Laserfiche WebLink
0 <br />APPLICATlf�1 FOR CONSTRUCT �N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEATING SY <br />BUILDING DEPARTMENT STEM. ❑ GAS ❑ ELECTF�t, ❑ <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION <br />R MAIL�ODRESS <br />e, f � ysswi,h e� <br />TENANi MAILA]DRESS <br />ARCMITECTORDESIGNER MRILADURESS <br />MEGHANICRLGONTR4CTOR MRILA�DRE55 <br />PLUM8INGCONTRACTOR MAILADDRESS <br />CONTflACT PRICE OF WpqK <br />UESCflIBE WORN �ND SOU�FE FOOTRGE INVOIVED <br />1 D..�r� <br />PROPOSED EOFBUILOING <br />C�l QC lL� <br />LEGAlDESCPIP ION OPERTY�%S�HOWNBELOWOR <br />LOT BLOCK —a:� OF — <br />PARGELTqXID.NUMBEP <br />�(�v Oo� ao� OL <br />CONSTqVCT10N LOAN LENOER. RODRESS. TELEPHONE 1 <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS-RAINLEADERS <br />SINK (SERVICE-BAR. ETC.1 <br />FOR OFFICE USE ONLY: <br />FRONTSETBRCK RERRSETBAGK <br />USEIONE �OTARER <br />IVPEOFCON57. NO.OFSTOFIES <br />SRE OF Bt.DG. FIPE SPRINNLEPS REO'D <br />Q".CUPANCV lOAO FIRE RLARM REO'D <br />INTAKE BY � PLANS <br />.rn� <br />f] BUILDING <br />CITV <br />h ��e►� <br />cin <br />CITY <br />CITy <br />/� I � <br />...� <br />irv <br />dTV <br />❑ MECHANICAL <br />ZIP PNONE <br />IP� <br />21P <br />21P <br />ZIP <br />ZIP <br />CONTRCT PERSON ANO PMONE NO. <br />❑ PLUMBING <br />STATE <br />STATE <br />❑ SIGN <br />I HEREB:' CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2E0 BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTfiACTORS! AW 18.27 RCW AND 296.200 WAC. <br />sX n�run�� �� ` / V ! / � <br />D�IE <br />T.U. M <br />WOOD STOVE <br />METAL FIREPLACE � <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SIpE5ET3ACK PLANCMECN 4lIM ER FEE <br />i, �, J <br />, <br />VACr1NT SITE FEES <br />C YES ❑ NO Bl11LDING <br />atuer,Ncr Naormtt¢ixcumns <br />�p00P pLUM81NG <br />BnSEMENT MECHANICAL <br />❑ YES ❑ NO <br />NEIGNi uMITATION A�DITIONAL PLAN CHECN <br />OTHER <br />STATE BUILD!NG SURCHARGE <br />CITY OF EVERETT PUBLIC WORKS <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />M E.A. <br />NM <br />e <br />