Laserfiche WebLink
APPLICATI� FOR CONSTRUC�N PERMIT <br /> CITY OF EV�RETT•BUILDING DIVISION � <br /> 3200 CEDAR STAEET•EVERETT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDNi6 ❑ MECMANICAL O VLUMBINO ❑ SHiN <br /> PROJECT ADDqESS: ?10 9 W.G� pti, <br /> CNqlcsr�ss 9�09 w 6cea [�ti ��¢�.r+ �g:oT 42 rrs SfdU <br /> �� l�oaK S an (m rrqw[ <br /> iFM�MI u�ry y�qR55 Cllv <br /> 8V NqYf <br /> •II�MifCIpiMS�GNFR Y1NYM1Pf55 C1�Y !i� ryKy�� <br /> ao�r[.l�..1 �wsf. 7U4 I�TT. Sti (f.w _£?29�-f' 73Rou6C * � pF <br /> WNf��I OYI(1�C�IX1 V1�I�C(M�FSS CII� !�� nixri[ C11111iCEN4• <br /> �l�''-L%1 ' 07-7 � <br /> YiCN1NiC1lCW��1Cip11 4Nl�CMFS$ I:ItV II� p110Nf il�f(I�CEMSf� <br /> 1'IU4�MGCd11P✓:fQi 4���1IXWf55 CIIY !IV 1'MQY[ SI��fIK[NSF• <br /> COv111�CI YmC(0(WOIIR <br /> NEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> OFScniei vw,InR�vo SOU�nf�OO��GF NvpKo COM��t��Y n5py�y)r�q�m rp <br /> �E�oO� CNnaCrr 2e S • Zc-7rt• svFC� <br /> T�k o�F eCQ �+,.+r�i�L ..aQ /� <br /> I NEREBY CEFi1FY TH�T I HnVE READ AND E%AMINED THIS <br /> i+nrovo use�nuxo-v[: APPUC�TION AND NNOW TNE S�ME TO BE TRVE�NO COPRECT ALL <br /> S F� PPOVISIONS OF L�WS AND ORDINANGES GOVEPNMG TNI$TYPE OF <br /> � WO�( WIIL BE COMPLIEO WITM WHETNEP SPECIFIED NENE�N OR <br /> IEG�iaScuipnwpr�pry�yrroh.1xiowp��vqHrxacon¢i rpi. TNE GAANTING OF A PERMIT DOES NOT PF'cSUME Tp GIVE <br /> im uoc. ur �UTHORITY TO VIOUTE OR CANCEL THE PROVISION OF �NY <br /> OTHER STATE OR LOC�L�AW REGUUTING CONSTRUCTION OR THE <br /> PERFORM�NCE OF�pNSTRUCTION TM11T I�M AUTIqq�ZED BY iHE <br /> OWNER OF TNIS PROPERTY TO PERFORM THE WORK FON WMICH <br /> APPLICATION IS MADE �ND I C MPLY WITH TME ST�TE <br /> ru¢nwio�nrontn CONTR�C RSIA t82�RCW D2 100WRC <br /> co+c*mKircw�o�.irwn�orn[ssrc�[n�ovcnunm k ,�'z��� <br /> Q u��� <br /> cnr wvrtts ici Hu vo <br /> PLUMBINO MECNIINM�L <br /> NO. TYPE OF Fl7fTUqE OR REM FEE NO. ME OF EOUNMENT FEE <br /> WATEN CLOSET(TOI�En NC—MMDIG UNITS <br /> BATHiUB FORCED AIR SYSTEMS <br /> IAVATORY�NASH BASIN) NE�T PUMP <br /> SHOWER UNIT HE�TERS <br /> KITCHEN SINK 8 DISP CLOTNES DRVERS <br /> DISHWASNER RANGE HOO� <br /> L�UNDRY TqAY WATER HEATER <br /> CLOTNES WASNER 1ti00D STOVE <br /> VHIN�L METAL FIREPLACE hVOOD BURNING) <br /> DR�NKMIG FOUMAIN FIqEP✓�CE MSERT�'JOOD BURNINGI <br /> FLOOR OR�IN GAS FIREPLACE <br /> BACNFLOW PREVENTEFlS GASRANGE <br /> SINK�SERVICE—B�R,ETC.) GAS PIPING <br /> E%HAUSTFAN ' <br /> SUB TOTAL S SUB TOTAL f <br /> PERMIT S PERMIT f <br /> TOTA�FEE S TOTnLFEE f <br /> FOR OFFICE USE ONLY: <br /> If.fINi�I}P�f.N Iq�PNIfl�C�f s�ocsrie•c� ryI.NCIi[[KNUM1fP ![f 11fCi1�1Np <br /> �'/ ']' <br /> usrtovr io��m•� v¢w�y�E iEES V�W�TION FEE <br /> ❑.�s n M� R�pMvt —�— <br /> rK�c�n�iwu�wr �.onowtww s�t[waoc�r — 3 �J <br /> uwns <br /> nii�un�«r. <br /> OCCIT�Y♦ y`f���i'c.lf Cf[Un�MlU�O R�SIu(�I � � �� <br /> f.NOU�' V{f.M�YK.4 <br /> On5 ❑.n <br /> r�«�srawxicnm�o-- nr.srn �od�rcr�un+vc�rtc+ <br /> anxn <br /> rwE,waMnioo w��nv <br /> 51��1 Pu��U�4t:5�NKu�nC! <br /> \MFMfQNGt Iy�4i�nMOViI1fl� � �-�,�� <br /> CITYOFEVERETT nmir��+c <br /> LOCALSALES -- — --- <br /> u.�t TAl(CODE IS J105 TOUL �� ; .� <br />