Laserfiche WebLink
APPLICATI(� FOR CONSTRUC7'�N PERMIT� <br /> CITY OF EVERF.TT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257•BR10 <br /> ❑ DEMOLITION f i COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING !,i SIGN <br /> FROJECT ADDRESS / / <br /> oC y� �IJ �i (� .r ���e f= i e r �/ c��. �x�a 3 <br /> ou�icn u.�i•ooucss ��/ uir zw �+rorrt <br /> �1///e ����Aqe /yvC ,F so- c� 9P2o� Y25-2-y2•8823 <br /> rzn�rv�r ' uu � ss cm zm r�wx¢ <br /> ��L.� /�o��c- <br /> sncr�rt�..onocsr:iaa u+awoacss a*r zm rr�wrc <br /> ccMc�.icoxr�.cm� M.nwwess cirv zm Arouc s*+�EuccrrsE. <br /> If[[N�NiCALGONiRAC10P MA�ApDRE$$ LIiY ZW RqNE +«1ElICCNSE• <br /> PW . WNiMCiOn • �OCN[55 Cliv ZIP PnONE Si�i[LICENSE� <br /> CCNiN�CiP .EOLN9NK <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> OESC�iBE VNPN I.NO SOU�PC i WiAGE ItM1IXVCD CONiICI P[RSON AHD PNONE tA <br /> � _ <br /> I I HEflEBV CERTIFV THAT I NAVE READ AND E%AI.IWED THIS <br /> APPUCATION ANL KNOV!THE SAIdE TO�E TRUE AND CORRECT.Pll <br /> rr�orosED usE or em�D�1+o PqOVISIONS OF LAWS AND ORDINANCES GOVEFNING iH15 TYPE UF <br /> WORK W1LL BE COIAPUED WITH WMETMER SPECIFlED HEREIN OR <br /> im+�e¢cemrrorvorraov[ams�wrvNoaawonertecnrnoeori[s� NOT. TME GRANTING OF A PERMIT DOES NOT PRESUME TO GNE <br /> �ot eioCK or AUTHORITY TO VIOLATE OR CANCEL TME PROVISION OF ANV <br /> OTHER STATE OR LOCAL LA1Y REGULATING CONSTRUCTION OR iME <br /> PERFORMANCE OP CONSTRUCTION.TI1AT I A�h AUTHORREO�Y TMG <br /> Ol4NER OF TMIS PROPERTY TO PERFORM THE \VORK FOR\YHICH <br /> APPLICATION IS lAADE AND I COMPLV WITM iHE STATE <br /> v.r¢u r�x i D r.vue[n LONTRACTOPS LAW 1027 RCW ANO 296200 WAC. /f <br /> CJ�.i�AUC1�IX�lOANL[NDER.WOnE55.iELENICNE MINBEF x r\KA 1+./(��/ !/ ��_OI <br /> S�c�um o�re <br /> a*v ousmcn�Kcr�sc r.o <br /> PLUMBING MEGMANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOIIIPMENT FEE <br /> VlATER CLOSET�TOILET) h'C—A HNDLG UNITS <br /> BATMTUD FOPCEO AIR SYSTBdS <br /> �AVATORY(WASM DASIN) HEAT PUMP <br /> SM0IYER UNIT NEATERS <br /> KITCHEN SINK 8 DISP CIOTMES OHVEHS <br /> DISHWASHER RANGE HOOD <br /> LAUNDRVTR.IV WATEPNEATER __ <br /> CLOTHES\'JASHER WOOD STOVE <br /> UHINAL �AETAL FIREPLACE(WOOD BURNING) <br /> �RINNING FOUNTAiN FIREPLACE INSERT M'000�URNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> pACNFLOW PPEVENTERS GAS RANGE <br /> SINK�SERVICE—DAR,ETC.1 GAS PIPING i <br /> E%HAUSTFAN <br /> SU�TOTAL S SUBTOTA� S <br /> PERMIT 5 PERMIT S <br /> TOTALFEE S TOTAIFEE S <br /> FOR OFFICE USE ONLY: <br /> !PO'It5[16�Cn PGRSLIpKx SIDESEIBKN CNECtNUyBER ILE �ECEIPfNO <br /> � ' �7� <br /> u��.:a.e ia*.ne+ vecurtsrte FEES VALUATION FEE <br /> ❑res n r�o owmrc+a I <br /> nuz,�nuu�re.qe rvooronnu�a s¢[ae�ocn <br /> uxrts rwuona <br /> crcu�.��cv was*cuzs occu�u+riow w,tu[Ht uccr��N�cu <br /> c��cuo <br /> nvcs ❑r+o <br /> lM1:Eif'P'MnIEflXEOO PE�SON GWI110N4VWICNCCK <br /> OfPEP I <br /> 16�E4�F1APE00 PEASON <br /> 5t4E BULLOOq SUOO�MGE <br /> n���amrisr riu�servno:mer CITYOFEVEHETT rvo�tw�n+s I <br /> LOCALSALES <br /> nn�� TA%CODE IS 9105 TO7AL <br />