Laserfiche WebLink
APPLICAT� FOR �ONSTRUC�ON PERI�EIT <br /> CIN OF EV[RETT•BUILDING DIVISION � <br /> 3200 CEDAR STREEf•EVcRETT,WA 98201 •(425)257-8870 �Ar�r <br /> �/ <br /> p 6EMOLRION U COMBINA �/1� �O� �B,,U�ILDING ❑ MECMANICAL PLUMBINCi 7 SHiN <br /> PHMECTADDRESS: ��UdyyLc�'�G'�a—'U� — <br /> 7 <br /> OMME�� uul��OUE55 . ^ ^ p1Y I�o s�O2 <br /> _��' ��g7 9�'�- -- <br /> �FH � uui�OOnE55 t�rv l�v e�baF <br /> •PCHffL10��.E5�GVEn u�i1�Cd�F55 Ci�"/ bP �KWF <br /> f'.✓lt�v�+�N OE'V¢aJ� <br /> G[NE�4CONID�CICN 4YIIDfY1f]5 Cllv lif P�MY6 541LUClHSf� <br /> YEL111NI��LLO4I11�CIU� V��l�]WE5$ f.�1Y %i�' NqN( S���FI�CENSF� <br /> �.�..,���y,,� i�i�,�.a,� -�a ����a�-rt-x,� �'�f.���?",`���.a_�-r�_�;. <br /> �MBrc�G<O�N��I� �M1��E55 Cirv f�> �w0r+� U(FlKEnSf• — <br /> /J �V V <br /> CON P�LIPRitCOlYqnR <br /> HEATING SVSTEM: Cl GAS ❑ELECTRIC ❑ <br /> of Scwar ww.•Mn sowut raor.ce.rvavco cw+�cr nnsw•wn rrq.ir r� <br /> I HF.REBY LERTIFY THAT 1 i1AVE READ �ND E%AMINED THIS <br /> �PPLIC�TION M!D KNOW TNE SAME TO BE TRUE AND CORRELT ALL <br /> o�rosvnuse or evnw� pROVI510N5 OF LAWS AND OR�INANCES GOVERNING THIS TVPE OF <br /> WORN Wlll 0E COMPLIED WITN WHETHEP SPECIFIEO HEREIN OR <br /> i[auo¢umnnworrnor[nrv�snovmecioww•necrnwow�esi rypT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE <br /> ioi eiact or AUTHORITV TO VIOLATE OR LANCEL TME PROVISION OF �NV <br /> OTHER SiATE OR LOCAL LRW REGUTATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.TM�T I AM AUTNORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PcRFOHM TNE WORN FOR WHICM <br /> APPLIC�TION IS MAOE ANO I COMPLY WITH T4E STATE <br /> ru+cn u•i o miuxec CONTR T RS W�8 2]RCW pN0 Y96 200 WAC <br /> ,8�r a oo ce 7 00�a ��j� <br /> LOv511111L110N1O�N1ENfIFR.4LfW65.iE1E1`MONEMVYPFfI x <br /> 4GM� ���1[ <br /> Orv 6V VxE55lCFNSt NO <br /> PLUMB1116 MECHIIYIC�L <br /> NO. TYPEOFFl%fUNE01117EM FEE NO. T750FEOUNMIXf FEE <br /> / WATEFCLOSET�TOIIET) NC—NMNDLOUNf15 <br /> BATHTUII FORCED RIR SYSTEMS <br /> / LAVATORY(Y/ASH BASIN� MEAT PUMP � <br /> SMOWLR UNIT HEATERS <br /> KITCH'1N SINK 8 CISP CLOTHES URYERS <br /> DISMWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES W�SHER WOOU STOVE <br /> UHINAL METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAM FIFEPIACE INSEFT(WOOD BURNING) <br /> FLOOR DR�IN GAS FIREPLALE <br /> BACKFLOW PREVENTERS GAS PANGE <br /> SINK(SERVICE—BAR,ETG) GAS PIPING <br /> aNj, � N E%HAUST FAN <br /> SUB iOTAL f SUB TOTAL S <br /> PER1Ali f PEPMIT f <br /> TOTALFEE S TOTA�FEE S <br /> FOR OFFICE USE ONLY: <br /> lMNiRiP�LC RF�P.FIB�CF S�MSCIB4R fl�N(IIECFMVWf,P/ f(F AFLfIP�MO <br /> Q/SY� <br /> usetovc �m�uu' v.cea�5��t � FEES VALU�TION FE� <br /> ❑res o� num��x: <br /> u¢m��niMr•nov Moo.owsw.p s¢eaeioan "— <br /> ixn< ruiun�ar, __" "____�_ <br /> ocameticr riN.�na.�s rx�.cur.m�o•o e�sruc�+� mnunMn <br /> r.noor . __ — <br /> ❑r[s ❑no --- ' <br /> rwesrnnw�cun[•:� nr�sm �oaun�+nn•vcnrc. _ <br /> anrtn <br /> rin[eunuFeoo nsesqv � <br /> [1/.If fl11�10�M1:51:11C11�n(.! <br /> rtvrnrto•��� ruws�nrnpvtom CRYOFEVERETT M�w��r.vm��«s <br /> LOCALSALES — - — <br /> o.�t TAX CODE IS J105 T0711L <br />