Laserfiche WebLink
APPLICATIO . FOR CONSTRUCT' )N PERMIT `'`�'"'" <br />rn,•r„-�r,•, TO BE COMPLETED IN INK—PLEASE PRINT �n/�VI�C � <br />r i1 v or <br />everett - - <br />---_ <br />BUILDING DEPARTMENT I NEATINv SYSTEM: J GAS ELECTRIC J____ <br />259�8810 <br />DEMOLITION ✓COMBINATION ✓BUILDING �iNECHANICAL ti�PLUMBItJG SIGN <br />nwrun �.�n�i nnnv'ss atv .•i^ r��oNe <br />/��C . -- T 4�.'��x�_� ��• --rv�lu.n `I8. c3 ��: - K3�� f%---_ <br />��qnryr MnilnrIDRFss (itv 7��' rNaNc <br />nNcrntECi OP pF514NCN <br />��I NF.RM CONiP�CTOR <br />/1 <br />MF f,��RNiCAI CO"IiR�CiOH <br />�� 1iM01N6 CONLRAGiOR <br />CU� Of WORIc <br />V NEW ADDITION <br />C7NiR�CT PR�LE Of %OHN <br />UESCRiBE WOPN�NpSOU�RCf: <br />N�.+N eoN,r ..�•.� <br />rranrosen use or ouno�r+c <br />S l� <br />i rcei o[scnirtior� or r+norce <br />lal _� b PLUCn _ <br />MNl r1D0�iE55 <br />MRIt �D�RF55 <br />�/ <br />M4il qDDRF55 <br />CIiY 7�P <br />LItV ZIP <br />1� � � <br />cliv Ilr <br />1'MONF <br />PNONE IICFNSF • <br />/I _ %1� J`�F.1���� _ _ <br />PNONE liG N56 • <br />M�II RDD�E55 GITV IIP PNONE LIGENSC � <br />ALTERATION REPAIR DEMOLITION WOODSTOVEiFRPL INS[RT BUILDING RELOCATION <br />�V)0 �����1(i�/l��•�` CON1ACt1'ENSONANDPHONENO <br />3� oo-u °�5, 7'%G �l�rn� S� l��/> 3�! d-83C8' <br />PEI OW OR A1tAG�� fOi iR GOPIFS� <br />pr <br />�,�Ls�E V� c. <br />i%�'I.I.�H_—Lth�' — -- <br />xxky 5 _` _7S t_��.�T _�� Fur,�rr _ <br />rnaecr ennnr ;s <br />OF FI%TURE OR ITEM <br />ET�TOILfT� . _ <br />KITCHf.N SINK 8 DISP <br />�— ---- <br />_� �ISHWASHER <br />LAUNDf3Y TRAV <br />CLOTH[5 WAiHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOFi DRAIN <br />BACKFLOW PREVENTERS <br />ROOF GRAINS—RAINI.EADERS <br />SINK ISERVICE—BAR. ETQ) <br />SUB TOTAL 8 <br />PERMIT R <br />TOIALFEE S <br />FOR OFFICE USE ONLY: <br />I Ni 1111 `�I Illni � RF�P SFIBACI( <br />_zU� - __—za' <br />u�A I��N[ l01 �Pf� <br />R L � oa> <br />����lI11fOqISqI0W4Nil iVI90fGONc1�LIWl <br />V ,V _/l/ __ <br />�,in. ov oua r+o ov sroRies <br />`�56 -� 4 5 Q� 1 <br />�a.CUP�NCVIOef� HRESPRNNLERSREOD <br />Nf� N�Y� � <br />� 11 �;(1N FOR S�q�NKI F�15 <br />nnnrt�Or-. . . . -._- w�Ns�rrnnvFDer <br />' _�_ _' � _� T _ ' <br />SIDE S['OACN <br />S' <br />WUN� SiiF <br />I HEREpY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW 7HE SAME TO 8E TRUE AND CORRECT ALL <br />PROVS!ONS OF LAWS AND ORDINAhC[S GOVERNING THIS TVPE OF <br />WORK WILL BF. COMPLETED WITH WNE7H[R SPECIFIED HF.REIN OR <br />NOT. THE GRANTiNG OF A PERMIT DOES NCT PRESUME TO GIVE <br />AUTHOfiITY TO VIOLATE OP CANCEL THE PROVISIONS OF ANV <br />OiHER STAT[ OR �_OCAL LAW REGULATING CONSTflUI:TION OR TNE <br />P[RFORMANCE OF CONSiRUCTION. THAT I AM AUTHORIZE� BY THE <br />OWNER OF iH15 PROP[RTV TO PERrORM TIiE WORK FnR WHICki <br />APP�ICATION IS MADE AND I COIdPLV WIfH THC STATE <br />CONTFACTORS LAW 1821 RCVJ AND 296.200 WAC <br />sir,ryn�unporcu4n�arronoqnun�o�u7PoncFNr N.❑ <br />i <br />X � / <br />� <br />�� �,-�_ �_� _ �s_i•�� __ ' �: _-� � <br />nrrucmn.. n nnr;�.�F .,i�.crrisrr�o nr�onusi 7�an�i . <br />FEE N0. TVPE OF EOUIPMENT FEE <br />J� _ AC—A NNDLG UNI1S—H P. <br />JC _ fORCEDNR 5`.'STLMS—B.T.U. M E A_ _ ' <br />�— <br />L�y_ � UNITHEATERS�-B.T.U_ M _ _ ; <br />—T <br />/ .:LOTHES DFYEHS <br />� ; Z VENTILATION FAN _ ' <br />� � � RAN3E NOOD _ —r— <br />� WATER HEAT[A _ <br />S"� WUODSTOVC <br />METAL FIREPLACF 8 CHIMNEY <br />FlREPLACEINStRT <br />HEAT PUMP _ _ <br />GAS PIPING <br />EXHAUSTFAN <br />Ik�l.l'/W1 Ni'ni1M1,�44i'VI5 <br />��„�� <br />-3 --�— - <br />O�SFMENI <br />NEIGHt IIMI�i1pN <br />�� �- -- <br />l CITY OF EVERETT <br />ILOCALSALES <br />TAX CODE IS 3105 <br />SUBTOTAL S <br />PFRMIT 5 <br />TOTAL FEE $ <br />iIS P�FCEIriNJ <br />z-b �Sa5� tiS� <br />uw�nwc <br />PIUM[i�NG __ _' <br />MFCHANICAI <br />AD�ITIONAL PLAN CHPCN <br />O1NGR <br />sinrEauaowcsuqcrmner <br />rum ic, worr:s <br />Torni <br />3y5: � <br />_._ _�$!OU <br />— - _ !�0 :OU <br />-- _ � :1 �'- <br />�i :sa <br />� 2� Jj LL'�J <br />SIb �L <br />