Laserfiche WebLink
APPLICATIO� FOR CONSTRUCTI�N PERMIT <br /> CIN OF EVEREff•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-8810 <br /> f�DEMOLITiON ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ Pl.UMBING ❑ SIGN <br /> PROJECTADDRESS: /03u� f✓�ro.�.. G✓w��/S O/i..,:: I��/c iPe�R <br /> �Q-N/a� �Qcf�'nr� Tr.e. ��S a/r'v.4 �i.-�E/j�P Eyad�-h �l�t�`/ (Y zr�3J't-n5�7L <br /> aw[n �M�n�/.00UE55 y ! nrv n^ nn p� viroN[�J ! <br /> R��'VCc( �0.fi� .vL. (J�J U�1�'��c. �Y�C /Y/. n/-4�'��' 1(.W�� �I�r��rs OJQ1 <br /> 1fN�Nl WIIA�p11[$5 LIIV }IV M1p4F <br /> ♦fiL�UiIL1pPAE$IG�1Cf1 M�II�07RE55 CIfY )II' 1'NONf <br /> GfN[II�lL04�lULlq1 MMI�OD�E55 CIIY lll` f'iN)V[ il��[IICCN$E� <br /> ufCN�HIULGONtMCIOa NML�WaFS$ CAtt $Iv VIqNf SlelFII�EN$E• <br /> %IIMBO�GCONIPlf,ipi M�IL�LqiESS Cltt jIV PWNE S�Aif110EN5E� <br /> CON1111p11'PiLE O!YA�qM <br /> HEATING SVSTEM: ❑GAS ❑ELECTRIC ❑ <br /> �Esr.nmFwoA+�vo;�wuEraor�e[wvaveo ca+ucrvrnsoxuronr�ovFuo (�(zT <br /> l !fw r �t- G s I?>'h%�c. — Y�98 B c I sr•os L <br /> 6/Rq 2 aow r� �'i- <F�,S�e 5/� — 6 98 <br /> ���9 9 r-� fq Fi` )N.Q,)n.{ �1 — (� I HEFEBV CERTIFY iHAT I HAVE READ AND E%AMINED TMIS <br /> � / APPLICATION AND NNOW THE SAME TO�E TRUE ANO CORRECT ALL <br /> roro sfovsc or emmnm pROVISI0N5 OF UWS ANO OROINANCES GOVERNING THIS iYPE OF <br /> �I J�fz.'tUs� �/tw'Ie I WORK WqL BE COMPUED WITM WHETHER SPEGFIED HEREIN OR <br /> ieeuotscnmuonorr�rorcnttis�awneuawon•n.cnrwoconesi NOT. TNE GRANTING OF A PEPMIT OOES NOT PRESUME TO GNE <br /> to� oiocn w PUTHORITY TO VIOLFTE OR CANCEL THE PROVISION OF ANY <br /> �+ n OTHER STATE OR IOCAL LAW 9EGULATING CONSTRUCTION OR THE <br /> )Qq �.f.ic.Itaq /� PEHFOriMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> �'i/'A �/ JV APP�E AT�IONHI SP MADE AND PI RCOMPLVMEVWOM KT ER 5T TE <br /> reacn.uv i o�nrwem CONTRACTORS LAW 1B 27 RLW AND 296.200 WAC. <br /> S?Sz.— ouc _ uv't - ouo<, x�/f�+� � / W�i 3� �9� <br /> CONSIqIILtION IO�N 1 fH�Ell,Nqll($$.1ClLAlp1E NUMRER 7 <br /> SIGHI.i114K OMC <br /> OtY BU9NE55 UCENSC NO <br /> PLUMBING MECHANIGIL <br /> �O. TYPEOFFI%TUPEORITEM FEE NO. TYPEOFEOUIPMENT FEE <br /> WATER CLOSET�TOILET) NC—.VHNDLG UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SMOWER UNIT HEATERS <br /> KITCNEN SINK 8 DISP CLOTHES DI7YER5 <br /> DISHWASMER RANGE NOOD <br /> LAUN�RY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE T <br /> URINAL METFI FIREPLACE(WOOD BURNING� <br /> ORINNING FOUNTAIN FIREPLACE INSEfiT�WOOD BURNING� <br /> FLOOR pRAIN G!S FIREPLACE <br /> DACNFIOW PREVENTERS GASRANGS <br /> SINK�SERYICE—BAR,CTQ) GAS PIPING �— <br /> E%HAUSTFAN <br /> SJB TOTAL S Sl1B TOTAI E <br /> PERMII S PERMIT 5 <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFf-If,E USE ONLY: <br /> 111f1`1i5tifl�C✓. RF�PSf1P�LY $IOESfI6KY. fl�NCll[C A11Vflf11� !ff �[fiI��NO <br /> �.a�� <br /> iist�orr imu�rn vr.Cee•snE FEES V�LUATION FEE <br /> O'E5 ❑ruc �— <br /> P�AIMNf. <br /> I�FIf.��I11411�11UM HOVUWfIIING SIIfOf6lPi�ll ' <br /> ��4i1V 1'111MPMfi <br /> ._ ___ _ . _}�� <br /> C'1:L111N\'.v N:!�`��:.'u.k� IX�.ftl1`/.NI lU`U flAtiFM[NI MFI:II�Ni,:�l <br /> f.�1011� <br /> ❑�6 ❑HO <br /> 4111Fv�111`:1(L[IlR[p[)� ItF�i.M' �D0�11(IN�I.1'IANi��[CK <br /> OII�E� <br /> rmeaurn.ii+uin— nrecpv <br /> $Glf 9�nlUi�if.SVl16��IIf.[ <br /> nrcorco�is� r�nvs�vrnovtom CITYOFEVERETT ruxi.<vmnKc <br /> LOCALSALES --- —�— — <br /> a+�E TAX CODE IS 3105 7oTAL <br />