\
<br /> APPLICATIO� FOR CONSTIRUCT►JN PERMIT ' .' " '
<br /> TO BE COMPLETED IN INK--PLEASE PRWT ��
<br /> everett r�fnTwcsvsiir.� �}�,ns �Fir�:iia, � /✓�' i>'r'�';=�-'
<br /> f�UII.IJMG DFPARiMFNT
<br /> ,�:,q 6f310
<br /> DEMOLITION COMBINATION BU!LDING MEC.'HANICAL PLUMBING SIGN
<br /> H
<br /> b t� ' YJ � !. - , S /�, �� J /
<br /> �.�. ,
<br /> � y `,C..,/t%ir•�o ��i�ryi�f. .��i'7 �'r :{ G .'�'C. ;Li � SY �� c t i r ;_ �� ��ti al' J j 5
<br /> 10 � f9 ..p�.t tmm n�.,. . '. .�r �+.oNl
<br /> � y M !
<br /> a N '� G U�� It/C/ �� � i 7 !_7 l�/�/,G C,�_ c���_�•f_—f_- (,' N �'r ��--
<br /> :. s 7c .. IJ/iJ. �...
<br /> � �, �y � ���n ct irti Dr"��r.�.i. Nai ,i i�.� r'r ?rMNE /
<br /> � � ^' __-_. _ _ _'""___- _._ __.— _
<br /> � �,.1 IIM CUNiN�i�.luN ��" A��l nt t���i�'. f:�1Y TO' P110NF lIGE115E•
<br /> N H /
<br /> � Z � �•��1.ANi�ONiMf.IDl1 411n�Lf�RFst ��..._. C�IV lif' PMONE t�CFNSF•
<br /> y
<br /> p� � _ —_
<br /> H OQ !9ali�fONiNM]r)i1 Rin�l AODnF55 fl�v ZIP v�KNlF LIf,ENS!/
<br /> My , � --__ ._—___-_—-- --____. __ _ ._" _--
<br /> p �"� ..�.Fl�N WJI�n
<br /> r "
<br /> N NEW x AD�ITION ALT@RATION HEPAIR _ DEMOLITION __WOODSTOVE'FRPL INSERT 6UILDIMG RELOCATION
<br /> p N "— Q � ) �caNu(�rI nI1nN nqu M�oHe wl
<br /> RN ,�_— 47
<br /> O N ,uneG�an�at oi w ne ..N���( L.�� � � /���1 —
<br /> � � '+�aat WOnx nr�� onnn� �,q1�G[iNVOLVEn
<br /> m / � S
<br /> � �� -- _— -- —
<br /> . inuouxoro[i�mnir�c ���, ._�/� 1 HF.REBV CERTIFV THAT I HAVE READ AND EXAMINED T1115
<br /> SU_11 �J ��LZL—��L/ . ��'�'LICATION AND KNOW 1HE SAME TO BE TRUE Ah0 CORFECT �I I
<br /> , i.����� � I � ���.:rFmr,snovmeeu oeaine�rouneow[5� PROVISIONS OF LAWS AND ORDiNANCFS GOVFRNING THiS T�'PE U�
<br /> ' WORN WILL BE COMPLETFD WITH WHE7HER SPEGRED H[REIN OR
<br /> � . _ i��-*.� . ___._, a _ __ . NOT. TNF: GRAN�ING OF A PERMIT OOES NOi PRESUME TJ GiV�
<br /> AUiNnRITV i0 VIOLATE OR CANCEL THE PROVISIONS OF ANv
<br /> O7 .R STATE OR LOCAI LAW PEGULAIING CONSiRUCTION OR 7NC
<br /> - - PFR�ORMANCE OF CONSTFUCTION THAi I AM AUTHORIZED BV ir�F
<br /> PWNFR OF THIS PROPERTV TO PERFORM THE WORK FG�i W��ICN
<br /> _ APPIIf,A7lON IS MADE AND I GOIAFLV WITN TI�C Sinff
<br /> (.r)��IRnC10R51_AW 1B27RCWAND2ib.200'�Vn(�.
