Laserfiche WebLink
��� <br />O � x <br />C i-! <br />�H5Vi <br />HZH <br />o-e, C� <br />H �1 <br />�ii �"1 � <br />VJ M <br />ip�i <br />H <br />OHd <br />�I��g <br />1.Y �] <br />t'y� <br />HH <br />g �' <br />C] C V� <br />$[�� r�] <br />2'HN <br />H O V� <br />AF'� .lCATIG 7 FOR CONSTRUCT. �N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT ���T <br />HEATING SYSTEM: �STAS IJ EIECTRIC '.J I <br />BUILDING D[PARTMENT <br />259-6810 <br />DEMOLITION COMBINATION BUILDING MECHANICAL <br />owrvea /� n�ai�nooness cirv zia v� <br />�i4�1 /IA��ivSSG.v �' �°a�c'A.✓�' r�2 C✓'( ,k� �� �s <br />TEN<i � MAILAD�RESS CIIY ?IP PI <br />ARCIIITECTORDESIGNLR MRILAO�flE55 ��1Y Z�P P� <br />GENERAICONTRAGTOR MAILA�OPE55 CITY 21P PI <br />IAECNAMCRLCONTRRLiOfV MAIIPOpNE55 CIiY 21P PI <br />��� <br />RUAI�ING/COI�iRACTOR IIAILA�DRE55 CITY 21P PI <br />�7i�S �NA/i/-L+'rC.S/O/lJ <br />CLA55 OF 1YOFK <br />-%:, <br />PLUMBING SIGN <br />STAT[ L¢[NSE • <br />S1PTE IICENSE � <br />>inic �i�enac � <br />NEW AD�ITION �'TR'TERATIOIJ REPAIR DEMOUTION WOODSTOVErFRPL MSERT BUILDING RELOCA"ION <br />oesr.nieE�voeH <br />LEGRL <br />lOT <br />:b71 <br />Ao0RES5 <br />BLOC� <br />SINK & <br />HER <br />TRAY <br />CONiACTPEB50NANDPHONENO. <br />d+� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINIED THIS <br />APPLICATION AND KNOW THE SAM11E TO BE TPUE AND CORRECT. ALL <br />�ELOWOOATIAGNFOURCOPiE51 PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEFEIN OR <br />_ oc NOT. THE ,;ANTING OF A PERh11T DOES NOT PRESUME TO GIVG <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATWG CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. TNAT', AA1 AUTHORIZE� BY THL <br />OWNER OF THIS PROPERTY TC PERFORM THE WORK FOB NJHiCH <br />APPLICATION IS IdADE AND I COtAPLY CJITH THE STATL <br />CONTRACTORS �AW 1827 RCW AND 296200 WAC <br />�3 / SoDK✓t�� <br />OR ITEM I-- <br />BACKPLOW PREVENTERS <br />POOF DRAINS—RAINLEADE <br />SINK ISERVICE—BAR. ETC.) <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FOR OFFICE USE ONLY: <br />FRONTSETBACh PCAR SEiBALN <br />USEZONE LOTAPEA <br />iv^EOiCONiSAttOWA6�E ttPEO{GONSi.RtNAL <br />SiZ[ OF BLOG� ��O OF STORiES <br />OCLUPANGY LOAD FIRE SPPNNLERS REO�� <br />or <br />or <br />..:.'.41iii11 <br />NO. TYPE OI <br />A C—A�HNDLG UN <br />FORCED AIR SVS� <br />UNI7 HEATERS—E <br />CLOTHES DRVEfl: <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEA7ER <br />WOOD STOVE <br />METAL FIREPLACI <br />FIREPLACEINSEF <br />HEAT PUMP <br />�fj GAS PIPING <br />EXHAUSTFAN <br />�j�� %/C �52 <br />� �,�: <br />EOUIPh1ENT FEE <br />TS—H.P <br />EMS-8 T.U. M E.A. <br />T.U. M <br />3 CHIMNEY <br />St0E5EIDACK PInNCi�ECh�+UAR3[R F¢E <br />:)� _>� <br />vncaNrsrte FE[S <br />DUILDING <br />ao�a�r xoo�rs�.�.��-.�:n -- — <br />4awe PLUId�ING <br />BrSEMENi A7ECHANIC�L <br />NEIGMtuMlintiCN A�DITIONALPLANCHECK <br />SPFINKLER <br />STATE BWLDING SURLHARGE <br />CITY OF EVERETT PU�LIC WORKS <br />LOCALSALES <br />TAX COOE IS 3105 rora� <br />SUB <br />RECEiPT N0. <br />