Laserfiche WebLink
� i•i �° <br />a�x <br />Q H <br />9HN <br />4 <br />1i � �i <br />H �f <br />� M � <br />NN <br />� O � <br />OH <br />H�g <br />�1] Y (7 <br />$ M �aH <br />rHH <br />g `� <br />(] t7 N <br />� � � <br />HOty/� <br />� <br />� <br />I �� <br />� <br />I � <br />� <br />0 <br />APPLICATIt,nl FOR CONSTRUC7.JN PERMIT <br />everett <br />���E.�.o.�,.� e <br />���oF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br />DEMOLITION COMBINATION }� BUILDING MECHANICAL PLUMBING SIGN <br />p�y�«q MAILADOPE55 CITY ZIP PMONL <br />%/Jri t� F�i[y,c�alr 1'�a//G(/f�r'S� iv�«'=;:�;'ti` �t�-�-,_-t <br />tENRNT MAILA�OFE55 CITV ZIP PHONE <br />avCHiiECiORDE5IGNEP MAiLADORE55 CITY 2iP PNONE <br />G[NERA1 CONiflRCTOR MAIL A�ORE55 CIiV ZIP PHONE LICENSE / <br />uECHRl��CALCONiRACTOF MAILPDORE55 CIiY IIP PMONE LICENSEt <br />_SL�,. 1�M1r 7ti�.�., - <br />PWMBINGCONTRACiOF MAILADORE55 CITY IIP PMOYE LICENSEI <br />CLASS OF WORN <br />X NEW ADDITION . ALTERATION REPAIR � DEMOLITION .�. WOODSTOVEIFRPL INSERT .' BUILOMG RELOCATION <br />CONTflACT PRIGE OF WOFN: <br />DESCRiOE W/OF'N AND SOURRE FOOTRGrE INVOLVEO <br />FC�/ �' //%iv"5 / /.�L'!' i <br />{'ROPOSEL USE Of BU�LOMG <br />�or <br />��a <br />'PROPENIY�SHOWN�EIOW <br />OIOCK OF <br />f' <br />KITCHEN SINK & DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />FRONTS[TOACK <br />uSEZONE <br />iYPE Of CONSt RIIOWABIE <br />5¢E OF BLDG. <br />OCCUPANCVLOAO <br />REFSON FOfl SPRINKLERS <br />APPLICATION AGC. BY <br />PREvENTERS <br />CONGCt PEPSON AND PNONE NO <br />. .,_..__. .._ ..... . ...... . ....._ .._.._ ...._ _..........__ ....� <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILI 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 AUTHORIZED BY THE <br />OWNER OF THIS PROPEFiY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />9GN�IUREO�,CONiRACiORORPUi110FIjEDAGENT DATE <br />� ,._...... / <br />X . j:,� �-�- �, , �,,, <br />1L,% �'•'i ����-+�.:. �c <br />RPPIIUNi5C1LYBt1511:[SSLI ENS�f�'IS.PNDBUSWESSNAME <br />FORCED AIR SVSTEMS-B.T.U. M E.A. <br />UNIT HEATERS-B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOO�STOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAl1ST FAN <br />TOTALFEE S <br />RERRSETBACK SID[SETBRCN PLANCHECkNUTAp[R !EE <br />IOTAREA VACANiSrtE FEE$ <br />ves No euaoiNc <br />ttGEOiCONSt.AL1UAt �nre•in xamexuuvauvns <br />evoce <br />PLUAIBING <br />NO.oFSTONiES �AS[IAENi MECNANICAL <br />VES NO <br />FiRE5PPN10.[aSR[OD HEiGHiLiMitAiiON OTHER <br />�. YES �. NO STATfl OUILDING SURCNARGE <br />STATEENERGVSURCHARGE <br />PLANSRPPROYEDOY CITY OF EVERETT PUBLIC WORNS <br />LOCALSALES <br />TAX CUDE IS 3105 TOTAL <br />�� <br />R[CEiPi NO. <br />r. <br />