Laserfiche WebLink
APPLICATi� FOR CONSTRUCT�N PERMIT � <br />TO BE COMPLETED IN BLACK INK-PIEASE PRINT <br />BUILDING DEPARTMEN7 HEATING SVSTEM: �(I GAS ❑ ELECTRIC ❑ -� <br />259-8810 <br />'� � DEMOLITION X COMBINATION ''� BUILDING !'.�MECMpNICAL ! f PLUMBING � i SIGN <br />JWNFR MAItIppflE55 brv qP PNONF <br />IOAN OARP Ei421 7-TM /IVE 5E EVERETT WA 98208 C206) 347-B437 <br />iENLllI MI.IIADOP[Si CIIY jIP PIA'HIC <br />SAME AS AP,GVE <br />aec�nerronocsio�en weiuooness u*r aiv rrnris <br />VASILE ANTEMIE 15127 SIMOAID� RONE (iOTHEII 1UA 98011 4B5-0559 <br />GEM1CMlLON1flACiM �IRilq00RC55 LiIY ZiP PIqNE SUiELqFNSE• <br />6V OWNER <br />nn�.u�.�eucauHnc�oa unii.umrtss c�rv a,v vwsie sureieevse. <br />8Y aWAIER <br />1`Ll11Aqi11GLpI1P�C1(lP IA�It4DDflC55 CIfY IIP V�qf1E $i1lElICENSf• <br />gi O�UNER <br />COfliRACiCRiLEWWOPN <br />N/A �;L�/%� � <br />AOf71T10N OF 1,002 SQFt DF/ COUOI'ilONEO <br />Al2Eq GLUS 2 CARGnQACSE f 502 511FlJ. <br />F410POSE� USE 0� 1111ROMG <br />2E51DEAITiA-L <br />.ewi �ixnmriori or ��i�wcurv �s��Ovm onow oi� arua� �wo wviEsi <br />�or oiocx or _ _—_. <br />nnecu�nxin �mueen <br />182 BD5 — 2' UO2 — 0007 <br />cansnucna�in�r�in�ocu nooaEss.�[�Em�cr�EHuua�n <br />REMOOELING /5 NOT FINAAICE BY A 6RA1C. <br />PNQIECT RODNESS <br />jj421 7-TH AVE 5E EVE,eETWA 9B20B <br />WqTERCLOSET�TOILET) 1� <br />1 f7ATHTUB <br />2 LAVATOPV�WASH BASIW , <br />SHOWER <br />NITCHEN SINK 8 DISP <br />DISHW45HER <br />( LAUNORYTRAV r— <br />� CLOTMES WASHER � <br />URINFL <br />DHINNING FOUNTAIN <br />FLOOR DRAIN <br />04CKFLOW PREVENTERS <br />ROOF DR�INS—PAMLERDER$ <br />FOH OFFICE USE ONLY: <br />��a+rseroac� acen; <br />r <br />UiC."'E IOf�P <br />nr� m mr�si or <br />OLCIIPANCYLOAO <br />z00 �Y <br />! <br />lillE SPOINxLEHS REOD <br />�J � <br />RBE k�PlM1 PEOO <br />IV� <br />VL�NS�G1PqOYCOFv <br />`�� <br />cav*r.cteEnsor�Ni��v�%�°CA(LP HOME �a7—H9D7 <br />WORt fe22-A3H1 <br />VASILE ANiEMIE-DESIGNEL'�BS-0954 <br />I HEF7EBY CERTIFY THAT I HAVE READ AND EXAMINED'iN15 <br />APPLICATION AAO KNOW 1HE SAME TO BE TRUE AND WHflEGT ALL <br />FROVISIONS OF LAWS AND ORDINANCES GOVERNINu THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETMER SPECIFIED HEflEIN OR <br />NOT THE GflHNTING OF A PERMIi DOES NOT PflESUME TO CaIVE <br />AUTMORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANv <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TMF. <br />PERFORAtANCE OF CONRTRUCTION. THAT I AM AUTHOHIZED BV THE <br />OWNER OF THI,", PROPERTY TO PERF09M THE WORN F�R WMICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS lAW IB27 RCW AN� 296200 WAC. <br />��� ('fi11� �J. //. /�Qy <br />� — <br />ANICRL� � <br />TYPEOFEOUIPMENT FEE <br />AC—A�HNDLGUNIT$—H.P —� <br />FORCEDAIRSVSTE4IS—B.T.U. M1i GA./ <br />UNITHEATERS—B.TU. M <br />CLOTHESDRVERS / <br />VENTILATION FAN <br />RANGEH00� <br />WATER HEATEfi <br />WOODSTOVE <br />METAL FIREPLACE �WOOD BURNING) <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING . <br />so�se.e.cK ruNcncc«r�iiunEn �Ec <br />5' ' i <br />vnceNr sire FEES <br />�: YES �NO BUiIDING �(9�(�_Z <br />�`R� PIUM�iNG <br />BeSEu[N1 � MECHRNIGAL <br />.--' VES rN0 <br />r+EqNiuurtetqq r1D�IT10NAlPlANCHECK <br />�' <br />OTMEP <br />STATE PUIlOING SURCHARGE <br />CITY OF EVEflETT PUOIIG WORNS <br />LOCAL SALES <br />TAX CODE IS 3105 rou� <br />necEiarr�a <br />VV � <br />