Laserfiche WebLink
pppLICATIO� FOR fi�ONSTRUCT�N PERMIT� <br /> CITY UF EVERFTT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVEREfi.WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BIIILDING 19-MECHANICAL �.PLUMBING ❑ 516N <br /> PROJECT ADDR/E�SS: � � `�,,/1 �L�� <br /> �n�^p .�F�°^.a�,i�� � -� /.laL��t.Q n C✓� C/d(I.o f �5� <br /> /(f i!p �in , �,1 r S0.,s—? Qall�nn'P �. <br /> �IIP,[ft- 6�. tirv �iv vrror�c <br /> IENAN� �YI RfDME55 <br /> OfY 1�� ��F <br /> •BC�I��fC10�bE51GNC11 MAl1AU0uE55 . <br /> Cltv !�P M�pvE i1LILl�C(xSE� <br /> GF�i[O�lCO�+���='�� ���I�DDnE55 ' <br /> Grv 2iP PuO�:[ ii4F UCEMSE• . <br /> YF.GIIeNiCMLOulaAC10R MULAWUE55 . <br /> ��ry $IV PNONF Sl/��FIICENSE• � <br /> P—IU(YLBM,GC�I(f���1CP 1� N�IL�W1�•E55.� � C/�f� ��U /u^A/I*,}�l'1/? . <br /> J—'SCJ�_,h�w�f/-u'K �i,�M/1 3` 1L4�, '"I t.J JJ�,u �. <br /> coumectnnmeorxrow�� • HEATINGSYSTEM: ❑GAS I�.ELECTRIC ❑_ <br /> 3 s" �r ��, <br /> cwuc n�ascu��orr�a+�o . �taS'aa ; <br /> DESCPIBE WOAK�NOSMI�uE f00�AGE M'QLVED y�/w` <br /> 1 <br /> �� <br /> I HEREBY CERIIFY THAT I HAVE READ pN0 E%AMINED THIS <br /> APPUCAiION ANO NNOW THE SAME TO BE TRUE ANO CARRECT ALL , <br /> rvwroseousc oc awmnm ` PROVISIONS OF LAWS AND ORDINANCES GOVERNING 7HI5 iYaE OF : <br /> � � (1� WORN WRl BE COMPLIED WITN WHETHER SPECIFIED HEREIN OR � <br /> ieaeiocs�Kno'vEntt6u NIBELOWOAAR�ICIIIWOCORE51 NOT.THE GRRNTING OF A PERMIT DOES NOi PRESUME TO GIVE �i <br /> AUTHORITY TO VIOLATE OR CANCEL THE PHOVISION Of ANY <br /> �m a�an °f OTNER SiATE OR IOCAL LAW REGUTATING CONSTRUCTION OR TME <br /> PERFORMANCE OF CONSTRUCTION.TMAT I AM AUTHORIZED BY THE i <br /> OWNER OF THIS PROPERTY TO PERFOHM 7HE WORK FOR WMICH �, <br /> APPLICATION IS MAUE AND I COMPLY WITH THE STATE i <br /> CONTRPCTORS LAW 182]RCW ANO 296.200 WAC. ) <br /> ru�cc��,u�o.M�uecn � ���y/�� � � /� � �f � /I / / / � <br /> _STORe/! '%�7��-Qs�. ' <br /> Cq15IDUGTONIO�nIFN�ER/�O�LSS.IFLf.�ONENUwPEI� % /� O�1C <br /> 51GN� 1'/��///1 n <br /> _l <br /> Clry BU9NF55lICFNSC NO <br /> PLUMBINO MECHANICRL <br /> NO. TYPE OF Fl%TURE OP RE►1 FEE N�• �—�O�RS�PMENf <br /> FEE <br /> WATER CLOSET(TOILET) <br /> FORCED PIR SVSTEMS <br /> BATHTUB <br /> LAVATOfiY(WpSH BASIN) MEAT PUMP <br /> SHOWER UNIT HEATEHS <br /> CLOTHESORYERS <br /> KITCHEN S�NK d DISP qpNGE HOOD <br /> DISH WASHER WqTEp HEATEfi <br /> LAl1NDRY TRRY '�,lOJD STOVE <br /> CLOTHES WASHEH <br /> IdETf:.FIREPLACE(WOOD BURNING� <br /> UFlMAL FIREPLACE INSEf7�(WOOD BURNING) � <br /> DR�NKING FOU4TAIN �pS FIREPLACE � <br /> FLOOR OFAIN j <br /> DACNFLOW PREVENTERS GAS MNGE _ <br /> GAS PIPING � <br /> SINK(SERVICE—BAR.ETC.) E%HAUST FAN <br /> I <br /> I <br /> I <br /> SUBTOTAL S Sl1BTOTAL f <br /> PERMIT 5 PERMIT f /S ' <br /> TOTAL FEE 5 TOTAL FEE S -'�� ' i <br /> FOR OFFICE USE ONLY: rEf nrcemrr�o y <br /> �n.uortc+vuMnrn ! <br /> rnnur�nn�ca n[�nsc�e�ca smescie�ca 7�� <br /> FEES VALU11t10N FEE ; <br /> io�•ne• v�cnv�s��e - _ _---r- <br /> uscroxr 7 <br /> Lrfs O� Rm�rvur. r <br /> ncmnruuiunor� HoaowewHc sueoreimm rmunwc I <br /> I1NII: <br /> _ �; � <br /> CC(.IIIMtiCY 1q(��ili����.IS Q'.Cllf`INll0�0 B�SIN[NI Vf[II�N�f�l _ <br /> GIiOIIP ❑YE$ ONO <br /> �pqllpN/.I.fl AN CI�ICK <br /> fIPE SM:!IFILP PFO'0 IIFASIXI <br /> on�En <br /> ni�c�umnntoo nr�cav <br /> sun aunuwn sunc�unr.c <br /> rmEorr.mar rinvs.nrawrnor CITYOFEVERETT ninur.wo��+s _ __ <br /> LOCALSALES <br /> i���E TAX COUE IS J105 TOTAL — <br />