Laserfiche WebLink
APPLICATI�1 FOR CONSTRUC�N PERMIT <br /> cin oF eveRetr•euKon�c omsan � <br /> 3200 CEDIIR STREET•EVEitETT.WA 9D201•25B-0E70 `�r' <br /> ❑ OQAOL1T10N ❑ COMNiAT10N ❑ OUILdII� B MEp1AfNCAL ❑ VUNMNW ❑ f10N <br /> PROJECTADDRESS: ��. 1'� �'�t.,nt��.��.R.., <br /> 1� � �� � � ��l�t-.r_t lP F.�z,Ce{+ lJ� <br /> dwr� � ru�omecs arv tM �+vt <br /> TFM�M1 YYl�OPE55 GlY )T M1ipM( <br /> �NW�RLtOIUE$NiMR MMMPE55 f.lh' )T 1'11P4 <br /> w.cnyco..m.c�w r+nwwcss nn �M nwr[ KQ;��1-� xn(o�P(, <br /> SJ�' .r �, 4C.?� 4]. l^��:r,� r Yl./ .,l�..r,,..S� �1��.SCi r-..�,fi-GI(,2 <br /> Y�CN�MCµ('pNiFI. ipl „-.V4 e , SS tliY lO' RId1( [l�it IILFMSF� <br /> MUMMGCOMIP�CIpq 4�IlMpS55 GIY !�p 11rp�E SiI.�EIK.FNY� <br /> CO1�MCl PALF O!MJ1 <br /> t -. NEATIHG SYSTEM: �OAS ❑ELECTRIC O <br /> aSCNlE MdM�M 59U�uE rOGlb!NVOtVEo CWiK��f�nrtR50N��9 Aq�[W Q -y� <br /> Y' Y..JGr.� Y"'e��..il �C�`�' Cl-llll <br /> ��i� i � l / / . � �/l'1 n 6 - . <br /> � <br /> ' �- 1 NEREBY CEPTIFY THQ I NI1VE FE�D 11ND E%I1MItlE0 TNIS <br /> �p���� �PPLIC�TION 11ND NNOW TME S�A1E TO BE TRUE 11ND COf1RECT�lL <br /> Pf10VI510N5 OF L�WS AN�OROM�NCES GOVERNMM TMS TYPE OF <br /> WORK WILL BE CpAPL1ED WITN WHETIIER SPEpf1ED HEREM OR <br /> LFG4RSCqvllpw�YAqRRh16��0I1MlFLPYOI�T�IiCH1MOCOVR51 ypT. TNE OR�NTIM6 OF 11 PEMMT DOE6 H�T PRE9UME TO OIVE <br /> ipi _�pp a �UTMORITY TO VIOUTE OH CANCEL THE PROVI610N OF ANY <br /> OTHER ST1TE OP lOG1L UW REWIATMq CONSTHULiqI:qi TIIE <br /> PERFORMANCE OF CONSTRUCTION.iNAi I MI 11UT110RIZE0 BY T1/E <br /> — OWNER OF TMIS PROPERTY 70 PERFGRM 7lIE WORK FOR N'INCN <br /> �PPLIC�TION IS M�OF 11ND I COMPLY WITH THE ST�TE <br /> PMCEI nu i n MM�k� COHTHIIGTORS LI1W IE 2)PCW AND 2Y6.200 W/�C. <br /> GORINIFIpN\bN1ENRP.�pd1[SS.IEIEAqNEMM1fR �. �,.�. �. '�M�y.� `l. 'l 7�) <br /> s�w��us art <br /> _��'' a_.t P 4 <br /> qrylULM 55lCfMA NO <br /> �LIIIISMO MECMINICAL <br /> NO. TYPE OF FlXTUIIE OP.ITEM FEE NO. TYPF OF EOIIIrM61i FEE <br /> W�TEP QOSET(TOILET) �—M�Q�g <br /> BATNTUB FORCED�IR SVSTEMS <br /> UVATORV(WASH BASIN) HEAT PIMP <br /> SMOWER UNIT NEATEf15 <br /> KITCHEN SINK 6 DISP CLOTNES DRYERS <br /> CISNWASHER RANGE Ii00D <br /> LAUNDRY TR�Y WAIER HEATEq <br /> CIOTHES W�SHEH WOOD STOVE <br /> URINAL METAL FIPEPUCE(WOOD BUflNINO) <br /> [�RINKIN(3 FOV4T�M flRfPIACE INSEf{T(WOOD BURNttIC) <br /> P.00R DRI1M GAS fIPEPUCE <br /> B�GNFLOW PPEVENTERS G!S RANGE <br /> SINK(SERVICE—BAR.ETC) G/S PIPING -� <br /> IXI IAUST fAN <br /> SUB TOT�L S SUB 107AL f <br /> PERMIT S PERMIT f <br /> TOTALPEE f TOIKFEE f �:� ' <br /> FOR OFflCE USE ONLY: <br /> raa�.sFin.c+ rc.nrs�wcK srocure.ca n�McrKnj j/ /(!' rrt nrcr�r�.a <br /> �J <br /> us[ra[ io��m� v�ux�g�c FEES V�LU�TION FEE <br /> ❑r�s n M� ��m� � <br /> I <br /> «na��i iun�rqx rq or�cw+o sia a eioani <br /> UMIS A�I4BMIi <br /> � <br /> O'�FKY M(�51(q5 CCCW/.NI10�0 815FMLH1 yry[N�MN:.4 <br /> ❑�FS OMO <br /> 'Af$PFINKLCNNL00 (If�5011 �IMMININ�IAANCINCk � <br /> �__ <br /> O11RI1 <br /> f111ENA9MREOD AF��OM <br /> SI��C BUIU�M.SiMN:NMNiE <br /> �rrtacousr �i�rs.rrnw[oar �RYOFEVERETT nmir.rcxna <br /> LOLAL 5111E5 — <br /> o.�f TAX CODE IS�105 IOT�L <br />