Laserfiche WebLink
xr� <br />t=� e� <br />C�H <br />9 H tn <br />r3 � H <br />FG' ii <br />H �7 <br />oxo <br />� V1 H <br />z <br />� H �G <br />OH <br />��g <br />rj]Y i] <br />�H� <br />HH <br />g�' <br />� <br />c� C V� <br />� � [rs7 <br />z y �n <br />H O p� <br />APP�.ICATl4�d F�R CONS"�RUCT��0�1 PERMIT �'`'"`"" <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />✓ .. Yreimren <br />Cli" Gi= <br />everett <br />BUILDING DEPARTMENT <br />259 8810 <br />---- <br />— --- <br />-- <br />HEATING SYSTEM: U GAS 'J ELECTRIC J___ _._.. ___ <br />EMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br />.mLL n0 55 �� P�oNE <br />o � � �� �� �c�0� �) fa _ � 7 z � <br />� .� �.� /-zG3 - 33r �'�� / %n <br />PNnNi <br />1�aiLA�DRE55 CITV ��� PHOHE <br />nFCHiIEGiOR0E5iGNER IdAhA�ORE55 CITV ZiP PHONE <br />CF.1:[fiALC �PaGT�O� MZAiIA�DRE �/ CIT ����Zi"����� �N�� ,�/_ lit[��Y{Gh.�—����5� <br />���..s�.---� , l�,�c �jJ "� , <br />Jl tPG (/I'� r��.f�" aHc�+E ucer+se. <br />�•��cNnrvicn,coe��ncroF r.�.�i�aoo�ess c'rv z'a <br />PlU!',31NG CONTRAGiGB IA41L A�DRE55 <br />���y ZIP ���ONE IICENSE• <br />C1..550F WORN <br />NEW -. ADDITION ALTERATION REPAIR DE�dOLITION WOODSTOVE�FRPL INSERT BUILDING REIOCATI <br />�/, / CGflinGT PEFSG�� ���D PNONE NO <br />,6L [1(i!/ r r� <br />r��.utaef.iPRIf.FOFWOPH i.. / <br />ir. w ,, _ <br />�oi,.�s=n 5E oF ew�r,rc <br />y� <br />�i(.nL9E5G(iiPT10t! OF PROVE <br />LOT BLOCN <br />� I HEREOV CERTIFY iHAT I HAVE READ AND E%AMINED THIS <br />APPLICAiION AND KN�i�-: THE SA�dE TO BE TRUE AND CORRECT. ALL <br />isNo•.vr+o��Owae nrraG�� rouu r,c=ies, PROVISIONS OF LAWS AND ORDINANCES GOVEFiNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPEGFIED HEREIN OR <br />ov NOT. THE GRANTING OF A PERIdIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW FEGULATING CONSTRUCTION OR THE <br />-- pERFORIdANCE OF CONSTRUCTION. THAT � i,�d AUTHORIZED BY THE <br />OWNER OF TH�S P:iOFERTY TO PEfiFCnM THE WORK FOR WHICH <br />qPP�ICATION IS IdADE AND I.:01APLY WITH THE STATE <br />CONTRAC�TOf4��VJ 18.D RCW At�ly 296200 WAC. <br />vi0.NAil1�EO�P'N 1ACfGROAAOTNOFIZC�PGENT DAtE <br />_,i_ _ _— <br />-- . , � <br />TYPE OF FIXTURE OR ITE�n <br />WATER CLOSETIiOIL[T� <br />-- —.._—__ __ <br />BATHTUB .___ _, _ <br />LAVATORV (VlASH BASItJi _ __ <br />SHOWER <br />Y.ITCHEN SINH 8 DISP <br />DISHWASHER <br />LAUNDRYTRAV <br />DFINKING FOUNTAIN _ <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS—RAINLEADERS <br />FOR OFFICE USE ONLY: <br />VR�NISGipAGK ❑[AOSEiI <br />U9[ZON[ LOT4HEA <br />tn^(O�CONfSAIIOWR�It iYPF01G01 <br />9ZL OF OI�G HO OF 51 <br />OCCUPANCYLORC PIRESPRI <br />SUB TOTAL S <br />P[RMIT 5 <br />TOTAL FEE S <br />u:,n�.iin � � � I� ��inNsabvaovrnnr <br />X � J/., <br />�"J �<i-- <br />na.�.�cnuts•.. <br />FEC NO. TYPE OF E�UIPMENT <br />� AC—AHIJOLGUNITS—HP. <br />�+ FORCED AIR SYSTEMS—B.7.U. M EA. <br />—� ;� UNff HEATEFi$-6.T.U. h1 <br />- � CLOIHES DFVERS <br />VENTILATION FAN <br />�� � RANGLHOOD <br />WATER HEATER <br />T —__ _ <br />J�,i WOOD STOVE <br />�dETAI FIREPLACE 8 CHIMNEV <br />FIREPLACE INSERT <br />HEAT PUMP <br />' GAS PIPING <br />--'— EXHAUSTfAN <br />0 <br />SUB TOTAL S <br />PERMIT 5 <br />TOTALFLE S <br />:iIDFSEil3ACY P:ARCHFCNNULIBFN PCF <br />vnCnr�rsite � FEES VALU <br />oui�oiNc <br />---- -- -- — <br />�Coeexa ea aiuN�r'i:=�'��'��� — <br />cnn�v p�UM�ING __ <br />BAS[IAENL MECHANICAL <br />H[IGH1 ulArtnnou ADDITIONAL PLAN CHEGK <br />OiHEH <br />SlATE �UILDING Sl1RCiiA{iGE <br />CIT1' OF EVERETT Pu�ucwoaKs <br />LOCALSALES <br />TAX CODEIS 3105 TOTAL <br />��r.c[irr <br />FEE <br />FEE <br />—r— <br />`l�' _ '- <br />�rT— <br />