Laserfiche WebLink
Vl ['J � <br />�y <br />�Hf~n <br />1�' � (�i <br />H� <br />� y H <br />Yi <br />� � d <br />��g <br />�Y �] <br />zH�yH <br />rf-iH <br />gy <br />� <br />G�Cy <br />��� <br />zy�n <br />HOU� <br />� <br />�� <br />� <br />� <br />APPLICATIOnI FOR CONSTRUC?.ON PERMIT ��� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />fHEATING SYSTEM: }1 G,�S J ELECTRIC :J — I <br />BUILDING DEPARTMENT <br />259�8810 <br />DEMOLITION COMBINATION �BUILDING MECHANICAL �PLUMBING SIGN <br />�nnanconEss cirv nv aHo��e �� o:' � Z� <br />o�vnrr� c� ���� � <br />�') 7 ,.-1- �. �i�JSir� �.l�Z. Stin�i�1�_Ti � � � rr �.. <br />7��jqN7 MAILP�DFESS <br />cTv nr PNoue <br />Ai1CHRECTORUE5IGNER AIAILA��RE55 <br />CIiY ZIP PNONE <br />CITY ZIP PNONE STRTELICENSE� <br />GENERALCONiRACTOR AIPIIADONE55 • <br />'�� " �-nt Tr._ <n„� , <br />5/4 StcTc n.'t Ir•��- 5•�� I1� �,.�.. . 0�= •iS6- ) C.. i Z� 77 % <br />��T� ZIP PNONE STATE LICENSE � <br />id6HANICAI. CONTRACiOR MAIL AOORESS <br />PLU6�21NGGO�NjiRAG10P MAILRODRE55 �Itv Z�P PNONE STAt[L�CENSE� <br />�yv i1C <L� ��.�:'+�—�' <br />CLASSOF WORK <br />NEW ADUITION '� ALTERATION � P.EPA�R DEMOLITION WOODSTOVE�FRPL INSERT BUILDING RELOCAT� N <br />I CONIACT PERSON AND PNONE NO <br />)�i.--...._.�.. , �_ �. l�c /_��"`lll � <br />OESCRipE�VORKANDS�IiAREF00TAGEWVOLVE� '� " <br />-rc,. ��t ' '' r 3, � l��t r. 't t_., <br />Pf10POSEDU5EOF0 LDiNG <br />�ot _ o�ocK _ �' <br />z�cc. avon�ss <br />PLUMBING <br />�0. TYPE OF <br />1 WATER CLOSET <br />1 BATNfUB <br />� LAVATORY�WAS' <br />SHOWER <br />KITCHEN SINK 8 <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASH <br />URINAL <br />DRINKING FOU� <br />FLOOR DRAIN <br />BACKFLObY PRE <br />ROOF �RAINS- <br />SINK ISERVICE- <br />FOR OFFICE USE ONLY: <br />FRONLSEiBRCR REAR! <br />❑SF. 20NE <br />frP[ Of C01115. PIIOWABI[ <br />SREOFOLOG. <br />OCCUPNNCYLORO <br />REASONFOPSPRINNL[RS <br />INiAKE UV <br />LOi <br />PLANS <br />OR ATT��H <br />TOTALFEE S� <br />�,H — sio[ sernncrc <br />VACANT SIiE <br />AL1lIAt otcun:cr natbpn��,J,ab�rtn <br />c=n�P <br />IES 8,15[MENi <br />o� ICITY OF EVEflETT <br />LOCALSALES <br />i TAX COUE IS 3105 <br />i HEREBY CERTIFV THAT I HAVE READ AND E%AM1IINED THIS <br />APPLICA710N AND KNOW THE SAME TO BE TRUE AND CORPECT. ALL <br />PROVISIONS OF LAWS AIJD O(iDINANCES GOVEFiNING TNIS TYPE OF <br />WORK WILL BE COMPLETEO WITH WHETF'ER SPECIFIEU HEREIN OR <br />NOT. THE GRANTING OF A PERM1IIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR C�NCEL THE PROVISIONS GF ANY <br />O�i HER STA1E OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOiiIZEO BY THE <br />OINNER OF THIS PROPEPiY TO PERFORM 7HE WORK FOR 1NFIICH <br />APPUCATION IS MADE AND I COAIPLY WI1H THE STATE <br />CONTRACTORS LAW 1827 FiCW AND 29fi200 WAC. <br />x /� > �/�—v�_ <br />�.,�,.�. ,—�� � ���� — <br />TVPE OF E�UIPMENT <br />A HNDI G UNI7S-HP. <br />�ED AIR SVSTE�dS-O.T.U. M E.A. <br />HEATERS-�.T.U. M <br />HES DRYERS <br />ILATION FAN <br />:E HOOD <br />R HEATER <br />D STOVE <br />�l FIREPLAGE 8 CHIMNEY <br />�LAC[INSERT <br />PUMP <br />PIPING <br />�WLDING <br />P W IADING <br />MECHANICAL <br />ADOITIONAL PLAN CHECK <br />SPRINKLER <br />SiATE BUR�ING SURCHARGE <br />auouc woaKs <br />TOTAL <br />PERAIIT <br />S <br />5 <br />S <br />r,ra <br />