7107 YEW ST 2016-01-01 MF Import

APPLIC1�TION FOR CONST��CT�ON PERMIT fAo EvNprNn everett CITY OF � everett BUILDINO DEPARTMENT 259-fl810 TO BE COMPLETED IN INK— PLEASE PRINT OWNER MAII�DDRESS GTY Z�P PMONE rn.�-_�_� 1►�..ti,.,SoN 2s2o �2lsfDrNE LkS�CQ4NS 98�56 334-�039 ve 0 33 NEW ❑ ADDITION ❑ ALTEMTION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FPVLINSERT ❑ BUILOINOREIOCATON N{IMPIIOVEMEMORIMTENIW�REMODELONLY �y �� CONT�GTVERSON�NUPHONEN0. _.__�..._,.......e.. /3R�IGS %ii�'c r�e I L . �V61NSoN LOT� KOCI( OF IWM�INO DMIN r 334-9038 I HEREBV CERTIFY THAT I HAVE FEAD AND EXAMINED THIS APPLICATION AND KNOW THE SAMETO 0E TRUE AND CORRECT. ALL PROVISIONS OF IAWS AND ORDINANCES �OVERNING THI9IVPE OF WORK WILL BE COMPLEfED WI?H WHEfHER SPECIFIED NEREINOR NOT.THEOMNTINpOFAPERMR DOES NOT PRESUME TO OIVE AUTHORITY TO NOLATE OR CANCEL THE PROVISIONS OF ANYOTHER STATE OR LOCAL LAW REOUL�TINO CONSTRUCTION OR TME PER• FORMANCE OF CANSTRUCTION. TH�T I AM AUTHORI2ED BV TME OWNFH OF THI£ PROPERN TO PERFORM THE WORK FOR WHICH APPLICATION IS MADE AND 1 COMPLV WIiH THE STA7E CANTRACTORS LAW 18.27 RCW AND 288.200WAG UQ�i � S� IQ�/ XN�T{�P� F�TOPALiOpoF/�I�jMORj2EDA0ENT ^D`1 �� MECH�NICAI NO. TVPE OF EOUIPMENT A/C — AIHNDLO UNIB — H.P. -I� FORCED AIR SVSTEMS— flT.U. M RAN6EH000 WATER HEATER WOODSTOVE — METAI FIREPIACI FIREPUCE INSEf HEAT PUMP OAS PIPINO DTAI FEE S IET&1GK SIpESETBACN 7�' G' i� V�GINTSITE O YES O NO PERMIT TOTAL FEE fEE �',i; �l y0 BUILDING ��(� �—(D� UMNGY6R01'P NO.OF i EILINGUNITS Q_ 3 PLUMBING �FSTORIE9 asMt. xG�oeo MECHANICAL RY oN HEI6MTLIMIT�TION OTHER 1 � 1f No � STATE BUILDING SURCHARGE STATE ENEROY SURCNAR6E VS�PPN.BY PUBLIC WORKS �� TOTAL � � L $a 'F�-p� ��vu� � �lou2 � � � S S S - � .�- -, ;