PNONE L GENSE <br />� ^NEW V ADDITION ��ALTERATION REPAIti <br />,� ; -, � .J, <br />LONTP LTVRCFO WORN�ti� )' {� l � <br />OESCRiBE WORN AND SOW RE i00i�GE �NVOLVEO <br />�ir���(�inc���i�{.� "uY-f���liri�lr��_I� <br />vAOPO5EDU5EOFB i ov. <br />�1��-1i'���C7 1�'� <br />:IEGALDJ:R�Pii OFPROFLRiYi HOWNUEL0IYG�>TTA���FOURCOP�ESi <br />�pi BLOGrc OF <br />l �1��':�I rf�'� ) —1���—(�,'3 —(�ii','S <br />Cj( i' (� , t, v' �, ��:,(' i- �I� �'r �_ � <br />PRWECT AODRE55 <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM11 <br />WATERCLOSET_TOILE71 _ _ __ <br />BA7HTU8 <br />LAVATURV (WASH BASIN) _ <br />SHOYlER _ <br />KITCHEN S�NK 8 DISP <br />DISHWASNER <br />LAUNDRITRAV . <br />� PERMI7 <br />TOTALF <br />FOR OF6ICE USE ONLY: <br />FpONi$fTBA�( RE�ASEipACK <br />u5[ 20NE LOT AREA <br />ItiPL��COW54��ONAB1[ *�PEO�COM1b'���Wl— <br />Si2[OFBLDG HOOfSiORiES <br />OCCUPANGVLOAD FiFESPRNNLER5RE0'D <br />PEn50NLOR5PRiHKlERS <br />ibiPKE�Y I V.nNSAPPROVEOflr -- <br />s�ne <br />DEMOLI?ION WOODSTOVE�FRPL INSERT . BUILDING REIOCATION <br />LONiaCi f.RSON ANp GrC'.c NO <br />1 � � �< <=� r �� �,� <br />I HEREBY CERTIFY THAT 1 HAVE READ AND E%AMINED THIS <br />APPUCA710N AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNWG THIS T�PE OF <br />YJORK WILL BE COMPLEiED WITH WHETHER SPECIFIED HEF7EIN OR <br />NO7. THE GRANTING OF A PERIAIT DOES NOT PRESUME 70 GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STAT[ OR LOCAL LAW REGULATING CONSifiUCTIUN OR THE <br />PERPORMANGE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF TH�S PROPERTY TO PEFFORM TME WORH FOR WHICH <br />APPLIGA710N IS MADE AN� i COMPLY WITH THE S7ATE <br />CONTRACTOFlS LAW 7B27 RCN AND 296200 WAC. <br />SG'AtUREO'CCNiRnC�O�OA�U1NOHqEO/•GENl MTE <br />X � <br />--�` �• .�,��-�L�-'L ,,.... �j,�!��-'�,' <br />AVPUL� ViS PLY OUSINES$ L�LEIISE NO AN� OUSNES< qAIAE <br />A C–A HNULG UNITS�–H.P. _ <br />� I FOi7CED AiR S"SiEMS–B.i.U. M E.A. ' <br />'� UNITHEATERS�–B.TLL M _ <br />CLOTNES DFYERS <br />' VENTILATION FAN _ <br />• RANGEHOOD <br />� WA7ER HEATER <br />WOOD STOVE <br />IdE7AL FIREPLACE 8 GHIMNEY <br />FIREPLACE INSERT <br />HEAT PUtdP <br />GAS PIPING <br />� EXHAUSTFAN <br />-�_–_— _____' " _ _ <br />� <br />SUBTOTAL 5 <br />–'-- -- PERMIT 5 �' . <br />PIAI� CMEf.M NUMBGN <br />3��/ � 7 <br />BUILDING <br />ttcu��rn v0aov:r�oxc�.rs — —_"_—_ <br />�°�j0 PLUM�.NG <br />OASEMENi MECHANICAL <br />HBGHi L�MrtAliON ADDITION�L PLAN CHECK <br />OTNER <br />STATE BUILDING SURCHARGE <br />CITY OF EVERETT i uuuc wonKs <br />LOCALSALES <br />TAX CO�E IS 3105 � TOTa� <br />fEE PLLEIPTNO <br />VALUATION FEE <br />__– ��'.iDv <br />� <br />T <br />i: l �I o.,� <br />