Laserfiche WebLink
APPLICATIO� FOR CONSTRUCT'N PERMIT <br /> CITY OF EVEflETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 90201 •(425)257-8810 <br /> ] DEMOLITION ❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECT ADDRESS: Sr�O 36 L f��fF.Pc✓ <br /> 50 �d � {�iee�_ 3-% /a/�°°' �9✓e- �- .6ale✓w a�. zos _ 2z3-y�u <br /> OWNEfI 4u���q11F55 Clry l�� VIWH[ <br /> fi'�bClGb.�,sfc,� �d<� <br /> icq�p� vui uwntss r.uv pe nw�.r <br /> •nnmrcront�tsimn� 4.nr.arnass cnr nr �nq.,r - -�-' <br /> __�1ev�5 S'� e- �,� <br /> GrrvEnµco��iluf.IIJn Vo oI�nE55 <�Ir — )ir —��vq�:[ [4qpcMSf. <br /> _ffEa-T��.r,us� � �ux i�a_�,��A tr/.v 9&� �izvt �/��*rr��.to�Qo <br /> MFCII�M1IC�ICO'1111�f,IU� 4MlAMJPf55 CAlV Irt' 1'�10\f Cf�IFI�CfM<�• <br /> PIIIN6hGCO�1�N�C1M N1it�qXtf55 Clry lln pHT�F $O�lIICE6S{• <br /> covm.cr rmcc u�wrn+ --- <br /> g HEATING SYSTEM: GAS O ELECTRIC ❑ <br /> �ScaioFWORR�au50Wn[ tlGEwvqacn ca�l¢�vrnSOM�emrvrtivrMo <br /> i.i�� „1,.�i«i��� � M�Gl�sXc� �zS- 82�.4acit'�- <br /> � - �a.✓re� r`n ---- — <br /> -GN �D I HEHE�Y CERTIFV THAT I M4VE READ AND E%PMINED TNIS <br /> APPUCATION ANO HNOW TNE SAME TO OE TFUE AND COARECT ALL <br /> ruoro5fouz-o_ mmepn PROVISIONSOF�AWSANDORGINFNGESGOVEfiNINGTHISTYPEOF <br /> ( WORN W�I L BE COA7PLIED YlITH WMETHER SPEGIFIED NEHE�N OR <br /> �[c.�ocscmm�onwnnw�nn�vawneaawauneo i+oconcs NOT. TIIE GRANTiNG OF A PEPMI7 OOLS NOT PRESUME TO GWE <br /> im otax or AUTNOFITY TO VIOLATE OR CANCEL TME PROVISIpN OF ANY <br /> OTMER 57ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> �'ERFORMANCE OF CONSTRUCTION TMAT 1 AM AU�MORRED OY THE <br /> , OWNER OF THIS PROP[RiY TO PERFORM TME WORK FOR N'HICH <br /> � APPLICATION IS A7ADE AND I GOMP�V WITH TNE STATE <br /> r�ncu uy i o rrtwx[n CONTRACTORS lAW IB 27 RC W AND 296 200 WAC. <br /> _/� '�.,���-7!-�1�3��'i�__ <br /> CONSIOIFOp�IO�NIlNCh�.�IXPC55 i[t M1�OYEMI14RF11 <br /> C1�Y BU4NESS IICE NSC 110 <br /> PLUMBING MECMANICAI <br /> NO. TYPE OF FI%TURE OR REM FEE NO. iYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) P/C-NHNOLG UNRS <br /> BATNTUO FORCED A�R SYSTEMS <br /> LAVATORV(WASH BASIN) HEAT PUMP <br /> SHJWER UNIT HEREqS <br /> KITCNEN SINK d D�SP CLOTNES ORYERS <br /> DISITYlASHER RANGE H000 <br /> LAUNDRV TRAV \VATEF HEATER <br /> CLOTHES WASMER �'100�STOVE <br /> UaINAL METAL FIfiEPl4CE(VlOOD BURNING! <br /> �RINK�NG FOUNTAM FlREPLACE INSEpf M��D BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> OACRFIOW PREVENTERS GAS PANGE <br /> SINN�SERVICE-BAR.ETC.) GAS PIPING <br /> E%MAUST FAN _.�_ <br /> SUBTOTAL S ;U070TAL 5 <br /> PERMIT S PERMIT 5 <br /> TOTAIFEE 3 TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> �n�•.vrsrm�cK nnnsrip.�K smtsneaa n artcxr:i�vnra rtr nrrnr�ria <br /> /( ' �S <br /> ��'n tavr iouaF• v.u�usn[ FEES VALUATION FEE <br /> _ '__ _r___" <br /> ❑YES ❑NU RIIIIMM'. <br /> �41('d�iP'/�i��iOY n00�[�WfII�NG qIEO�BlDG41 "----- �--� -- <br /> II411G ry11NPNf <br /> .._.. ._ .._..______ _ ....___ _i..._ <br /> ..I:CA\'.:♦ Y`��.�i�.kl W�.lIIn1N110�[1 B�SF4fA1 4f1.1�11�f11 <br /> mlcur <br /> ❑YFS ON7 ___. . . . .. . _._.. _� . <br /> il.l.'.1'll'•:nt[YPEQ'J AfICMi �DLYIi(14�I(Y14C�?fv <br /> -.- <br /> amrn "_'_' _ _"_ _".'_"_____ _ - <br /> i..[av.i,�rmo Af�sm - _—... _ ._. __" <br /> •aeq n�,��tr,,G 9mnun::r <br /> ��rrrr�..o•ia�— r�n�.<u-r��ovrnnr d7YOFEVERETT rrn.:crr--_"_._" r ' "- "___. . . __ <br /> LOCALSALES ----�-- I —- -. .. . -- - -- <br /> :,,,�� TAX CODE IS 7105 TOTnL i !� I <br /> . __1�. ___-_"'_'_.-' ____--'_—___. _ .. __ . . . '_ _ '_'.i__ <br />