Laserfiche WebLink
�'�'.P � APPLICATI( � FaR CONSTRUCi JN PERMIT �°°«f'" <br />��bt� „�, �,�� TO BE COMPLETED IN INK—PLEASE PHINT � <br />CIIY Ill <br />everett I u�_niwcsvsii M: cns uei�_c�iac u_ —_ _� <br />BUILDING D�P/1HTMENT <br />259-8810 <br />i DEMOLITION COMBINATION BUILDING _�I�IECHANICAL I i pLUMBING ' SIGN <br />-�—y—...--------- . _ 1 .. .. -_--.. - — � r uor�[ —�� � <br />�I Cl'Yi 1� �� "unenuraess `, � � cii. zir �' � <br />—I � 1�1L= ��_��—�" ��.L-�•ti�c�_�a_-_ c ��}(_Q"� ��J �� <br />T Nt iaep eennfss air zu• r��oNc <br />��l.vv�e� ---- -- <br />�ncmtecronoesmr+ER M�nennncss cnv z�r ruorm <br />�E�l.��iR�L70R��;�ll ��5./ �� L-1 ��4._�.II _��C'�� l�l' ��� 11 j,�-. �`/ _/` -1 NSEI .� <br />fV l l Z� <br />� i�•V [-[ <br />MCdUNN:MC n�cion uuienroa:ss �- r.ur n� riorvi ur.r�s � 1 <br />v��Li. r-r�,��1_� � -13`1 -- <br />-- -- - -- --- <br />Mu��e�ecor�tn�cron n�mi.enoness -� r.nr tm ruor+e ucesse� <br />CUSS OF VA�fiN <br />I I NEW i I ADDITION � ALTERATION _REPAIR <br />PPICE OF <br />lOT NIOCN <br />. I DEMO�.ITION �. '� WOODSiOVE/FRPL INSERT I� BUILOiNG RELOCATION <br />-� cor���c� r[i�soN nrm ruor�c rvo <br />I kiEREBV CERTIFY ?HAT I HAVE READ AND E%AMINED THIS <br />� APPLICATION AND Kt10W THE SAME TO BE TRUE AND CORRECT. ALL <br />eaowonnit�a�rouneoeitsi PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL bE COMPLETED WITH WHETHER SPECIfIED HEREIN OR <br />_ oF IJOT. THE GfiANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEI THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGOLATING CONSTHUCTION Ofl THE <br />— PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEFi OF THIf; PROPERTY TO PERFORM THE WORK FOR WHICH <br />_ APPLICATIOIJ IS MADE AND I COMPLV WITf1 THE STATE <br />CONTRACTORS LAW 18.2'7 RCW AND 296.200 WAC. <br />Sif,N�111NlOI�GW11(UC1pqON�U7110N12E0AGEN1 o�iE , <br />P110.IECU E <br />�i �,c,�'l.,Q.�-t' <br />PLU G <br />NO, TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />IAVATOFY (WASH BASIN� <br />SHOWER <br />KITCHEN SINK 8 DISF ____ <br />DISHWASfiER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOF DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS-RAMLEADERS _ <br />SINK (SERVICE-BAR. ETQ) <br />� -- -_. SUDTOTAI_ $ _ <br />PERMIT $ <br />TOTALFEE 3 <br />FOR OFFICE USE ONLY: <br />�R(Nli5E70�CN -_�����NhPNSLiOAIIM.. . I SIPIISI.IIIACN <br />USE ZON[ <br />iYPEOfCON15 <br />SRE OF BIOG <br />OCLUPl�NGV l <br />NEASINI iOR <br />INT�NF. BV <br />-- �I lOi AHLA <br />0(CONSI ALIORI <br />HO OF S10N[S <br />� <br />I.IIY <br />TYPE OF EOUIPMENI <br />NC-AMNDLG UNITS-H.P <br />FORCED AIR SYSTEMS-B.T.U: <br />UNIT HEATERS-B.T.U. M <br />CLOTHES DRYERS _ <br />VENTILATION FAN <br />RANGEHOOD <br />Wl.TC^ IiEATER �- - <br />WOOU STOVE <br />MEIAL FIR6PLACE 8 CHIMNEY <br />E.A. <br />J <br />HEAT PUMP <br />� GAS PIPING _ <br />EXIIAUST FAN <br />SUB TOTAL 3 L � <br />� PERMIT S � S <br />� � TOTAL FEE S <br />1'14NCIIILNIIIII.IIif❑ ILL BGLCIPitlO <br />vncnr�i sitt � � -�- -�� -- � FEES <br />".' _— " —"_{{{��� — <br />I1UIl DIIJG <br />[[C�OM1I�C� �IXfMM11lweUh�.15 — - � '� ' ' <br />r.uuiv PIUId131NG _' <br />--' BnSEM[Ni-- --"� �7EfHANICAL <br />FlnE srnr�n� [r+s nco 0 <br />- - 1I� ri r.r�s nrNnovE-n or��- - <br />----1----- <br />CITY OF EVERETT <br />LOCAL SALES <br />TA% CODE IS 31�5 <br />AUDIIIONAL PIAN C1�IECK <br />Ol11GR <br />S7AlE 13UILUING SUHCIIARGE <br />PUBIJf, WOHHS <br />70TAL <br />