Laserfiche WebLink
"' APPLICATION FOR CONSTRUC .�0►�1 PERMIT �'`'''�f'" <br />TO BE COMPLETf_D IN INK—PLEASE PRINT � <br />�14� <br />D�S <br />9Hxtn <br />H Z� <br />� H� <br />"�+d H'31 <br />VJ H <br />Zp <br />�HC <br />�^�g <br />y, V � <br />ry� <br />HH <br />g`� <br />H <br />C] G y <br />��[r�9 <br />zyti <br />H O tn <br />Pop Ccernrrrn <br />QTV OP <br />everett f HEATING SYSTEM: U GAS `� ELECTRIC :J _---- <br />BUILDING DEPARTMENT <br />259-8810 <br />, y. DEMOLITION COMBINATION BUILDING ME(:HANICAL PLUMBING SIGN <br />owriea �� .(,,�/,� nini�noones's" /-citv // z`iv P7��oyr+e <br />�J�Q(/C' �rr�7'.� I �.i'� (S/i7.�ic�:- C(i0.'oY �I�JIJI _ J.,1"l ��Y,l <br />tEN<Ni M�II ApOPE55 GTY ZIP �'��ON[ <br />n�R:�n1EGtOflpESiGNGR A/AILPOORE55 C�iv 21P PNONE <br />Gp�EqplGpNTqpGTOR MARRODRE55 C�TV 21P PMONE LiLENSE/ <br />IA�l1ANICPICONiRACTOR MAIL400PE55 CITV 21P PNONE LIGENSE/ <br />�lUAipiNGCONTHACTOR MAILAODRE55 pTY 2iP PHONF IICENSE� <br />CLASS OF WONN <br />NEW ADDITION AITERATION REPAIR x DEMOLITION . WOODSTOVEFRPL INSERT BUILDING RELOCATION <br />If,ONTAGI P[RSUN AN� P��ONE NO <br />PRiLE OF <br />WOfiN AN� <br />t1 1 <br />ircn� ocscmm�or+oF rnovenTM-�is/Howr+oeioi <br />iot �71 � 20 oioc� �L4j� or <br />1'•�JJECi <br />w r� 1Nq1 Crl 1.��/or i 1�v��i <br />� � BATHTUB <br />LAVAIORY�WASH BAf <br />SHOWER <br />� <br />KITCHEN S�NK 8 DISP <br />�'� DISHWASHER <br />LAUNDHV TFiAY <br />.� CLOTHES WASHER <br />� � URINAL _ <br />PPEVENTERS <br />� � <br />. • - FOR OFFICE USE ONLY: <br />pRpNiS[*OAGN �[Aq5ET0ACN <br />US[IONE LOTRRE� <br />iYGE 0� LONI$ AIlOWnBIE iVPf Oi CONSt ALIUGL <br />SIZE OF BIDG N0. OF STORI:S <br />pCCUPANCYIOAD F�f1i5P�NNlERSNE00 <br />N[ASDN FOR SPH�NNLERS <br />n;v..i i�. I ���inr�snrrnov[nov <br />uf� <br />S <br />FEE 5 <br />1 HEREBV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL <br />toaiEsl PROVISIONS OF LAWS �ND OFDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETNER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES N0T PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING GONSTRUCTION OF THE <br />PEiiFORMANCE OF CONS7!iUCTION. THAT I AM AUTHORIZED BY TFIE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOFK FOR WHICH <br />APPLICATION IS MADE AN� I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SiGNATUFEOFCOHiRAGiORORAULNOiii2[DAGENT DAIE <br />t <br />X �"'�, � ; , 5��/ <br />APpLIGRNLSGiVBUSrtS iCEN5EN0ANDBt19NE55NAM1lE <br />NO. I TVPE OF <br />AIR S`.'STEMS—B T.U. M E.A. <br />�TERS—B.T.U. M <br />iDRYERS <br />f10N FAN ... <br />RANGEHOOD <br />N'ATER HEAT[R <br />WOOD STOVE <br />METAL FIREPLACE <br />FIREPLACE INSERI <br />FAN <br />TOTAL 5 <br />CNFCKNpMpER FEE RECEiPTNO <br />V�CANTSITE FEES VALUATION FEE � <br />�WLDING —1—t' —G': <br />CCC'�10A4CY MO tl VFRIM�iUN�15 <br />taa�v PLU618WG <br />9�SEMENT MECNANICAL <br />HEiGHTUMiTAt�oN ADDITIONALPLANCMEGM. <br />OTNEfl <br />STATE OUILDING SUPGHARGE <br />CITY OF EVERETT PU�LIC WO(7K5 <br />LOCALSALES — <br />TAX COOE IS 3105 rorn� <br />no <br />MM <br />Y <br />� <br />5 <br />