Laserfiche WebLink
APPLICATIf 1 FOR CONSTRUCT 7N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />_ _ --- — ---- --- ---- ------- <br />BUILDINU DEPARTMENT ( HEATING SVSTEM: JaJ GAS �,J ELECTRIC U_ ___ ____ __ <br />259-8810 <br />i i DEMOLITION i i COMBINATION j,�' BUII_DING f1�+'MECHANICAL yiPLUMBING I i SIGN <br />OWNEn �Emil nnl�nrs't '---------- f,itr l�r --- rNrNJF <br />OW,r��2�_d��s_ c..,c i.3Ji.� G��^ 4rs,� _ s%�r.w..,�,sa 9d�e� 3.7� -i a a 9 <br />�rraN� Men nooncs� urv nr rrror�e <br />�qC1111ELi OO pf SIGNf P, <br />7�n <br />GFNF.MLCONTfUf.IOR M�IUD�RE55 G�TY IIP PIIONE ST�IEI�GENSE� <br />Q/�,E'�"CE5% ��►IES�_ /3 J/.�!'V1s Ae�i.t $�JA�rEW.:r.v rif'�9 9r, 3�J-/.i.i-9 •"19�tG!'NIo7/ G�• <br />E�SCNI1NIf.QCONtF�C10� MRIlM1f111Ffi5 CIIV TIP P110NE SUTEIILENSE� <br />C�' NtnoT�•v� /SS�� /S�1N,i�NE c..4k�.v�iiE rs8o�.z S�Pf,-3/1Iy <br />PLU4flIN4CfA1TR�CIOR M�tt�ODfIFSS CI1V ZIP PNONE ST�tEIICEN5E1 <br />CONIR�f.I PRICE (ri WORN <br />OFSCBIBF NOON �NO SfNIDf1E fO0IA0F. INVIXVE[1 <br />NEw s <br />rnorosenuse a <br />r� ; <br />� <br />i rau oescmvnon or vnnrE��rv is�rowr+eeiow an �r uc�� iwo covi[ s <br />ior_�— nior,K or e�l_�S��t11ka1F_�C /tIEST <br />rencei.ieMin nuunrn <br />g/ isr -ODd �t0/O �Odd / <br />Cd17I11UC710NLO�NIFNDEII �OOIIFSS.iEIF.PNONENUMBFII <br />COHiRGT VERSO11 �ND PNd1E NO <br />_ S Cp�/i1�I�iQ/S <br />i HEREBV CERTIFY THAT I HAVE READ AND FXAMINED THIS <br />APPLICATION AND HNOW THE SAME TO BE TRUE AND CORREC7. ALL <br />PROVISIONS OF LAWS AND ORDINANCES OOVERNINO THIS TVPE OF <br />WORH Wll.l BC COMPLETEU WITH WHETHER SPECIFIED HEREIN OR <br />NOT. TNE ORANTINO OF A PERMIT DOES NOT PPESUME TO (;IVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVIS101JS UF ANV <br />OTHER STATE OR IOCAL LAW PEGULAtING CONSTRUCTION OR iHE <br />PENFORAIANCE OF CONSTRUCTION. TMAT I AM AUTHORIZEC BV THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTAACTORS LAW 1P.27 RCW AND 296.2G0 WAC. <br />x,���'— B .?6 -9 S� <br />9N{u�111nfO^ ���r_ 11.11f <br />K <br />CII� flUShll �51 x]�NSI M) <br />MECHANICAL <br />FU(TURE OR ITEM FEE NO. TYFE OF FOUIPMEN7 <br />TOILET� � AiC—A�NNDLG UIJITS—H.P. <br />; � FORCED AIR SVSTEMS—B,T.U. M BA. <br />i BASW) � UN17 HEATERS—B.i.LL M <br />CIOTHES DqYERS <br />f1iSP � VENTILATION FAN <br />CLOTHE3 WASHER <br />UHINAL <br />DRINKING FOUNTAIN <br />FLOOR DFAIN <br />BACNFLOW PREVENTERS <br />ROOF DRAINS—RAINLEAUERS <br />SUB TO <br />PERMIT <br />FOFi OFFICE USE ONLY: <br />FRONfSF�PALN/ I1FRf1:f�fl�CA , <br />7�_ _' ' <br />usezoae ini�nen <br />1�`�S- % ��v <br />IYMOIf,M151 NOMSfORIFS <br />1t- I� -- 2- — - <br />sizF ar ai nnF sr�wki.Fns neoo <br />z���r �'F -r v <br />�s?1t-�— :-- N <br />pL'f,11PWCVlO�l1 FlRE�UAMPF00 <br />_[= [—_—�'— � a _ _ <br />PF�SOW <br />��H�eK�nr ... ..- I rinn�snrrnn1'ri,nr <br />J;' <br />hn•1 <br />SIDE SFIB�CK <br />V�C�Nf SIIE <br />il VES fl NO <br />r:rnr�Wr xnwPMu�xr�iirnc <br />n�seMFN� � / <br />I I VES f�NO <br />HF.IR11• IIMII�1�011/ — <br />_ __��_.'__— <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />\VATER HEATER <br />METIIL FIREPL <br />FIREPIACE IN; <br />NEAT PUMP <br />GAS PIPINO <br />EXHAUST FAN <br />SUB TOTAL S <br />PEfiM1T S <br />101ALFEE S <br />/ � O. 70 <br />PI�NCUJFJCKNiIM Efl FEE /' 11ECEIPI <br />—L���� `���� `i' /0� <br />FEES VALUATION <br />flUILDIN(i �/ � �� •�, <br />-- �_--- ��J�3�3 —� <br />rwMeiNc� <br />MFCHANIC41 <br />ADO�TIONAL PLAN CNECN <br />OTHFR _ _ <br />S1ATE AUILDIN6 SURCHARGE <br />{'IIPUC WORNS <br />TOi11 <br />