Laserfiche WebLink
^ <br /> APPLICATI4.i FOR CONSTRUCTrON PERMIT/ - <br /> CITY OF EVERETT•BUILDING DIVISION L����;� <br /> 320�CEDAR STREET•EVERETT,WA 98201 •258-8810 � <br /> O OEMOLITION ❑ COMBnINATION ,�BUILDING ❑ MECHANICAL ❑ VLUMBING ❑ SIGN <br />' PROJECT AUDRESS: //q /7`/�� ��%� <br /> �a ,�,.�u °�. ��e� 1�A� <br /> ! T1i �e _T�__�OCo� 33�-- 3932 <br /> , YNl�Dd1E55 CITY lIP ��� PI�O�'��� ��� <br /> � o.�� 1�1 ►s Mf��S�r.� �T' <br /> RCiOR0E51GNER 41UlAWRE55 Glry `. Ii�.���E —r ����,J /.K/ <br /> ��n1C . `��A2 ���o� 1 Q_S'. <br /> GENEMlV01TMC1011 M11LI�DOHE55 CI�V �� ���-�Ii9 � PIpNE $f�TEIICENSE• <br /> �� `T"�.1C` � I Ilo�l 17�� ;�T1,�f� �$20� S7"�J 157C2- <br /> YEGM�M�CKCp/1MCTq1 IWl�pppE$$ C.ITY ZII` r PIIONE ST�TELICENSE• <br /> KINMMWOpM1MC70R MML�pp11E$5 CITV ZIP P11pNE STAIELICENSf• <br /> GONIMCT PRICE Qq VY0111t <br /> YI NEATING SVSTEM: �GAS ❑ELECTRIC ❑ <br /> W01Y�N'b FOp1Apf wVOIVE� CON1�C!PERSON Alq PNpNE Np <br /> A <br /> 1 HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> p���� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> PFOVISIONS OF UWS AND OROINANCES GOVERNING THIS TYPE OF <br /> � WORK WILL BE COMPLIED WITH WHETHER SPECIFIEU HEREIN OR <br /> �oKOEscw►�onarwaremrlsa�eE�o �n�cNnvocov� . NOT. THE 6RAN71NG OF A PERMIT OpES NOT PRESUME TO GIVE <br /> �Or �� etue�c po AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL UW RE6UUTINfi CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> 6 —� — 6 '7�^ ('j C� APPLICATION IS MAOE ANO 1 COMPLV WITH THE STATE <br /> T/UI I.D.M11lER CONTRACTORS LAW 1827 RCW AND 296200 WA <br /> TiMIC710N IOMN lE SS.IEIER10N��JMG��1!pE p� x �3�-3�3 Z <br /> G_J V � $IGlI�TURE D� � <br /> ✓ � <br /> CITY EV9NES$110EN5��1(1 <br /> ��d MECMANICAL <br /> NO. TYPE OF Fl7ITURE qi REM FEE NO. iVPE OF EOWPMENT FEE <br /> WATER CIOSET(TOILEn NC—MINDLG UNITS � <br /> I �TM� FORCEDAIRSYSTEMS ; <br /> UVATORY(WASH BASIN) � HEAT PUMP <br /> I ��A ' UNIT HEATERS � <br /> � KRCHEN SINIC 8 DISP i CLOTHES DRYEFS <br /> DISHWASHER � RANGE HOOD <br /> . IAUNORV TRAV � WATER HEATER ' <br /> CLOTHES WASHER WOOD STOVE � <br /> URNAL METAL FIREPLACE(WOOD BURNING) <br /> DNN'�K�NG FOUNTANd i FIREPUCE INSERT(N/00C1 BURNING) i <br /> FLOOR DRAIN GAS FIREPLACE� <br /> BACKFLOW PREVENTERS � ; GASRANGE ' <br /> SINK(SERVICE—BAR,ETC.) CaAS PIPING ' <br /> IXHAUST FAN <br /> r � <br /> � <br /> � <br /> i <br /> SUB TOTAL f � SUB TOTAL S <br /> PERMIT S � PERMIT S <br /> TOTALFEE S � TOTALFEE t <br /> FOR OFFlCE USE ONLY: � - (�• <br /> i110Mf SE18�/ 11EM SFT&IGN / $IpE 9ET&1Ck/ OIAN CII It��� FEF .�n RFCEIVTlq <br /> � .7[l <br /> uaEzart� / tot�acn v�cu�ts�re FEES VAL ATtON E <br /> � ❑YES CI NO <br /> a����«: 9 � ; � <br /> �roNr u�iaar+ � w a owc.uwc sue oF aioort1 <br /> �'r5 12 V H fF G�vaK� + <br /> 3 S F 6` Pl11MBING �3 i <br /> a�11NCY Iq 0[$IMfS OGCIN�NT 10�0 B�SEMENt ��H��,µ i <br /> R- d�/ ❑vE5 � - - <br /> FNIE9YpM1(IENqEO'0 RE�SON �OdIlON11lPL�NCN(CN <br /> OIHER <br /> Fp1E�IARM IIEdO RE�SpN �� <br /> SiQE OUttDINO SIIRCH�MiE <br /> TYOE Of f,pHST V�ANS�PFROyEp BY - T <br /> CRYOFEVERETT riieiir.vmaKc �_`_ <br /> � I / J;� LOCAL SALES _ <br /> N O�Tf 6 • (i TA%CODE IS 3105 70TI11 <br />