Laserfiche WebLink
HO� <br />� i=i <br />�o�x <br />C N <br />9Hp� <br />Y <br />y�H <br />�H� <br />� H � <br />VJ N <br />t+� O � <br />OH <br />��g <br />�j]Y (❑�] <br />9 H [�1 <br />y <br />t H H <br />8 �' <br />H <br />C] l7 N <br />��M <br />HO[yi� <br />� <br />1 <br />I �� <br />r <br />�� <br />QIPPLICATIO.� FOR CONS7RUCT.JN PERMIT `'"'"'" <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />; •�., E „� �.: �, <br />Cilv:ri <br />everett HEATING SYSTEM: J GAS J ELECTRIC !___ _ � <br />BUILDING DEPARTMENT � ---- <br />259-8610 <br />DEMOLITION COMBINATION BUILDING MECHANICAL PLUMI3ING SIGN <br />mq��noosess �1 cirv �i w�oHE <br />�,i /�, C��('/ � . . l �I a.'iil �`l��i c� r. / n � ,o!-i 'l �cG) 2 2 c17i <br />iL1:ANi <br />nuo� *ccr oa orsi�r+ra <br />l;f NI.HA WNiR�AG,iy� <br />�e ,(yEi �! % <br />ri u�!owc cor+rnncion <br />1 <br />a nss oF wonK <br />NEW ADOITION <br />CONiRACi PRIGE OP WORH <br />u�scnie[ woerc nNo��;ounnc r� <br />� Y1n:1! r1�L�. it <br />ao�REss <br />p� !! } 1�7 <br />ADDRE55 <br />ADORESS <br />ALTERATION <br />NG./�S <br />Li1V <br />CIiY <br />CILV <br />Crtv <br />ZIP <br />ZIP <br />2iF <br />� <br />ZiP <br />cHOUE <br />IiCENSE � <br />' £�. <br />IICENSE e <br />LICFNSE • <br />REPAIR DEMOLITION WOO�STOVE�FRPL INSERT BUILDING RELOCATION <br />I( f 4L DESCRIPLION O% P�O�EBiv i SIOWN [il 101Y OB AtiACM fOUR <br />ior nuicrc ov <br />c "`�r���,��s�cul 5`�n�s�• <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEN <br />WATER CLOSET ITOILEiI <br />B�THTUB <br />LAVATORYIWASH BASIN) <br />� 1/ SHO\VER <br />I KITCHEN SINK 8 DISP <br />f]ISHW�SHER <br />LAUNDRVTRAV <br />GLOTHES WASHER <br />URINAL <br />SUBTOTAL 5 <br />PERMIT $ <br />TOTAL FEE 5 <br />FOR OFFICE USE ONLY: <br />rr�or�isEroacn n[Ar+scroncrc <br />u5[ZONE LOtAflER <br />I\P[OfLOMSallOW0.0t[ lYMOiLONSi�GNAL <br />f.P[OFgtDG NOOFSLOFiES <br />OGLUPANCYlOAO RRESPNNNLERSREO'� <br />!� i nKE AV <br />T� <br />ar <br />�CONi CiPEP$GNAYDPN(DNENOp� ��� <br />���1L�1-1��--�1=7 `� / % ' �-S <br />� 3s� 3L y2_ �j�� <br />rt _ <br />I H[REBV CERTIFV 7HAT I HAVE READ AND EXAAIWED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. �LL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEF7NING THIS TVPE OF <br />WORI( WILL 8E COMPLETED WITH WNETHER SPEGFIEO HEREIN OR <br />NOT. THE GtiANTING Of A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PFOVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCiION OR THE <br />-- PERFOR1dANCE OF CONSTRUCTION. THAT I Ah1 AUTHORI2ED BY THE <br />OWNER OP THIS PROPERTY TO PERF017M THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITN THE STATE <br />CONTRACTOFSLAW1827RCW AND29G2001VAC. <br />SiGNntup[crcq•�iRnCiCa+cqnu*aON2Ct��GLNr CNE <br />_ X <br />nrr-ucn i� �.�ceus��.[ti u�.crye.o n ow:.ctisr.�u�__ <br />FORCED AIR S`.'STEMS—B.T.U. M <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 CHI EY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTF <br />vinH cnECK ran,�.oen <br />BWLDING <br />rccu��ya xowmt.nvr,�vrs — <br />`°0p° pLUM01NG <br />BASEM�NT MECHANICAL <br />NEiGNTIiMrtqtiDN �DDITIONALPLANCHEGK <br />_ OTHER <br />STATE BUILDING SUFCHARGE <br />CITY OF EVERETT auouc woaKs <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />PERMIT <br />