Laserfiche WebLink
APPLICATIO.� FOR CONSTRUCTAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVEHETT, WA 98201 • 259•8810 <br />❑ DEMOUTION ❑ COMB��INj�ATION BUILDIN(i ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: / 7- iq %� /y�A-�--� I% C�a�R � ��� ��l "" "� ' — <br />� o/%!��SE CA8 <br />OV/NER MellApplE 5 Cltt I�P P110NE <br />��, ..�,c � �/F��,vC- /��3�6 -25/�Y/�.Q x'E �v..a�y¢' l�S/,l�`a - ��7-� s' � �/ <br />7E T uulwonE55 Grv 70 �110NE <br />55 <br />�;N � LIIY /ll` 1'NOMf <br />G��„� 57`s�' E�•�,Q���'4Ss�'� � <br />CIIY <br />S,� - G <br />�1E I�GCN6E � <br />Se� F <br />MELMANIC�ICONTR�CIOR M�IlA0p1E55 CITY ZIP i'uONE ST�IEIiCF.NSE� <br />:r � a �.� �o �'' <br />PlU'.�BNO CONIReLT M�IL �OORE55 Ci�' U� Pr10NE ST�TE llG ENSE � <br />OESCNlE <br />T� <br />(SNOMN BELOW OR <br />ioT � e c- e�ocic _ <br />�� <br />PAi10El TIUI 1 D. NUAIBER <br />3v�Sn. _ y� ov3 - ooD`. <br />ClT15iPlILTION lO/w tENDER.l1DDnE54. TEIEPHONE NUMSEP <br />FlXTURE OR ITEM <br />TOILETI T <br />Z I BATHTUB <br />Z. SHOWE�_ R __ <br />3 KITCHEN SINK 6 DISP <br />URINAL <br />DRINKING FOUNTAIN <br />SINN <br />PE(iMIT f <br />TOTAI. FEE S <br />� <br />FEE <br />HEATING SYSTEM: ��GAS ❑ ELECTRIC ❑ <br />CONT�CTPE�SONIJIOPIIONEN •7 � � <br />I HERE�Y CERTIFY THAT I HAVE READ AND E%AM�NED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CONRECT ALL <br />PROVISIONS OF UWS AND ORDINANCE.''i GOVERNING TH�S TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE ORANTINO OF A PERMIT DOES NOT PFESUME TO 61VE <br />AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REDULATINO CONSTHUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOHK FOR WH�CH <br />APPLICPTION IS MAD[ AND I COMPLV WITH THE SiATE <br />CONTHACTOfiS LAW 18.27 RCW AND 298.20 WAC. <br />. , <br />x � � � '�� <br />S�GNqU ATE <br />CI BUSINESSIICEN5EN0 <br />A/C—AMNDLG UNRS <br />FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHES URVERS i <br />FIREPLACE INSERT <br />GAS PIPINO <br />FXHAUSTFAN . <br />SUBTOTAL f <br />PERM'T S <br />TOTAI FEE S <br />FEE <br />FOR OFFICE USE ONLY: <br />�RONT SETP�CK �E�fl SETB�Ck SiOE SETB�CIt M�NCIIEf.N HUYOFf1 r[r necrmi �+o <br />� n �'3 <br />� ��,� )/i �' - �-' �'' <br />USE 20HE io� en¢� veteNt srte FEES VALUATION <br />❑res ❑ �o nunoiHn �bB 6 '/ <br />11E�011I UMITA110H NO (� DwELUNa SIfE O� O100�f I •�� <br />uwits Z ��� S�F C.�V�rv4 riuumwc . �/! I_ <br />� b-t SF,f�l�U�e: — — <br />OCGUPANCY Iq d 5�(�FS IXCU�`�NI 10�0 BASEMIiNi uEC���NIf.AL � <br />G110UP � � ' <br />� � <br />OhES RY�+� �— <br />'3 L-1 Z eoomoHeinu�u¢cK ' <br />FIPE6PRINKLE11RE0'0 11EASpN • _ i ._ <br />PEO'0 <br />'!J I n.rE <br />011�E0 J <br />St�1E00�lO�NO5�If1O���flE ---- I_—� (�^ I/ � <br />CITY OF EVERETT runnr.wonns �� <br />LOCALSALES --- — —�� <br />TAl( CODE IS J105 TOTA� <br />- ' :��_ <br />/Z 3,y — <br />