<br /> ,.,, . n . �i�I111u.Innnl�Ai11uJ1UtFp�;fL1 Inq
<br /> /
<br /> . __ . _ � i . � l ��/�� (� �
<br /> /�� I tI`I
<br /> .,n i'�.i i �. .�ii:�:i n�ritl n0�HU P��5n�F NM�
<br /> � '( 1� //i" /l�.��� .
<br /> PLUMBING lAECHANICAL _
<br /> 1 NO TYPE OF FI%TURE OR ITEM FEE , NO TVPE OF EOUIPMENT FEE .
<br /> � WATfR Cl(.-15E1 ITOILCi) A F �HNDI,IINIIF 11 P
<br /> �� [lATH7IlC IOHCF[)ARSYSiFh1ti ftlil 611. �
<br /> �' -- - .. . ' IINIIHCATCRS �AT11 IA —.
<br /> U�VAIOHv�W�tiH FlASIN) . _ _ __ _ . __ . _
<br /> I SHOYJER CIOiHF,50f,VERS ��
<br /> KI1ChE.N;I�Jh:F. UiSP vEN�ll ATION FAN _��
<br /> _ _. • _. _—__ —_r_
<br /> OL9HWAtirlf_R � HANG[ u00D �'__ � �._� i .
<br />' I �r LAUNDfiv1RFV ; WAif-RHEATER ___ ______
<br /> Cl O7HE5 WASHEH . .: bSOOD S70VE _____,__ ,
<br /> URM�I. ' Id( 1M F IREPLACE R CHIMNEV _ _
<br /> '�� DRWUMCi�OUNTAIN _ f IR!"PI ACF INSFR7 _ _
<br /> �� � 1 1.00R URI+IN �11 At PUMP . .___ . _
<br /> BACNfLOWPfi[VCNTERS � GASPIPWG _
<br /> NOOF DRAINS-FlAINLEADEflS FxHAUSt FAN
<br /> . . . _._ _ __.._—_ �--�-
<br /> ° I� tiINK itiF.RVICE_�BAR,ETC.� ' _ _ ___ . _-1.
<br /> 1�1 • _ —_-- _.
<br /> � .__ __ _'________. . . . �.
<br /> \' _
<br /> �I�I SUA TOTAI 5 SUB TOIAI ±�
<br /> __ _ _ _ _ _.. . .__._.__ .. .— ,
<br /> P�R6AII $ PERMIi 5
<br /> . . _ ..— '___. _ . .__ ..
<br /> I(llni �f ! S TOiAlfff. 5
<br /> FOR OFFICE USE ONLY:
<br /> I�i 4�'A'Vn. r � nln�'.1^1J0.4�r i �.I d9�ni• �I.Wj �" vqr�'yAll�fl . l11 _ RLffll"N��
<br /> '�� � C_o � S� �/� �/ �'�� ���- i�.`,) .5_-3/�) �l
<br /> . � ; ' . .���n � .n .• ,. �.,� FEES � - --VALUA710N PEE _
<br /> ���- I �BZ� I � O � , ��d IwnlnNi� '�_ �.C��.� .�:��� ' � �
<br /> l �
<br /> 'i � . �l"� ������..i. i '.�: �.i � . . � .. . .. . .� . . .
<br /> . . . � ..� . �� PLUlAfflNf, __y..
<br /> Z,T-r./ � - U � I- 3 i - - �
<br /> . �OI'�1 n I�.i�i., ( ry ..� •.� � Pa.i 6il r,i MI C1IRNIG�L
<br /> �ll..N SI /�WU I . . .I . . �\I.� _ _ _ . . . . ._ I �.
<br /> x.<ur�N�riva,. � ui .��in�un. n����. . i��� n� . �ODiIIONRIPUNCNI<�.h �
<br /> ��Y ��� �� iillqN ',
<br /> RFASONfO0S1'ili11ri1H�. — � �
<br /> sinir t+uitninosuncr,n�r,i _�'_`r •,
<br /> .�.,.� �rv r�mr.nr��n��:�nm CITYOFEVEflETT ruoiicwnnrcs �_
<br /> 9� I LOCAL SALES ,
<br /> h��i TAX CODE IS 3105 �o�A� —� -� �� '� �
<br /> 1— --- —1�
<br />
|