Laserfiche WebLink
'� APPLICATIL.� iOR C�ONSTRUC7 _JN PERMIT <br /> CITV OF EVERETI'• BUILDING DIVISION � <br /> 3200 CEDAR STREET• EVERETT, WA 98201 •259-8810 <br /> I <br /> ❑ DEMOUTION ❑ COMBINATION ❑ BUIL�INIi ❑ MECHANICAI � PLUMBIN(i ❑ 81(iN 'I <br /> PROJECTADDRESS: _�,�c•l(1 Zf(ay%��,�,n , �/.. � "�/ — <br />. �f ueii�oor+css cm im P��ONE <br /> t r uui�naacss r.nr rir r��onc <br /> MKJMiCCTOA0E5qNFR MM 6DDRE55 Litt 7�� �nONF <br /> '� � /� � ��i� �/� <br /> ��'L/=. / '( � ����I�JLll'cs"-� __ <br /> aEr�nuca+rd�lt u�u oonc.�s air ��r n��o�+F cr�rci�crwse. <br /> MECNI�MC CONINIC� M�II i.W�E55 CITY bP P110Nf STe1F LICENSF/ <br /> /�/�., �,�,�;ti< ��`?�6-I P',�� i../l�i•h�,�:J "_ -, _ _�[/�i/.��A/�1'�`i�y.�� <br /> %U4B CONTR�f:TOP �I��OOHE55 Cltv II PIIONE ST�rEl10EN� <br /> OD °`-' <br /> CON ""CTPR1�0f�� HEATING SYSTEM: ❑GAS ❑ ELECTRIC ❑ <br /> OE$CRIlE WpiK�NO SOU�RE FOOTWE MVOLVEO CONTAGt PCRSON�ND PHpiF NO <br /> il <br /> �p �py��/ I HEREBV CERTIFY THAT I MAVE READ AND E%AMINED THIS <br />� ' d 7C�✓�f P APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALl <br /> I o a euiann PROVISIONS OF LAWS AND ORDINANCES GOVERNIN6 THIS TVPE OF <br /> WORK WILL BE COtdPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> ��upEscwrtqNapna,Enrr�s�qvmeE�pwon�n�cNrwocoriesl NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO 61VE <br /> `pT _�� a AUTHORITV TU VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHEH STATE OR LOCAL LAW REODUTINO CONSTRUCTION OR TMIE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERri TO PEFFORM THE WORK FOR WMICH <br /> APPLICATION IS MADE AN� I COMPLV WITH THE STATE <br /> I v��T�xio..u�p CONTHnC70R3 1N IB27 RCW AND 298200 WAC. <br /> CpNSTPtIC110N 101M 1E11DER.MME55.TEIER�OME MIMBER X, �D� ///���� � �"-99' <br /> SI('N� U�tE <br /> Cltt BUSINESS IICENSC NO <br />( ��� MECHANICAL <br /> iNO. TYPE OF FlIfTURE OR ITEM FEE NO. T/PE OF EOUIPMENT FEE <br />( WATEH CLOSET(TOILE� � A�J—IVHNDLQ UNfTS ' <br /> � FORCED AIR SVSTEMS � <br /> I BATHTUB _ _ <br />� LAVA?ORV(WASH BASIN) � HEAT PUMP ' <br /> SHOWER UNIT HEATERS � <br /> i <br /> KITCHEN SINK 8 DISP ' CLOTHES DRVEHS ' <br /> � <br /> DISHWASHER � RANGE HOOD � <br /> LAUNDRY TRI1V ; WATER I1EAfER � <br /> Cl0?HES WASHER � WOOD STOVE ..�_ <br /> URINAL ' METAL f-IREPLACF(V.00D BURNING) <br /> ORINKINO FOUNTAIN i FIREPIACE INSERT(WOOD BURNIN6) �_ <br /> � GAS FIREPLACE ' <br />� � FLOOR ORAIN — � —' <br /> BACNFLOW PREVENTERS ; GASFANGE � <br /> k SINK(SERVICE—OAR,ETC.) GAS PIPING _..:— <br /> EXHAUST FAN �— <br /> � <br /> I � <br /> i <br /> i ' � <br /> SUBTOTAL t ' SUBTOTAL S <br /> PERM�T f �00 _ PERMIT f � <br />� � TOTALFEE f � TOTALfEE S ' <br /> FOR OFFICE USE ONLV: nFr.rm�ra <br /> f110Ni SETR/�::M REM SFTPnLK SIOE SFTB�K <br /> PI�NCUECRNUGPFR rFt <br /> useia+¢ FEES VALUATION FEE <br /> IOt�RE� V�C�NISIIF <br /> � <br />, ❑YES ❑�> p111101N6 � <br /> I — NO Oi f)WELLINO SIIE O�Bt06rtI � <br /> IIE16Hi UMIUTION � <br /> 11N115 1`1114111N(i <br /> –_ T <br /> _ i <br /> pCCUP�NLY NOlY51MlS OLCUtMNIIO�D B�SfYENI MFCN�N�r�l __ _ �_-__ <br /> . ��� ❑vE5 ❑NO <br /> i <br /> � • �ppill0���1 M�Np�fCM � <br /> � FlflE SMtlNKLEN HEO'0 <br /> RF�SON � <br /> i <br /> on�En <br /> i <br /> � FlRE/IMMREO'0 RNiON — � <br /> � STAIE flU1l01NC SUf1C1�M16E � <br /> � <br /> .__. t <br /> trvEar,or�sr r�easerrnovrnar CITVOFEVERETT rnnnr.won�s _ _ __;_ <br /> LOCALSALES � -- <br /> TAX CODE IS J105 TOiAL ___ � �-- <br /> O�Ik � ----- '— <br />