Laserfiche WebLink
APPLICATIC l FOR CONSTRUCT )N PERMlT ���� ` <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />� _ _ -- -- - � <br />HEATING SYSTEM: J GhS J ELECTRIC J_______ ___ ___.. <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION COMBINATION BUILDING -�NIECHANICAL PLUMBING SIGN <br />oWNEn MmLRDDnL55 Urr llr r11oN[ <br />�R1GN�( CoRP �.o_So+� 7G9 M�lli�rr'o �n/� `1�3Z�5 <br />1ENRNT M4il�DDqf55 CILY 2�P P��Ot1E <br />RRCNiTECLOROE$IGNER MAII�DDRE55 Ciiv IIP PHONE <br />GENEii�IGONiRRCTOR MAILADDRESS Gliv ZIP PHONE LTATEIICENSE• <br />I �].�,�.. �.� ,o ��ic.�J� Ca.wr �'.n. eY,�. 'lc�,e1 1'h��ki�-�c� <br />MECN4NIL4lCdNiRAC70R AIAII�ODRESS _ LIiY ZIP PMGNE STRTEIILENSE� <br />GU55O� W011M <br />�NEW ADDITION <br />CONTR�CT PFIGE OP WORICl; 1 <br />OL SCRIBE WORK ANp SOORRE fl <br />-�eQ S.1�i��liilZ <br />vaoroseo use w ewioiNc <br />LkG�I <br />l01 <br />rnaecr <br />PROPEqiV <br />BIOGK <br />M�II. �DDFE55 CITv <br />ALTERATION REPAIR <br />cc'�S_ c'-' <br />rncE n+vaven �ay-�rY� � 130 'I <br />�T ��+�� I.�l /-� l� l l SF �+ <br />,i �cs�'JFi-��L <br />�SH VJNpELOWOf1AiTRdIFOURGOPi[51 <br />oF <br />WA1 ER CLOSE7 (701L <br />BATHTUB <br />LAVATORV�WASH BA� <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />FOOF <br />SINK ( <br />FOUNTAIN <br />FOR OFFICE USE ONLY: <br />fRONiSEIAACK R°Afl: <br />OSE 20NE <br />�VP[Of LONIS RLLOW�BIF <br />�� <br />Si7F. O% OIOG <br />OCCUP�NCYIOR� <br />RUSON fOR SPRINNLEI <br />�otenee <br />OR ITEM <br />ZIP <br />DEMOLITION WOOUSTOVE�FHPLINSERT <br />cor+racr rensoN nr�o r��oNe No , <br />� <br />BUILDING HELOCATION <br />i HEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl <br />PROVISIONS OF LAW$ AND ORDINANCES GOVERNING THIS TVPE OF <br />WORH WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR IOCAL LAW REGULATING CONSTRUCTION OH THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTV TO P[RFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1027 HCW ANG 296200 WAC. <br />. � � n I �[ 7 !� .1 i�, � �. , <br />NO. <br />NC—NHNDLG UNI <br />FORCED AIR SYST <br />UNIT HEATERS—B. <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />M E.A. <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />� HEAT PUMP <br />RS ; GAS PIPING <br />:ADERS � E%HAUSTFAN _ <br />iTC.I ' � � � IICL}F� <br />i <br />SUB IOTAL $ SU8 TOTAL S <br />PERMIT $ PERMIT $ <br />TOTALFEE $ TOTALFEE $ <br />pqLN �510[5[ipRCN �tANGICG NUMDElR/ 7 �EE R� <br />{ �,y0 � �� <br />vnuNisrte FEES � VALUATIDN � <br />1Yf'E 01• �LOH5�1 ALIVAI <br />Y��/ <br />NO OL STORIES <br />/ <br />FlRE SPRNKlERS REO'D <br />Y�i <br />r� nr�, nrv�ovm nv <br />�UILDING <br />fG'.IAM:r NOO�MIF✓5q',hlti <br />r,vnu , p�UM�ING <br />I <br />B�S M[NT �,�LCHANICAL <br />�(f0 —_—" <br />HEIGMT LIMiTATION ADDITIONAL PLAN CHECK <br />SPRINKLEN <br />STATE BWLDINfi SURCH�f1GE <br />CITY OF EVERETT rueuc woaKs <br />LOCAL SALES <br />TAX CODE IS 3105 rorn� <br />FEE <br />�;- <br />T <br />