Laserfiche WebLink
to py� <br />ayt�/t <br />H <br />EaH� <br />N H <br />OH <br />dog <br />a. (] <br />ZH <br />t" y <br />CA H <br />H <br />r7C❑❑yN <br />HEA <br />OI1 <br />APPLICATIiN FOR CONSTRUC°''"ION PERMIT <br />TO BE COMPLETED IN INK —PLEASE PRINT <br />L <br />The rvvrplrrl+ <br />CIIYOI __ -I <br />everett HEATING SYSTEM: GAS U ELECTRIC U <br />BUILDING DEPARTMENT <br />259 8810 <br />DEMOLITION COMBINATIONZiCHAN71CW%BUILDINGR I I PLUMBING I I SIGN <br />avnxn — —0 Nxmm '18Z06 (We IS • Ig44 <br />PX ue st Alc flpls►I�s , per 1-116 L A --) <br />E.— CITY :m r11MA: <br />IEr1AN1 MAR AdmF39 <br />ZIPrIIO1F <br />AnerineeT Dn ITFTImNen MAN,AamFEss _ --•- env._._ s.l�Te.B.nr /IG.s..l /7DL1 7C7_•'215'S <br />pK5 IZIa>9 rt '� — <br />MF.LIIANICALC IBACIpI MAI ADlx1 S GIN TIP AmNE IICF.NSE/ <br />,5'r s A ,_ c a a i/n, � G. 9�i�✓< - -"`,tea ,P� ti. 98�o y <br />rtlKAnWG rp1lnAClOn MAA.ADIKIESS <br />CITY 71r nmNE LN:rNW r <br />CLASS Of WOne � / I I wr nctmrIPRPI INSFRT I I BUILDING RELOCATION <br />I I NEW I I ADDITION Au tHAI FUN I �_�^��� <br />( <br />7 <br />-•^••'-- <br />--- <br />-gr <br />or r / <br />iGG <br />CONTACTPETITIONAND"NONE..NSa , <br />� Fag <br />coNrnA...... <br />DEscnmF TYDRx Arm salnne roDIADE III�TavED <br />z� 2- 21 ti 3 <br />—Ins Bl gq 5p <br />_ <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />rnayseouseanunnimi;nlnNA <br />f) <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />�g rj It, <br />a� <br />ETV <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />�— ISN" BELOW OR ATTACN roun corxsl <br />LEGALDES" Iptmor rnor'E�En <br />I <br />'S <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME 70 GIVE <br />LOT L L eLocK OF <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />OTHER STATE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />WHICH <br />E ( <br />GL� �I TuP ZSfa <br />OWNER OF THIS PROPERTY 70 PERFORM THE WORK FOR <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRA C ORS LAW 1y/p'C AND 296.200 WAC. O� U <br />DAIS <br />SKTNA`UnE 1MI W TPI on AU mIEn AGENT <br />- <br />1J <br />APAICANISCII I. mrSS LICENSE NO ANasusmE� <br />77 <br />PnOACTAI FSS <br />S? <br />PLUMBING <br />FEE <br />MECHANICAL <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />NC-NHNDLG UNITS-H.P. <br />_! <br />WATER CLOSET (TOILET) <br />- <br />! <br />' <br />FORCED AIR SYSTEMS-B.T.U. M E.A. <br />' <br />BATHTUB <br />Y (WASH BASIN)_ <br />LAVATORY <br />—�-- <br />' <br />' <br />UNIT HEATERS-R.tU. M <br />' <br />'T- <br />-- <br />r <br />CLOTHES DRYERS <br />SHOWER <br />' <br />VENTILATION FAN <br />I <br />_ <br />KITCHEN SINK 6 DISP <br />' <br />RANGE HOOD <br />_ <br />DISHWASHER <br />j <br />WATER HEATER <br />LAUNDRY TRAY <br />I <br />_ <br />WOOD STOVE <br />' <br />CLOTHES WASHER <br />METAL FInEPLACE 8 CHIMNEY <br />URINAL <br />FOUNTAIN <br />r_ _ <br />FIREPLACE INSERT <br />_ <br />_DRINKING <br />FLOOR DRAIN <br />' <br />HEAT PUMP - <br />- <br />BACKFPREVENTERS <br />' <br />OAS PIPINGLOW <br />—�-- <br />ROOF DRAINS-RAINLEADERS <br />I <br />EXHAUST FAN <br />' <br />I <br />SINK (SERVICE -BAR, ETC.) <br />— <br />__ <br />r <br />SUB TOTAL $ <br />SUB TOTAL S <br />'— <br />PERMIT $ <br />I <br />PERMIT <br />TOTAL FEE S <br />' <br />TOTAL FEE S <br />_ <br />— <br />/LiE <br />FOR OFFICE USE ONLY: <br />FWNT SEIMCN <br />REARSETBACK <br />X� snnl v <br />IISC lale_ <br />for AneA <br />, � <br />ITrFNCONIS A1IDNANI <br />TYPE 01 CORSI ACIIMI <br />SNF OFOI DD <br />NO OF STORIES <br />mCUPANCYLOAD <br />rinEernNm EnSnEon <br />IIFASON rEA SPITINK1 f ❑n <br />AANSAPPFV'Tvti, Y <br />T � <br />VACAN_T BlNr <br />ND <br />row <br />BUILDING <br />IrSUAACT <br />'"O1' <br />An nINANAr,Iwn <br />-- <br />PLUMBING <br />MECHANICAL <br />BASEMENT <br />rRmm LAAnMION <br />ADDITIONAL PLAN CHECK <br />ottim <br />CITY Or EVERETT <br />LOCAL SALES <br />TAX CODE IS 310.9 <br />STATE nuanING SUncunnGE <br />PUBLIC wonKs <br />1 TOTAL <br />NIT <br />