Laserfiche WebLink
. <br />APPLICATIOh FOR CONSTRUCTl..N PERMIT �'Vef'" <br />TO EE COMPLETED IN INK—PLEASE PRINT � <br />,�a e�a,�,a.� <br />CITv OF <br />evereit HEATING SVSTEM: �GAS 0 ELECTFIC ]_ —� <br />BUILDING DEPARTMENT <br />259•8810 <br />DEMOLITION COMBINATION BUILDING ��JIECHANICAL <br />eirv t�v cwo�+e <br />Eq MA0.ADDRE54 <br />1 l I�i � ���� ��—���� �� >1 • `�� 1l C�41� �h �'1� �'�,'5,.�_ <br />�E N7 ��Au �ODPE53 pTY iiP oMONE <br />•ACHrtECTORDE5i0NEA MAIIAJ�PE55 UTv iiP ��ONE <br />PLUMBING SIGN <br />,� ) � � I n - �1 ., ! <br />.sENER�I COMTR�CTOA M�K �DORFSS CITv SiP PNONE 4CEN6E � <br />MENANICKCONT��OR11//�il. I�PIS.LS.�---�II`� �-IIIIITI�I`It� t�(2111�TI Il,\i�l VNO7I���) VC��II�.Ii���C JP��'_ <br />�\�; ��ll��' <br />WMBMOC T �CTOA M�IL�ODAE69 CRv IiP PHONE 4CENGEI <br />NEW . ADOITION ALTEfiATION REPAIR <br />�EO�I DESCApT�ONO <br />i0i <br />�'-1-�--LL- <br />vpWECT �UORES! <br />o�O�EuTv �SHOq�N OELOW OR �TTe�H iOUA COOiES� <br />i <br />B�OCK OF <br />,. r,� ��r. -(\( I-i _ rv I f"t_- <br />WATER CLOSET �ipiL <br />BATHTUB <br />LAVATORY (WASH BA; <br />SHOWER <br />KITCHEN SiNK 6 DiSP <br />URINAL <br />DRINKING FOl <br />FLOOA DRAIN <br />BACNr�i' ���%J Pf <br />ROOF DR:.'NS <br />E <br />FOR OFFICE USE ONLY: <br />vROHTSETB�G■ AE�R', <br />( 7(�/ <br />IE OR IT[M F <br />� <br />li <br />TOTAL `EE <br />HE LOTAPE� <br />COxtS 4lOW�B't rro� Oi CONSi �GR <br />� g�pp NC OF STOFIES <br />ANLY LO�D FIRE SPRNM, FNfi <br />AEASONiOR <br />�N+��E Br <br />•vnnpvEU B� <br />E <br />DEMOUTiON WOODSTOVE:FRPL INSL"RT �_ � BUILDING RELOCATION <br />CONT�CT PERSCN �Np PHONE NO <br />! HEREBY CERTIFV THAT I HAVE READ AND E%AMINEC THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVIS101J5 OF LA�VS AND ORDINANCES CiOVERNINO THIS TVPE OF <br />�vORK WILL BE COMPLETED WITH WHETMER SPECIFIED HEREIN OR <br />IvOT. THE GRPNTING OF A PERMIT DOES NOT PRESUME TO QIVE <br />AUTHORIT'f TO VIOLATE OR CAHCEL THE'ROVISIONS OF ANV <br />OTHER STATE OR IOCAL V+W RE6ULATING COtiSTRUCTION OH THE <br />PERfORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM 7HE W�RK FOR WHICN <br />APFLICATION iS MADE AND I COMF'lV WITii THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />SiGN�iUREO�COMTR�CiOAOA�U�rOM4ED�0ENT DATE � <br />�` � =�j <br />x . , <br />1( � , n '� � � .��i�. . 1 <br />�PPUC�NTSCi*'/BUS�HESSUCEHS.NO�NDBUS B6N�ME � <br />� A C—A MNDLG UNITS—M P <br />' FOACED AiR S`!STEMS—B.T.0 M E.A. <br />UNIT HEATERS—B 7.U. M <br />CLOTHES DRYEFS <br />' VENTILATION FAN <br />� RANGEHpOD <br />� WATER NEATER <br />T WOOD STOVE <br />METAL FIREPIACE 8 CHIMNEY <br />FIREPLACE INSERT <br />� HEAT PUMP <br />EXHAUS�FAN <br />SiDESETB�CN �L�HCNEfMNUMBEN <br />wceNr 5ire FEES <br />BUILDING <br />ac,..k. roavm,.s�, �•s .—_ <br />�"O' PIUMBING <br />B�SEMFNT MECHANICAL <br />NEqHT 1IM1111ipH ADDITIONAL PUN CMECN <br />OTHCR <br />STAtE BUILD�NG SU�CHARGB <br />CITY OF EVERETT aueuc woRKs <br />LOCALSALES <br />TAX CODi IS 3105 TOT�� <br />5 <br />E <br />�EE � RECEiPi NO <br />