Laserfiche WebLink
APP�ICATI� FOR CONSTRUCT�N PERMIT <br /> CIN OF EVERETf•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257•BB10 <br /> ❑ DEMOLITION ❑ COMBINA ON C'I�BUILDING ❑ MECHANICAL ❑ PLUAIBIN6 ❑ SION <br /> PROJECT AODRESS: J�9,�4� �%%� — C��i CUQ, 9�LU / <br /> C;-� ,�f��ncs Q�. ,�,� u�'as9 T�,.�. ruo. 9d�9ii�o9s —4z.i-77�•iso/ <br /> Ow�rn u i�ppncss oir nr nq.¢ <br /> �;.���Pcc i��d,t�/•v� 39a 9 Ye �,o.�Y - ��rkM u.�aok . Y81c/ - 5'�t S-1 S�'/8 tr <br /> fUner uui em+rss n�r nv nroeF <br /> �1Y'�.II�fL10�I�LGNfR 4�II�MWfS$ CI�Y )�1` 1'�NFI <br /> Cf�M1{��ll.OYflUClry1 441�OMIf55 CII• )If �INNf t���111GINSF• <br /> / /1l.,YJfi'lJ <br /> Y�[f1Un'iC4!(H1IfUL10� 4UI�W�E55 Clh IiP PINN+! [1�IFUCENfF� <br /> huMBmGCp11N�C(IX1 y�ll/.IXNC55 CIiY )IP pXONF SI�IflKENSf• <br /> cw�n.c�mic�a wcv�K <br /> HEATING SYSTEM: ❑GAS ❑E�ECTRIC f9� <br /> f+ticmqfVqqf�4n".W���Er00rbEN VEo CONt�crrin50N�Mr�qXFNp <br /> �cH i�-.� bnrl�ccn�Fk��r -pn�� 2 Cc�G` SF�`J <br /> :�.n� �'nrl.�IW[;.Crffr� C' Si9:/S i �E"�."ue' ��7�(,J ll�Y. <br /> �(ip,..�.'� S'tYJ c.J �G�CW^ S��f 6� IS-'«��^�� k I HEREBY CERTIFY THRT I NAVE READ RNO E%AMINEO THIS <br /> ��rorosro usr or n�nm.m APPUCATION AND NNOW TNE SAME TO UE TRUE AND CORRECT ALL <br /> R�A'M` � OJ� e X ''� � �� ' PROVISIONS OF�AWS AND OPUINANCES GOVERNING THIS TYPE OF <br /> WORN WILL BE COMPLIED WITH WHETHER SPECIFlED NEHEIN OR <br /> ifmtnts�mnna.wnqr¢nnivavm uowonen+c�nwca+[SI NOT. THE GRANTING OF A PERAIIT DOES NOi PPESUME TO GIVE <br /> �o�__ Biocti w AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR IOCAL LAW REGULATIN6 CONSTPUCTION OR THE <br /> PERFORMANCE OFCONSTRUCTION.TMATIAM�UTHORRED BVTME <br /> OWNER OF TMIS PROPERTY TO PERFORM iHE WORK FOR WNICH <br /> APPLICATION IS I.IADE FND I COMP�Y WITH THE STATE <br /> p,wCrtunpµlyq�n CONT CTOR .IAWIB2IRCWAND296200WRC. <br /> 0 �j <br /> CpIc11111CtifM10�NIfNtIfI1HMM�[5[.1[lfAIONENINPER y �.� � L"2' YO <br /> •��n¢ w�� <br /> nrr eusr.c xs ic�Hu rro <br /> PLUMBING MECH�NICIIL <br /> NO. TVPEOFFl7RUqEORREM FEE NO. NVEOFEOUIOMENT FEE <br /> WATER CIOSET(TOILET) NC—MINOIG UNRS <br /> BATH7U� fOpCED AIR SYSTEMS <br /> LAVAIORV(WASH OASIN) HEAT PUMP <br /> SMOWER UNIT HER7ER5 i_ <br /> NI7CHEN SINK 8 DISP CLOTIIES ORYEFS <br /> �ISIIWASNER RANGE HOOD <br /> LAUNDRV TRAY W4TER HEATER <br /> GLOTNES WASHER WOOD STOVE <br /> 11RINAL 1dETAL FItiEPLACE pY00D BURNINGI <br /> ORINRING fOUNTAIN FIREPLACE INSE(7r(WO00 BURNING) <br /> FIOOR URAIN GAS FIREPLACE <br /> OaCRFIOYIPREVENTERS GASRANGE <br /> SINN�SERVICE—BAR,ETC� GAS PIPING <br /> EXNAUSTFAN <br /> SUDTOTAL S SUOTOTPL f <br /> FERMIt S PERMIT S <br /> TOTAIFEE S 10TALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> �� .�•.rincrx rr.nsr�wt.� 9asc�eux n�xn�tc�uwvn rrr nrrtmr.q <br /> � :ma �owtt• w.c�v�vrt FEES V�LU11ilON FEE <br /> __ ❑rt5 OMI �� __�_.�.^_ <br /> P�4Mf. � �7�` <br /> �..nlpVil�nV\ 401Y(MIIIiNG tqFO�MOGTI <br /> nns nuunnn <br /> '__' '____ ' ___'_—y__ <br /> ,..�n ` �,.,•.'��• �xr�m�v�mw e•vutv� urcu+r«cu <br /> ur�.i <br /> . . ��ES OM _ .___. .__ ...__._� ." <br /> 1 ��".nll'.11�tVl1 11f1�IW �DUII(W41Y�4C�YfS <br /> _ _ onkn _ __' _� —_ <br /> �—i.. ..�{:i:iao ' m��nv . . __ <br /> c�.��n�ritw�r.siincwurt'.r _ � ' <br /> ti_D <br /> �.rin -o•—:<� q�wc�nrrpv�nnr CITYOFEVERE7T rrn�rwmxs <br /> LOCALSALES -�--- <br /> ,n <br /> TA%COOE IS 0105 TOT�L LJ O �i' <br />