Laserfiche WebLink
APPLICATIO&OR CONSTRUCT[& PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />0200 CEDAR STREET A EVERETT, WA OB201 • (425) 257-0010 <br />DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING 19 SIGN <br />IROJECTADDRESS: 2 F-VCV•e-�il�T M6-11 (A,)r• Ei <br />1i <br />Tnlaa <br />[ryUy;IILLAclgi Muuuun[cs Cur tm Awrrt Sul[LICETTSE. <br />Sevres AI?r,lnr BOX <br />_XG:2 LL +NwnB� 9YdfG 77G'd43S fjev vNCO 77eM <br />ECIIA.,L. CU I,Uclull yAJL.INNR Ss LTry rn. IV IC.¢ Sul ::[ENSE. <br />L U401NO C011111A1:1g1 yAll A.L" GIY Ell F"U'd STATE LILL -SL• <br />O IFACINUCEUFMII1 ?do <br />1L_ ' <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />[SCPIYE SWnN AN9y SOUMEIOOIAUF OLVCO <br />r✓/S'f2c 1/ C�� SF'f' N,-F:'r-TOP V <br />nf('.d <br />CONIK1111150N ANU Flw tNO <br />c:44e L- ' OL'1 605 - <br />eAkre- <br />.'X ISI7l1� OY/ON DIVCC'('OVY Sly <br />—E <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINE() THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR ; HE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLCAEION 15 MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 10./27 RCW AND 200.200 WAG. p g/ <br />X Ayr 1—A YA r"-A Z� <br />SIGl1AI.111. t UA <br />iwro5[u us or nIL 5 <br />D Q o 6- <br />ECALUE5CIUPUON OF PnOPEOIN IWO. UELO WADACn TwUCOIII[SI <br />Of uwcY Ur <br />AACCL IAA IU. MAT-1I , <br />OYS InUCIION LOAN LANDO. A(AXE 55. TELEMIg1E WAFFE11 <br />CIIVDUSINE55LRL11:[NU O27 Ff. <br />•LUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPEOFEOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C-A/HNOLG UNITS <br />_ <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) ' <br />FLOOR DRAIN <br />I <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />' <br />GAS RANGE <br />SINK(SERVICE -UAR, ETC.) <br />—�— <br />GASPIPING <br />EXHAUST FAN <br />SUD70TAL f <br />SUBTOTAL f <br />PERMIT f <br />PERMIT f <br />_ <br />TOTAL FEE f <br />TOTAL FEE f <br />Fnn OFFICF USE ONLY: <br />,mml . mAa <br />nEM Sr10,4x <br />VOL St UACK <br />MANCNECn NUWI <br />ar <br />UEc.1", NU <br />Z <br />7FEES <br />us r <br />IDI AnEA <br />VACANT$41E <br />VALUATION <br />FEE <br />',.A,JQ <br />OrRS ❑W <br />UMLIIYX: <br />160 <br />IIEKNI[IMITATION <br />NO Uf MELLUR <br />SIZE Of UWNII <br />UMiS <br />MIIWIWU <br />OCL.;AWl <br />MJITS. E1 <br />ULCUTMNI LUAU <br />OASruLW <br />yrC+IMM:AL <br />uIOOP <br />DY[S ONO <br />AUUIIwNN.1YAN Clod <br />— <br />IFIE SRYNKENUEOD <br />TMASON <br />UtPER <br />fY4 AWLM 11[OD <br />UMSOY <br />SIAIE OIYl1lM A+ALIWXIf <br />—. <br />�� <br />I YPE OF CUNSI <br />rLANSu•nG[ODr <br />r <br />CITYOFEVERETT <br />rum r.wplas <br />' <br />cooSALES <br />Is mo wcI <br />TOTAL <br />/QJ - <br />DAIL <br />