Laserfiche WebLink
APPLICATIt... FOR CONSTRUCTI.�N PERMIT <br /> CITY OF EVERETT• BUILDING DIVISION EC���� <br /> 3200 CEDAR STREET•EVERETT, WA 98201 •259-8810 � ��T <br /> ��' ���� <br /> O DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PRWECT ADDRESS: �?�, ���� ��� <br /> � LP I S[n �Q�o tt� W,tc��_��1�n��� '�e�3 C2qG) ?�-7' �72L <br /> OWHER � MM ADOPE55 CITY R�IP <br /> �U�-1cs � csk htb � lN I l� r�o�4FcMs���y_ �� Be�c�qaoJi <br /> 7q�+1 MNl�Od1E55�� � � CITY '" )IP PIIONE <br /> 1�dk.EF �rdOiG. 162o WpTN �-�.�.�u�l�pb 101 _�tNW�4tstis �3- 9J� <br /> M1�NIiECTp10E5qNER MM /�OMiE55 CIN )IP <br /> OENEMI C.iM /�P�CfOR GMLAOD.IES�� f.IIY --- lll` --" pIION� 5�TE LICENSE• <br /> ?27 1.LVaf� �4 y� O <br /> MECMMMCILL ONTRl1 TOR MNIADOHE55 C�IY Im PIION . ATE LILENSE� <br /> ' i'•p�G <br /> PLUMBM6CONIMCTOR MNLWORESS CIIY 11N PIIONE STATEUCENSE� <br /> CONp�c I PRICE OF YV011N <br /> 4s Cj�p�7C� NEATING SYSTEM: �GAS ❑ ELECTRIC O <br /> N NOSdI FOO7�pEM1VOlVED rrn�ur.rr[nsor+� HONENO <br /> Z S it 00 ���`�r2f�� L'�. <br /> • - Zo� -7 7 -- �7�6' • <br /> � ,j I HEREUY CERTIFY THAT I HAVE READ AND E%AMINEO THIS <br /> APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> �� �����d� PROVISIONS OF LAWS AND OROINANCES GOVEHNING THIS TVPE OF � <br /> - ��L ��'� WORK WILL BE COMPUED WITH WHETHER SPECIFIED HEREIN OR <br /> tEMI DESCipPT10N OF PIIOPERiY�5410NM BELOW pq�TT/itN TWO COPIES� <br /> �_,. �.,, NOT. THE dRANTIN6 OF A PERMIT DOES NOT PRESUME TO 61VE <br /> : wT eiacu or AUT410RITY TO VIOLATE OR CANCEL THE PROVISlON OF ANY <br /> OTHER STATE OR LOCAL lAW REGULATINQ CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BV THE <br /> . OWNEH OF THIS PROPERTY TO PERFORM THE WORK FOfl WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> , RwcEl nuc�.o.NuusEn CONTRACTOFS LAW 1827 HCW AND 296200 WAC.� <br /> . CONS LdW lE R.�OON S5./ EPNONE MMABEII • x_�� `MT�rlW�l <br /> � <br /> SNiN�IUR DAIE <br /> pTYflU51NES5LIC NSENO <br /> PLUMBIN6 , , MECIIANICAL <br /> NO. TYPE OF RXTUR OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEH CLOSET(TOILET) � A/C—MiNDLG UNRS � <br /> BATHTUB ; FURCEDAIRSYSTEMS ' <br /> UVATORV(WASH BASIN) � HEAT PUMP , <br /> SHOWER � UNIT HEATERS � <br /> KITCHEN SINK 8 DISP ; CLOTHES DRYERS ' <br /> � <br /> DISHWASHER � pANGE HOOD � <br /> . LAUNDRY TRAY ; WATEfl HEATER ' <br /> CLOTHES WASHER � WOODSTOVE � <br /> URINAL � METAL FIREPLACE(WOOD BURNING) ' <br /> ORINKING FOUNTAIN i FIREPLACE INSERT(WOOD BURNING) i <br /> FLOOR DRAIN � GAS FIREPIACE � <br /> BACKFLOW PREVENTERS ; GASRANGE ; <br /> SINK(SERVICE—BAR,ETC.) � GAS P�PING � <br /> EXHAUSTFAN ' <br /> � � <br /> � � <br /> � � <br /> i � <br /> SUB TOTAL S ; SUB TOTAL t ' <br /> PERMIT S � PERMIT f � <br /> TOTALPEE S � TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> FIIONTSETBACN RE�HSETBACK S�OESET911CN PI�NCIIECNNIIMIIPO IEF / RECEIPTNO <br /> ���i� �.L �� 3 5 <br /> USEZONE tot�Ren vecu+rsir[ � FEES� VALUATION FEE . <br /> ❑YES ❑ NO 01➢1f)IN6 +� 1 � <br /> / � — <br /> HEIQNT IIMII�TION NO OF OWELLING SIZE OF BLDCR.1 ; <br /> UNIfS G rwMmNc <br /> / / <br /> a CUP�NGY Iq flf SIMtlfS OCCUPANI IOAU BASEMENI —�F— <br /> MECI InNIC�I � <br /> � �` ❑YES NO � <br /> � <br /> r <br /> FIRESPflINKLEPPEO �FASON �ODIIION�� PI�NCIIff.N � <br /> a — �- <br /> muen I <br /> FIREAIMMREO'D RE�Sfk! <br /> I,,�'.S ��Al�/�!�(� simrnunun�r,smciimme --- ---f—'FJ1� <br /> TvvEar.or+sr rtnNs�r ovEnor <br /> rn CITYOFEVERETT runiir.wonxs � <br /> V_ � LOCAL SALES ----- —=;— <br /> u��E i '�12-Q 7 TAX CODE IS 3105 TOTAL , <br />