Laserfiche WebLink
APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILOING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•257�8870 <br /> � DEMOLITION COMBINATION ❑ BUILDING ❑ MECHANICAL 17 PLUMBING C SIGN <br /> PROJECTADDRESS � lo�✓ <br /> 1!! � SI El/GR ETC� , IAl A' �!f«03 _ <br /> owrveA rn.i�>ooaess arv ziv vao�+e <br /> tts r�KqT11tl2YA/ miuEY+ SAmf 425— `�1.�—S/LS _ <br /> iENPNi MNII.WPE$$ CIiV ZIP P1KKiE <br /> MCHIfECiO1.DL51GNER M9ILROORE55 CIiV ZIP GHONE <br /> GENER L O'IIPALi MPILFDOPE55 CIiY ZIP FMCNE STRTELICENSE/ <br /> NdiFkWs�'-r d N sAarrrr' Srrio3 zuc-x�c��tcn nazril� <br /> Go.vst. Ra.4 K2�1 AafaoRk Q � <br /> MkCM1�NKTL�ONIP>CipR MPILRODFE55 CIiV ZIV GHONE $iAtELICE $E II <br /> GLVMBINGCONtHPLIOF MPILP�OFE55 LRY ZIP PNONE SLPTELICENSE� � <br /> � <br /> �-"`—a"`�p° �`Z 5 HEATING SYSTEM: ❑GAS ❑ELECTRIC � 0��— <br /> oEscr+ieEwoax+Nosa�aaEFooT>ccixva�vEo co�+ucrvEasorvallor��oNer+o. <br /> /50�0 3�"-<T_ <br /> I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED �HIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> vaoposco use oF ammrtm PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPEQFIED HEREIN OR <br /> �eceioesceiariorvo�veoveam�snuwNeewwaaa**ncHrnrocovies� NOT THE GRANTIN6 OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �o* X�R'l0 a�ace �7'n"m 1.� tZ AUTHORITY TO VIOLATE OR CFNCEL THE PROVISION OF ANY <br /> JTHER STATE OR LOCAL LAW(iEGULATING CONSTRUCTION OF THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOR2EG BY THE <br /> __ OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> � APPLICATION iS MADE AND I COMPLV WITH THE STATE <br /> GONTRACTORS UlW 182]RCW AND 296200 WAC. <br /> PnaCELi 10 NUMBEA <br /> -- - - So�3 �n� O � ^ z�,L,�-a .0�-�,L� +S�a�/-oo <br /> cons*Auc*ion ioAx�Er+oEa.nooaEss.rEiEPHorv¢numesa <br /> . 5�6rvRi0RE ORE <br /> LiiV BUSiNE55 LiCENSE NO. <br /> VLUMBING MECHANICpL <br /> NO. TYPE OF FI%TURE ON 1 EM FEE NO. TVPE OF E�UIPMENT FEE <br /> � � WATER CLOSET(TOILET) A/C—NHNDLG UNITS <br /> � BATHTUB FORCEDAIRSYSTEMS <br /> LAVHTOFY�WASH BASIN) � ' HEAT PUMP <br /> ' S�— J � UNR HEATERS <br /> ' KITCHEN SMH&�ISP CLOTMES ORYERS ' <br /> DISMWASHER RANGE H00� <br /> � LAUNDRYTRAY / WATERHEATER <br /> CLOTHES WFSHER WOODSTOVE <br /> URINAI ' METALF�REPLACE(WOODBURNING) <br /> DRINKING FOUNTFIN FIFEPLACE INSERT(WOOD BUFNING) <br /> FLOOR ORAIN GAS FIREPLACE ' <br /> BPCNFLOW PREVENTERS GAS RANGE <br /> SINK(SERVICE—BAF.ETG.) ' GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL a SUBiOTAL $ <br /> PERMIT 4 PERMIT 5 <br /> TOTALFEE 5 � TOTALiEE S <br /> FOR OFFICE USE ONLV: <br /> FeOxi5Ei9aCx PEAPSEienCx Si0E5EiBnCM �LnNCHECNNVMBER FEE AECEiPTNO <br /> usemuE 'io*<aen vw<rv.srtc � �FEE9 VAlU11T10N FEE <br /> ^res r.xo emmwc _j�/ :a� <br /> ��c�cnruuiunom uNi°vowe�urvc srzeovemcn O '�'J <br /> vwueir� / <br /> occUwnol�v.o�sreo�rs wr,uPnrv.�ow enseuervr MECHexicai /<' d�� <br /> cfeoon <br /> o vEs n eo � <br /> =,aEsve�r:x�caaEao acnsor+ nooi*wxnivuncwecK <br /> o.�ca <br /> .rK;nnmaeo�o ae<sa�u �-� <br /> surEemioirmouacNu+ce I < <br /> rmFouorvsr vurvsnaanoveoav qTVOFEVERETT vueiaw�qxs <br /> LOCALSALES r� ;�� <br /> �q�E TAX CODE IS 7705 TOTRL _ <br />