Laserfiche WebLink
� W � <br />� �r� <br />Q M <br />�mHCn <br />ySCr�i <br />� H .7�tl <br />yNM <br />l`1 O � <br />OH <br />H�S <br />� V (] <br />C"y� <br />g�,y <br />f7�N <br />9 <br />HO� <br />� <br />i <br />C� <br />I �� <br />' '� <br />APPLICATIC -'! FOR GONSTRUCT JN PERMIT � <br />TO BE C01dPLETED IN BLACK INK—PLEASE PRINT ��� <br />- --- � - --- _ ' <br />HEA1 WG SYSTEM: L9 GAS J ELECTRIC J.__._ -- <br />BUILDING DEPARTL"ENT �— — — <br />259-8810 <br />DEMOLITION COMBINATION � BUILDING MECHANICAL PLUMBING SIGN <br />,..� �— --r...-.-�r � CrY't ]�t` WIONE ��_��� <br />lin��iac-c d%�'le�c''5��;;2cc,c6: 3'€�'z IJzl`n�vac� C�J�Rcr�l /,)n �'/'�Zo/ — <br />...:>�„ -�„�� �.;-.-.-,.— — ;arv nr �r�o�,r <br />.:._�ui6TORpC51GNER IAAiUDDRE55 LrtY 21P / �I�iZy�I��Ny {�i�. B�_ ���� � <br />CSCo R3��Dd✓JT�A� I)rfs,4n, 101�z N.ff. FS ^- Z <br />J:fR4LCONTRRGiOP MA�LRDOFE55 qTV l�P PNON[ STAiEIIrENSE� <br />\� � <br />... J�ANIGa CONiRACTOR 1Anit AODRE55 CRV )In PHONE SiAIE LICENSE • <br />�', u1A0iNG CONiRPCiOR MAIL AODHE55 <br />� � nS5 UF WOP4 <br />NEW X ADDITION <br />UESCR�OE WOPKRND <br />vn.;�'OSED USE Oi <br />ALTERATION REPAIR DEMOLITION <br />CONiPCI <br />nNa��E� / � —� <br />,�,.ti 1 k"x IG,' 1 23! S?�' <br />I iGAL �[SCRIPiION Of PROPEFiY 6HOWN BEIOW OR �iTFCN <br />�n 3/ -3Z eiocn � ov <br />�e�,a/ /I���a,n�i�,d a� � <br />300� �L //N�6� <br />��.�,:«r,.�>���F:.s 1J.� <br />C��c? � tl l 8aG/ <br />PLUMBING <br />O�TYPE OF <br />WATER CLOSET� <br />BAIHTUB <br />LAVATORVIW�SI <br />HITCHEN SINK 8 DISF <br />�ISIiWA541Efl <br />LAUNDRV Ti7AV <br />CLOTHES WhSHER <br />URINAL <br />ORINKING FOUNTAIN <br />SINK <br />FEE <br />SUBTOTAL 5 <br />PERI�t1T S <br />TOTAIFEE S <br />FOR OFFICE USE ONLY: <br />i�r:•�rSEroncn ¢.nas[�onGrc � <br />7 � � � 1�� <br />�c �ovF <br />�.h��x�s n`loe:nmt <br />�J� <br />s¢r.oFo�oc <br />Z3i sf Mn <br />nrGUPANGVLOPO <br />�ornnen <br />tvCF 01 Cfl <br />—�— <br />NO of 51 <br />VIPG SPFNKlERS PE00 <br />�v V <br />ni A: ov roa SrRiNelERS <br />i.,ii.. i �: , r�nrvs nrnnov[u nr <br />� � k� 2/iv/ <br />sioE screncK <br />ZIP PHONE <br />� <br />WOODSTOVE:FRPL INSERT BUILDING RELOCATION <br />�N� P�IOh[ N �� � <br />n A ) �� �J � Q-' - �� <br />i HEREBV CEf7TIFV THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAIdE TO BE TRUE AND CORREC7. ALL <br />PROVISIONS OF LAWS AND ORDINANCES Gt�VERNING THIS TVPE OF <br />WORK WiLL BE COMPLEiED WITH WHETNEH SPEGFlED HERfIN OR <br />NOT. THE GRANTING OF A PEPMIT OOES NOT PRESU\1E TO GIVC- <br />AUTHORITY TO VIOLATE OR CANCEL iHE PROVISIONS OF ANY <br />OTHER STATE O�7 LOCAL LAW REGULATING C04STRUCTION OR THE <br />PERFORtdANCE OF CONSTRUC710N. THAT 1 Ald AUTHORIZED BV THE <br />OWNER OP THIS PROPERTV TO PERFOPfd THE WORK FOR WHICH <br />APPLICATION IS 61ADE AND I COMPLV WITH THE STATE <br />CONTPACTOftS LAW te 27 RCW AND 296200 WAC. <br />/ ��� � � � <br />�� ' I: � � <br />X f�l.'l�lr(:(�_ ✓1;�.'a-�" � _ // ' /- �,.2 _ <br />MECMANICAL <br />NO. TVPE OF EOUIPMENT FEE <br />A C-A NkOLG UNI75-H.P <br />FORCEDAIRSVSTE1d5-�.T.LL M EA. <br />UNIT HEATERS-BSL. Id <br />CLOiHES DPVERS . <br />RANGEHOOD <br />WA7ER HEATER <br />WOOD STOVE <br />IdETAL FIREPLACE 8 CHIMNEV <br />FIREPIACEINSERT <br />HEAT PU�+1P <br />GAS PIPING <br />EXH`USTFAN <br />vncaarsrt[ FEES <br />HUI�OMG <br />oc.-.�rn�a •a o oxv��;'�v:�s - <br />""3'' ( PWMBING <br />o/.SEA•Ervi MFGHANIGAL <br />U - <br />'�bGrrt�.ieRanr,r, FDDITIONALPLANCHECK <br />� / - <br />SARINKL[R <br />SiN[ [?UILDIIJG SURGHaRGI- <br />CITY OF EVERETT ruoi ic r�our.s <br />LOCALSALES <br />TAX COOE IS 3105 Torn� <br />SUBTOTAL S <br />PERMIT 5 <br />�/ i�me�n, rvo <br />�EJ/. �r� � 7�/5�0/) <br />a <br />w <br />