y(j H
<br />W C 'tl
<br />tlC 9 �
<br />C p y
<br />� � Mn
<br />O ttl O
<br />�F] N r
<br />ii' J' �
<br />C �
<br />S1 ) �
<br />n '
<br />t� y
<br />'+
<br />N
<br />M
<br />5 tl N
<br />H O �
<br />I ��
<br />� r
<br />� !b
<br />�1���
<br />APPLICAT6C J FOR CONST�iUC7 _JN PERMIT �Z n
<br />TO 6i_ COMPLETC f� IN t1lACK INK--PLEASE PRINT
<br />HF41MG3VSTf-M�. -�G�:� JLLFG7HIC J
<br />Hllll.I'�WG I�f I •1117L1f.Nl ' -
<br />'S9 f3H10
<br />DEMOLITION COMBINATION BUILDING � MECHANICAL PLUM�ING SIC:N
<br />.d:u� i...�.n,. . , i . ., � �..'. ;r� � , -." .
<br />� . � � . . . . . � . I , . - � .. .
<br />. �.q�� . . ! ' �v,,. n.�.iq�,.. _ � . . . .� �„ . .
<br />.'-l/:/�;� — �
<br />C�tV Ii� Pr�ONE
<br />..�. uiilClONf!(S�fNfR MA;IA�DPE55
<br />�.�•nnqif.CNiMC10R M��I�UDRF55
<br />CiiV Zi� P�IONE SIAiCL�CE��SE�
<br />���m�K��conrn�n� Mmi�pnnEss � r utr �
<br />/ :7'. y- � �� �
<br />1 , c' ./�5/ �
<br />,�r-2� - _� — -� —�.,.
<br />'i��qf11CCONi11,LitlP IMIA�DNCSu
<br />'�'���1.. �G<�j�;??'7/t
<br />lv n�uqr �
<br />.
<br />0
<br />�n: u•wonK �
<br />NEW ADDIlION .�ALTEHA110N REPAIR DFIdOLIT10N WOODSTOVE�PRPLINSERT BUILDINGRELOCATIO[!
<br />____--- rr� ." .-. _-.:.��rT1150N�N�PHONENO /�
<br />/ ` — _'__-__ _.... . ��.i �f� � '!^r '/�,t � ,1
<br />,�.�rnncrraicrorwonv . J �,��`� � -- -'-- �� �
<br />II'�,f'fl'�f1EK+OP �NDSOUA�EGOOIAGEINrVQVED �� `/�(/, /� � ,-. .
<br />�- � � ��` /�,jr/�� !/"�7 ' � �:L'..�'.'-� . _ _ -_____— _ ___ _ . _. f_, l'_ _�... _ .i_. ..
<br />,'� r����'ttx;N"t<n�T � •� �:. �
<br />,��„•osrousearnun.n��m i i�[F�[OV C[RTIFV THAT I HAV[ RFAD AND E%AMMED f��it,
<br />APPLICATION AMD KNOW THE S�ME 70 BE TRUE AhU CO�RGCI AI l
<br />� PHnVI$IONS OF LAWS AND ORDINANCcS GOVERNING THIS TVPf. t 11�
<br />,�r.ni ocscniviallo«a�Fnrv�s�ovn+nnowoneirncHvrninr,owes� �.��iqK WILL B[ COMPLETLD WItH WHETHER SPECIFlED HLREiN � �+
<br />,�,i eiax �� Hui iH6 GRANTWG OF � PERAIIT �OFS NOT PRESUME TO GNf
<br />- nii1HORITY TO VIOLATE OR G�NCLL iH[ PROVISIONS OF AN�'
<br />�/7/,� .�L���s+;+- -�"j �-�'_i�„`�� p�i�.Eq 57ATE OR LOCAL LAW R[GULATING CONSTRUCTION OR l�rt.
<br />�- � � y- PFRFO�MANCE GF CONSTFUCTIGN THAi I AM AUTHOqIZED [lY -i HP
<br />OVlNEfi OF THIS PROPERiV TO PERFORId 1HF. WORK FOR Vliu<n�
<br />APPLICAiION IS MAUE AND I G01.1PLY WITN 7H[ SiAlf
<br />�— '.�iNiRACTORS LAW 1B 27 FCW AND 296200 WAC
<br />. �
<br />__ _—_ —_—_ ' � / '-
<br />,
<br />. �
<br />.. : ,' . � ,.� .�,.�.. i �.
<br />x , , i �li�tr _�i,�_,_� .-<s-
<br />__ - --
<br />� �- - ,
<br />,,,�,;� ,� �,��----- � — —7 l��_
<br />WA1ER CLOSETIIOILEII
<br />BATHTUB
<br />LAVATORVIW�SH 9ASIN1 __
<br />---��- $HOWEF
<br />KITCHEtJ S�NK 8 DI5P
<br />DISHWASHER
<br />LAUNDRVTRAV
<br />_._ CIATHES WASHER
<br />DPINKING FOUNTAIN _ _
<br />FLOOR DRAW _
<br />B�CKF�OW PREVENTERS
<br />ROOF DRAIII ;=RAINLEADERS
<br />� FEE
<br />TOTAL $
<br />�11T ?
<br />1L FEE S
<br />FOR OFFICE USE ONLV: _
<br />�nni:�sF�n>�:K —_. . � ni.i�=,iii�.�n - – -l�,inr�,unn_.
<br />usc rvn i,�� edn n
<br />I.i'LIIiGOHI6�LL�W�81f IrPCOfCONSti{ulu
<br />,,ijE � B�� ' J r�f StOniES
<br />I
<br />[wGU1MNCYlOAf� iNESPRNqFN5RE00
<br />�qp..5pry pCp SnpiNYlENS
<br />..__".__I . ._____ . _—. .
<br />iq�nrEnv pinu•lnrnnovfunv��
<br />�x�,�nncr v� . • � �
<br />yASfMfq1
<br />MF.MII1lIMiiPlo i�
<br />CITY OF EVERETT
<br />LOCALSALES
<br />TA% COOE IS 3105
<br />NO. TVPE OF EOUIPMEN7
<br />AC AHNDIGUNITS iiP � S'
<br />. r -��L : .
<br />_�. � F�1Rl,f�flAINtiVS1fIdS <[�1�J."A1 f��_ _
<br />Ilrlil HFA�[RS-H 7 U 1A
<br />flc�?NCSU(av[RS ____. . .
<br />VENTILATION FAN __ _
<br />RANGEHOO�
<br />�.I WATF.RHE/1TER _ --..
<br />WOOD STUVE
<br />Mf.iAL R17EPLACE 8 CHIMNEV
<br />fIREPLACE�NSEPT
<br />HEAI "UMP __ _
<br />_�.. GAS.PIPING j.`�-!.T� __
<br />[%�iAUST FAN
<br />SU�TOTAL 5
<br />__ ._ _ . PERMiT.. . _5
<br />,or�<<� F 5
<br />���,.�.�� � �:;i��
<br />� ;�� ./�/
<br />IUlil I11NL
<br />��i n61PINi� ___
<br />rdi � l IFr11CA'.
<br />ADI�I1101lAL �LRN 6HI C�
<br />',i'inNNLER
<br />'.,IAiI OUILUVIC SIb1:;114qL�
<br />PIIPI IG WONNS
<br />iOTAL
<br />FEE
<br />, �,��, .,,.
<br />`� (��;— _
<br />�--
<br />_�—_
<br />
|