Laserfiche WebLink
APPLICATIVN FOR CONSTRUC7 �ON PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT, Wi\9B2U1 •259-8810 <br /> f l DEMOLITION f 1 COMBINATION I � BUILDING I 1 MECHANICAL � 1 PLUMBING I ! SIGN <br /> PROJECT ADDRESS �`D � ��� �O t'�� <br /> J <br /> o �aEn ue�uooness cm �m r��ohc <br /> `�cLLo <br /> 1EN�NT M�II�ODRF55 r.itv rm r�ro�i[ <br /> ARCIIRfCTOPDE516NFf1 M�II�O�RE55 Giv yir pqpy� 1 1 �� <br /> �� __ <br /> 6CNC1�.'.:f.ONiMC10f1 MAII A�IH165 f.ilv �iP P�IONf Gi�fE I IffNSF� <br /> �c"lC0 �c.�eL. ItJC. �OS�BK 152Y SNoti� ��SL-f �g24/ 3�0 {0(06-7 3 s�oL�a� K� <br /> MFauHiuiconinnr,ton Mui�nnness ein �m rvror�r crnrrueeNs¢. <br /> t{LRIZo�.I ��l�i Wl.lrc�.tl.'�'U _� -3930 - <br /> r�uuewccov�necron M�II�DDRE55 arr r,n r� Ne sr�rei.icer+se. <br /> R�� �Tri FR��GEs ot-to�^n�st� g-I`�! `I <br /> cor+rn�cr rmce or wouK � <br /> i,� - HEATING SVSTE : I I GAS f I ELECTRIC I I_ <br /> OESCRIBEWJRN�NDSOWIIEFOOi�GEINVqVED CONTI1CLPfR50N�NO �ONFNO <br /> Cnr.���� �-T r=—'' � GAR <br /> SF� <br /> I HERE CERTIFV THAT I HAVE HEAD AND EXAMINED THIS <br /> PRqq5F.0 USE OF pUILDINO APPLIC ION AND KNOW THE SAME TO BE TpUE ANO CORRECT ALL <br /> PROV IONS OF LAWS AND ORDIN4NCES GOVERNING THIS TVPE OF <br /> - � WO WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> ieouoe5rnmnonorvnorEnrvisroxmaeiowon�n�cHTvrocomes N . THE aRANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br /> io� Z- eiac� or S��T 1THORITV TO VIOLATE OR CANCEL THE PfiOVISION OF ANV <br /> l� Q� TNER STATE OR LOCAL LAW REdULATINO CONSTRUCTION OR THE <br /> ( PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> OWNEH OF THIS PROPERTY TO PERFOHM THE WORK FOR WHICH <br /> APFLICATION �S MADE AND 1 (;OMPLV WITH THE STATE <br /> v�nce�ux i o nuMeeR -' CONTRACTORS LAW 1827 RCW AND 298.200 WAC. <br /> CONSTRUGIIONIO�NIEN�EII.�OP�FSS.TFIEMIONEM1MflF x � I �18-9� <br /> SICN�TU . D�IE <br /> CIiYO FSSLM,H�SCNO <br /> PLUMBINO MECHANICAL <br /> N0. TYPE OF Fl%iURE ON ITEM FEE NO. iYPE OF EOUIPMENT FEE <br /> 2 WATEPCLOSET(TOILET) � O q/C-•q/HNOLOUNRS-H.P. ; <br /> Z BATHTUB ; ( FORCED AIR SVSTEMS-D.TU. M E.A. ; <br /> 2 LAVATORV(WASH BAS�N) � HEP(PUMP �— <br /> t'1 SHQWER � u UN',T IEATERS-B.T.U. M <br /> I KIiCHEN SINH 6 DISP i CI.OTHES CRVERS i <br /> UIgHWASHER VENTILATION FAN � <br /> O LAUNORY TRAV � 1 fiANGE HOOD � <br /> CLOTHES WASHER � WATER HEAiER <br /> (� URINAI � WOOD S10VE ' <br /> O DRINKINl3 FOUNTAIN J' METAL FIREPLACE (WOOD BURNING) i <br /> � FLOOR DRAIN � � iIREPLACE INSERT(WOOD BUPNING) � <br /> BACKFLOW PREVENTERS � �� GAS FIREPLACE ; <br /> SINK(SERVICE-BAR,ETC.) � Q GAS RFNGE <br /> ' ' 6AS PIPIN(i <br /> i 3 EXHAUSTFAN � <br /> _ _ <br /> i — - � � _ <br /> � <br /> SUB TOTAL E .�% � SUB TOTAL S � <br /> PERMIT S � PERMIT f � <br /> TOTAL FEE S TOTAL FEE f ' <br /> FOR OFFICE USE ONLY: <br /> TONiSFTP�f.F Pf�flSfTp�f.N SI�FSEiP4.k J PI�Nf11FCMN11MfIfP ffF� Gti(/ �ff.FlPTNO <br /> ��� � � $ ' ��(,'c.� `;� -'�/ <br /> usc 1or+e��� ioi�nre ver,�Nt v�r FE� VALUATION _ FEE <br /> �irES n nu �� <br /> fl1111bMG � <br /> IIEiCIIi IIMiIATION / NO Or UWHLINO 517c Oyf p�flCll ----- /� � �/ � <br /> y i�Niic 18571Sf A��G�I + 1`IIIMPiN---_—'- __-'_'—LF'�.�._- <br /> L <br /> OCCUP�NCY 1M�M Slnnil5 (%:C111'ANI IO�U P�SFMFNt / MfCn�NICN � <br /> ��J',-L � _J-]l{J-'_ I I�FS {✓�10 —_ -_ .__- __ ..__._'- ' ' __ <br /> FlRE�Uf14RFOf� 11f�50N AD[PIIONNI`I�NO�R.f,F v_ <br /> _ __ —______�"____ <br /> ��mrn ' <br /> rmvsren+Kirnneon- nrn=oN - ---- -- <br /> �r��c nimnwr sunr.�unrr _ _ �j�� <br /> tvrcnr�°or+si rinNe�r�mnvin�1nr G�TYOFEVERETT runi,cwrn�xc /1 +� <br /> �} �.J pi LOCAL SALES ----- — - ---- —---- --�L�G <br /> -_ JL—I.I - - u�if _ Z�S�-- _ TAX CODE IS 3105 TOTAL --,-- ---�i t7�.�1.. <br />