Laserfiche WebLink
APPLICATIO�i FOR CONSTRUCT.JN PERMIT <br />'"' E�^ everett <br />c�;vor � <br />everett <br />BUILDING DEPARTMENT <br />259•8810 TO BE COMPLETED IN INK—PLEASE PRINT <br />! i DEMOLITION COMBINATION �UILDING MECHANICAL PLUMBING I SION <br />�ER MML �pDRE55 CITY 21P PNpflE <br />lUut e�l �a� � d�z T- /9/'�/,(, SU� Gys.. `„o.� P/e?F �7y1z5� <br />TENANT M�IL�UDRESS �Ry 21P p�� <br />�RCNITECT 011 DEYIQNER <br />OENEMLCONIRACTOR MMLADDNES9 <br />i�.2 E J�Ou P <br />J <br />M�R <br />dTV lIP <br />CITY 11P <br />CRV 21P <br />LIGENSE • <br />N�c/%c t T 7-�� — <br />PWMBINOCONTRACTOR MMLADDRE6S GRY TIP VIIONf IICENSEI <br />i ADDITIOIJ I � ALTERATION I' REPAIR i 1 DEMOLITION I! WOODSTOVE/FRPL INSERT (.7 BUILDINO RELOCATION <br />•^^'^ ^•'^`^'" �^�• I GONUCT FERSON AND PMONE NO <br />DEBCN9E WOIiK 11ND SWARE FOOTAQE INVOLVED <br />J` FR � ,r/��� <br />nnovos¢o use ov aukowro <br />.i �'C' <br />lEd1L0E IFTIONOiPqpPER1Y�8110WNBELOWOR�TTQ�CHFWRG <br />LOT � BIOCK �z_ pF r /O � <br />?-„�4 c,�y - 1� i d �` � <br />WATEF. CU <br />BATHTUB <br />LAVATORY <br />SHOWER <br />JQ FOUNTAIN <br />OFAIN <br />ROOF <br />SINK 1 <br />fI10NT BETBACk <br />y�f <br />UBEIONF� 1 I LOT <br />� <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE S <br />sioE <br />IYPFOiLOMSt�ILOWABIF TYPEOfCON51�TW1 <br />BIIf OF &D(3 NO OF 6TORIEB <br />i59L rF a � 3� <br />OGCUPA�yYLWC FIREBPRNItLERSREdO <br />u/.4 i i ves ut No <br />RE�SON FOq BPPNlNLER9 <br />�PPIIC�TIOH �CC BY � P��Nb 11PPROVEO BY <br />S.P. I1- <br />V�CIJlT BITE <br />Y''FES � ! NO <br />OC(UMN[v NOPOWflIM0UNi16 <br />B�SEMENT <br />. . YES '� '�. NO <br />NEIONT ItMIT�TION <br />9w� <br />CITY OF EVERETT <br />LOCAL SALES <br />TAII COOE IS 3105 <br />I HEREBV CERTIFY THAT 1 HAVE READ AND El(AMINEO THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES OOVERNINd THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE ORANTINQ OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REOULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTlON. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTV TO PEHFORM THF WORN FOR WIiICH <br />APPLICATION IS MADE AND I COMPL'/ WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 286.2U0 WAC. <br />BIONAiUREOFCONTq�CTOROR�UTIqRRE�/�OEHT DATE <br />X <br />�vp��c�Hts <br />FORCED AIR SVSTEMI <br />UNIT HEATERS—D.T.I� <br />CLOTHESDRVERS <br />HANGE HO[)D <br />WATER HF.RTER <br />BUILDINO r��l�L'" � <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILOINO BURCHARQE <br />S7ATEENEROV3URCHAROE <br />PUBLIC WORNS <br />TOTAL <br />AND BUSINESS <br />6 CHIMNEV <br />FEE <br />M E.A. <br />RECEIPT NO <br />'�--� <br />FEE <br />� <br />V��� <br />—�— <br />C�(`,T <br />i <br />i� <br />i <br />i <br />."SA" 1:/ / i <br />