Laserfiche WebLink
� �5 APPL,ICATIOK-�OR CONSTRUCTIO+� PERMIT everett <br />! TO BE COMPLETED IN INK—PLEASE PFINT � <br />Me EHe�Oreen <br />OF <br />CITV <br />� everett �- <br />BUILDING DEPARTMENT <br />259-8810 <br />❑ DEMOLITION I 1 COMBINATION <br />�' q�Eq� � �R DDRE55 <br />� I.�^f' (.• i ��i �.��1'�l - <br />; ��/V V�' <br />� AR 11�ECTORUES�GNER MA�� <br />M <br />m <br />HEATING SYSTEM:�`J <br />� <br />� BUILDING <br />CItY <br />��05 �� 1; <br />��rv <br />CIIY <br />❑ ELECTRIC U <br />zm <br />PIUMBMGCONTRACIOR MMl4�ORE55 ��t� � Zi� <br />CLASS OF WJfiK <br />❑ NEW I I ADDITION �� ALJ�RATION I I REPAIR I I DEMOI �T'ON � I WO <br />�% 1 . inci rensor+nr+o <br />' CONTR�CT PP.ILE OF WORK ✓I /I `I� �� �_ <br />LE6A� <br />LOT <br />� <br />1 <br />i — <br />BLOCH <br />OF <br />KITCHEN SINK & <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASH <br />URINAL <br />DRINKING FOUN <br />or <br />nnnc�� ro� <br />TOTAL S <br />NIT $ <br />1L FEE $ <br />� FOR OFFICE USE ONLY: <br />� FPONTSEiBRCK REANSETBRCK <br />.� <br />� <br />� USE 20NE lOT 4i1EA <br />; <br />i <br />7YFEOfCON75AllOWRBLF 1YPE0(CONS1.ACiWI <br />• SIIE OF BLDG. NO OF STORIES <br />' OGCUP�NCYLO�O fIRESPPNNtER5RE0D <br />' FE�SONFORSPRINeLERS <br />d INTANEBY PLANSr1PPIlOVE09V <br />� <br />,� <br />' i� J. A Yr:: ` r, ... ... . ' ; , �, . <br />Cl PLUMBING <br />INSERT I I <br />l:l SIGN <br />CI i Y 01' L�';_IZ(:1'T <br />H+��Peimi! ''" ' �'" <br />I HEREBY CERT�FY THAT I HAVE READ AND E%AMINED THIS <br />APPLICA' ION AND KNOW THE S4ME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANT�NG OF A PERMIT DOES NOT PHESUMt TO GIVE <br />AU?HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL IAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND � COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.20D WAC. <br />SIGNRTUREOFCONTMCIORORAUTHORRED�GENT DAiE '^� <br />FORCED AIR SYSTEA <br />UNIT HEATERS—B.T.i <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 <br />FIREPLACEINSEFT <br />HEAT PUMP _ <br />GAS PIPING <br />510[ SE76RCN PLAN LHECN NUMBEIi FEE <br />vncnNi sirz FEES <br />BUILDING <br />acurnncr xaaox[wecuxns <br />�^w" PLUMBING <br />OnSEMENT MECHANICAL <br />MEIGNiLIMI7RTION ADDITIONALPLANCHECK <br />OTHER <br />stnTe eui�oiric suna+nnce <br />CITY OF EVERETT PU9LIC WORNS <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />FEE <br />neceirr r+u. <br />SS'i �o <br />1 <br />� <br />� <br />i <br />� <br />�� � <br />�d0 <br />. <br />