Laserfiche WebLink
�PPLICATI� FOR CONSTRUCT�N PERMIT <br /> CIN OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVEPETT,WA 86201 •(425)257-8610 <br /> O DEMOLITION O COMBINATION � �( O BV�LDING ❑ MECH�NICAL /[��7''PL/UMMIIKj� O SION <br /> PROJECTAODRESS: E,�.��r+.arT I��I�TI�AL ,oJF—Z �7U� L4-C./� i���- <br /> FJI`-O-F_-r—r}�A S�1 TlF 1HQ� <br /> ovr.rn r.n•ao�css on rm r�rorc <br /> �g, �G, I� �� µ ivTMS,,.,2 F_�Fa�rrf-��,vn�laa�2 iF��srr JA 9A�� <br /> 1[Y�4� 4�11�lNYK55 fJif lN��1�'b'R <br /> nKml(UO�M1FS�G'Rn M�n/.pIMf55 Gi1Y lif P�n' f <br /> C�fHLA1lf.O4t1�I.C�(FI MYI�IXXICSS ^ CIIY l�f 1'INYI( <I�ILIKIMCf• I <br /> �w�Fz � ��z�N fZ L'�II i53�Ylt 5�:. SrOHo �W 98Z`l0 33� `�L4� I�MFZ�=�C-o87�L <br /> VFt.✓�'�Gl[.V+in�Clon 4ul�DpntsS (ln Pr MYYIf c4rtUc[b5c• � <br /> 1'111VP�IGC0�I1HM:tp1 1I�Il I.f%111f55 C'iY lli' 1'IM1T�F SI���IIC{NSf• <br /> Cp�1111CI1TIL[O!Wp11F � <br /> MEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> nscnievavra�rnsw�aE�oor�o[wvavro covi.c�nnsa�.rmr�¢mw�q �� � <br /> �coui� 19 SPz,we�.zs F�� �-.�e: .S�w� Sr{..���_ Z39-s3Zo ! � <br /> 'r` l�PP2D¢ Z SOO 5[2. Fr, � NEAEBV CERTIFV THAT i NAVE READ ANO E1(�MINED THIS � <br /> qpPLICaTION AHO KNOW TME SAME i0 BE TRUE�ND GORREGT RLL <br /> nnqosfous[�neonrnvn pqOVI5�ON50FLAW5AN00ROMRNCESGOVERNINGTH15TYPEOF ' <br /> Q C WD�K WILL BE COMPUFD W�iH WNEINER SPEGIFlE�NERcIN =R � <br /> itcao[scnmriwarirort�n'i5nowxMiowa�av,cHiwocon[5� ppT. THE G��NTiNG OF A PF.RMiI DOES NOT PRESUME TO OIVE <br /> „� eLa� a AUTHORITY TO VIOLAIE OR CANLEL THE PAOVISION OF ANV �� � <br /> OTNER STRTE OR LOCAL LA\Y RE6VUTING CONSTRIICTION OR THE <br /> PEFFOPMANCE Of CONSTPU.^.TION TMAT I�M�UTHORIZE�Bv TNE <br /> OWNER OF TMS PROPERiY TO PERFORM THE WORK �Oil WHICH <br /> APPUf.AT104 IS MADE M�� I COMPLV WITH THE STATE <br /> CONTFPCIOP$lAW 1B 9 RCW A4�296200 WAG '� <br /> 1W1f:1'11I.(10 MNNR � <br /> covz�n�cnrwi�orn�n+nrn.�nnntss.�rarumre mrvnrn J 1—1�-{'�I 7 . <br /> x " <br /> srw,��mc o��c <br /> CIfY BULMSS ICENA NO � <br /> PLUMBINO MCCMIINICILL I <br /> NO. TYPE OF FlXTURE OH ITEM FEE NO. TYFEOF EOUIPMEMT _ �E I <br /> WATER CLOSET(TOILET) A/C—IVHMUL�UNRS � <br /> BATHTU� FOPCEO AIR SYSTEMS � <br /> LAVATOIiV(WASHBASIN) ' "UMP <br /> SNOWER U...HE�TERS I <br /> NITGHCN SINK 8 OISP CIOTNES OFVEH$ <br /> DISNWASNER RANFE NOOD <br /> LAUNDRY TIi�V WATER HEATER 'i <br /> CLOTilES WASRER Yl000 STOVE <br /> Un�Np� METAL FlREPLACE IWOJD BURNINC+) <br /> DfiMkING fOUNTAM FIREPIAGE INSERT ryJ000 BUFNING� <br /> fLOOR DfiAM GAS FlREPLqCE <br /> OACNFION'PFEVENTENS GASRANGE <br /> SI1JN(SERVIC[—O�R.ETC� GAS PIPING <br /> -- E%HAUSifAN � <br /> i <br /> SUOTOTAL f SUBTOTFI f <br /> PER611T 5 PERMIT f <br /> TOTALFEE 5 70TAL FEE f I <br /> FOR OFFICE USE ONLY: — I <br /> �nrn�a*a�cK nr�ust�n�cx sotstie�cx nu�urtc+.nr+mrn rrr rnrrmrrro <br /> nu rrnr mr�uu v¢�p+s�¢ �FEES / V�LU�TION __ FE�_ <br /> ❑.rs ❑rai nu�nw: <br /> �llll:l�11�411/.IIpY 40'IRIM'fIIM] SII[MNIXI�lI � <br /> MII4�M �� <br /> C(lUr�v�v M`rv5��t5 IXTi1t.I.N114tI1 6�VKM1 Alfl'MLMf.I.I <br /> 1��iV�l� � — <br /> ❑v[S �40 <br /> Ilnf'.�I�:'I�II�RlO'0 �i��ln ��pil(l4�IfY�4C�Vf� <br /> OI�Y11 <br /> �L�.f eIN�MPf00 �1l�FOV <br /> [pq qJIION[I Sili1C���1�Cd <br /> �vi.orcovc� ftnrs�nrnnvfnev CITVOFEVERETT ninucwcwss —'�'� _ _ -- — <br /> LOCALS�LES -- — --— — <br /> e��E TAX LODE IS�105 TOT�L __ <br />