Laserfiche WebLink
APPLICATI� FOR CONSTI�UC?�N PERNIT� <br /> CITY OF EVERETT•BUILDIAKi DfVIS10N <br /> 3200 CEDAR STREET•EVERETT,WA 98201•257�8810 <br /> (l DEMOIITIOk ❑ COMBINATION ❑ BUILDING ❑ MECNANICAI ❑ PLUMBING G SIGN <br /> PROJECTADDRESS <br /> �/ / // � <br /> �1 / �TG� PIGC IO M i'� \ CI IP PMONE <br /> tEWWT / �/ �WRE c [IiY 3W PNCHE <br /> �Q.�.oUr <br /> WLMItECiOPpESqN MAIL�ODPEa3 CItV ZIP R10NE <br /> fiENEMLCONiMCiOP MRILFO�PE55 CRV ZIP VMNE STPiELiCENSE� <br /> MEM�Aj�'ICALCAONiPICTOF My�I�OPE55 / LItY IIP PXONE $TFTEIILENSE� <br /> fu,Ltanct /"�J� P�c�? eh <br /> P\lIMO�CLWLN�CiIX1 MP! �DOFESS Cltt 31P PXONE $iAiELICEN$E♦ <br /> cor+.Anc*a.iceorwonx MEATINGSVSTEM: ❑GAS ❑ELECTHIC C <br /> CESLFiBE wORM.WO SOVARE FCOinGE INVOLVED CONTPCT vEFiON FND PIqNE NO <br /> X S r P <br /> I HEREBV LERTIFY TMAi I HAVE READ AND E%FMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> vaovosflo ose ov em�nmc PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED MEREIN OR , <br /> �ecxoescew*ar+orvAovee-vSNowrve[wwoAni*an*wOcwi[s� NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE ', <br /> �o* e�ocx or AUTHORITV TO VIOLATE OP CANCEL THE PROVISION OF ANY <br /> OTHER STATE OP LOCAL LAW REGULATING CONSTPUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THNT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPEPiV TO PERFORM TME WORK FOR WHICH <br /> APPUCATION IS MADE AND I COMPLV WITH THE STATE <br /> vnac[�*av i o NUMeca CON�RACTORS LAW 1P 2]RCW AND 296200 WAC. <br /> CONSiRVCiIONLOMILENCEIi.FDDRE55,TELEPHONENVMBEP X � ���0 �D/ <br /> SIGIUi11flE �AiE <br /> qTV BUSINESS LICENSE NO. <br /> PLUd&NG �--� MECXRNIC�L _ <br /> NO. TYFE t?F FIXTURE Ofi ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER^LOSE'.(101LE') A/C—NHNDLG UNITS <br /> BATHTUB FORCHI AIF SHSiEMS <br /> tAVATO(iV(WASH BASIN� HEAT PUMP <br /> SHOW ER UNIT HEATERS � <br /> KITCHEN SINK 8 DISP CLOTHES OPYERS <br /> DISMWASHER RANGE NOOD <br /> V+UNDRV TPAV WATER HEATE4i — <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL � METALFIREPLACE�WOODBURNING) <br /> pRINNIN6FOUNTAIN FIREPLACEINSERT�WOODBURNING� �' <br /> FLOOF DRAIN GAS FIRfPLAA:E <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SINN�SERVICE—BAR.ETC.) GAS PIPING _ <br /> EXHAUSTFAN <br /> SUBTOTAI $ SUBTOTAL 5 <br /> PERMIT $ PERMIT 5 <br /> TOTALFEE S TOTALFEE b <br /> FOR OFFICE USE ONLY: �OI -CQS `� . <br /> FROMSEiB�Cx REPFSEiBALN $IDESEiBFCN iLRNVMECI(NIIMBFF FEE RECEIPiNJ <br /> usezoNe �orAaeA vacnn*srte FEES V�WATON FEE <br /> nrEs cuo eunoixs ' <br /> MEIGXLLIMnniqrv NOOFOW[L4NG 512EOFBLartI � <br /> VNIiS pWM91NG I <br /> ROVVp�v �OfSiOPIES OLCUPFNLLJAO BI.SEMENi yGyN/.NICAL � <br /> pYE$ _:NO <br /> fIRESVPIHXIEPREO�D REPSON AOOIiICNFLVIANLXEtM1 <br /> cTMea <br /> �iaeaunMaEo�o nenson <br /> SiAiE BUILqIX:SUPf.✓�POE <br /> rvveavcoxs �urus�vpaov[oev CITYOFEVERETT P�e�kwoaKs <br /> LOCAlSALES � <br /> o.�E TA%CODE IS 3105 TOtAL � <br />