Laserfiche WebLink
APPLICAT�N FOR GONSTRUC�ON PERMIT//��� <br /> CITY OF EVERETT•BUILDING DIVISION �/ <br /> 3200 CEDAR STREET•EVERETT.WA 98201 •(425)257•8810 <br /> ❑ pEMOLITiON ❑ COMBINATION ❑ BUIIDING � MECHANICAL ❑ VLUMBING ❑ SIGN <br /> PROJECT ADORESS: C�s�a. C.�_�,�<< S+ C(.� S�t�-H <br /> �-:,',� �lJr ��P��.�y p�z:r. >+ s�..1 �i�e���} 353 -��4� <br /> pwrn 4.���ppo(ss cm tm r»�v( <br /> 1FN�N� ��41�I1q1l55 f.l\v )IV 1Y�O4F <br /> �1lpwifG10Of1EVG4l4 Yul�[MN�F55 Ulv !m Prqnf <br /> .INI��ICtn���(�IT� N�i1�01�F55 �Il� )�� 1`�MJ�f [��111�CENGf� <br /> uff u�HiC4(C4���f�CP 4nl�IquF55 OIY S�P h�ON tl�if 14[M<�� <br /> —_�C1L�� V-Fl�c.+:-S 4oaS �J. 1'�'�e��c��cJ lk Or SmLn•.,;s -�o ;��L(� --- <br /> h��MhYGC01�IN��.1Y1 4��1• F55 C�1� !�n 1 _1A f.�.)r.l 5�11FIIC[FSf• <br /> 1 V a!.• 11� <br /> S _ `�S-�4O �ifiChfcN?�oe�,(�� <br /> covm.ct nma urK� <br /> =+V� ��[yj,� HEATING SYSTEM; ❑GAS ❑ELECTRIC � c� <br /> MS[f11pf WY1N�411 SW�PI�W��G[MV01Y[D CONf1Cl r�n5M�Nf11'���)vf 40 <br /> ��„� ti��i4�_ 'z:3 3i4� <br /> iLMn W 1 �c`S1G.C'- �r��.,l� 1C.-1 1 p(o.� 0��.) <br /> 1n_�e__._ _ <br /> 1 ,�SW� I HEREOY CERTiFY iNAT I MqVE REnD RND E%nMINED TNIS <br /> - y--A"=' � �'^'-^'_' �=^�'-� - - APPLICATION AND NNOW THE SAME TO DE TRUE�NO COFRECT ALL <br /> ��Mxvxenosiormn�M�m--�� ppOVISIOHSOFLAWSANDORD'�NANLESGOVERNINGTIIISTYPEO� <br /> WORR WiIL BE COMPLIED WIiH WHETNEH SPECIFiED HLf?E�N OR <br /> ivwi v[sc��rno�or rr�p�cnrvrsiawHpuawon�nw�iwoca+[si NOT. TNE G�ANTiNG OF A PERMIT DOES NO7 PqESUME TO G�.S <br /> m�_ oiacK or AUTHORITY TO VIOLATE OR CANCEL iHE PROVISION OF ANY <br /> OTIIER STnTE OR IOGAL L4W REGUTATMC CONSTRUCTIO'1 OR TIIE <br /> PERfORMANCE OP COt15TRUCTION TNAT I AM AUTHOR2f t]p'i i4E <br /> - OW4ER OP T1115 PqOVERTY TO PERFORM TNE WORR FOR '.�r:l'N <br /> qPP1.ICAT10N 6 MADE 4ND I COMPLY W�TN T��E SiPrE <br /> r+nui iu m�nivn�n CO"ITRACiORS t AlV IB 27 WCW RND 29fi 200 WAC <br /> �rwa�mcnrwin�r�i�.rcrnux+nts�r��tn�o�+tmmnrn x_�1� �1/IS�C�" <br /> ' '__-_ ' "4"�mnl � 0.� <br /> b1 V BV9M GS lTf N4'.O <br /> PIUMBING MECN�NICAL � <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> wATER CLOSET�TOILET� —� A/C-M1N�LG UNITS <br /> BATHiUO FORCE�AIR SVSTEMS <br /> IAVAiORV(WASH OASIN� HEAT PUMP <br /> SMOWER UNIT HEAiERS ' <br /> _-_�"- <br /> NITCHEN SINK 8 DISP f.LOT11E5 DRVERS <br /> DISH\VASNER RANGE H000 <br /> UUNDRY iRAV IYAIER HEATEF <br /> CIOTNES WASHER l'l00�STpVE <br /> URIN4L ��ETAL F.�E�LACE 11YOOD BURNING! <br /> DRINNING FOUNTAW FIREPUICE INSERT M1VOOD BURNING� <br /> PLOOR DRRIN GAS FIREPLACE <br /> OACkFLOW PREVENTEP$ GASRANGE <br /> SINK�SERVICE-BAR,ETC 1 GA$PIPING —T <br /> EXHAUSTFAN ' <br /> _ _ _l_ <br /> 1 <br /> SUB TOTAL S SUB TOTAL E �- <br /> PERMIi f FERMIT S �— <br /> TOTA�FEE S TOTAL FEE S <br /> FOP OFFICE USE ONLY: <br /> I�t..Nltt\11�f� pI�P[ilPlft $Ip�SCIPK� 1'I�NCI�LI�tiuVl���` fff �(Cl���NO <br /> � v J <br /> ��.i :nu ior.n�♦ - v.c�msnt FEES V�LU�TION �FEE <br /> ❑rcs ❑.er nmrnc '_'—'_' '-- - <br /> �p4ullv�t�ut.♦ �UrythV�tli� 4�lfOr�lWT — �__ �—..—� __ <br /> li�i�� <br /> 1'II!VP.4�� <br /> .. . ... .__ _ _ ..._. . _� <br /> 111. ''�\ ♦ �• �� t%I�i�•�Nll(1111 P�WVI\I 4VII���ity <br /> 0�(ti ❑MI __ _ ... .. ..._ ._ <br /> �.�I. �.:.Ilnl.lJ11 I�I��IIY ICR'��(1V�11`�WC�Nf.� <br /> _ 1.�1� <br /> 11�:In.A�.•,�VI�IU III�c�V —.- <br /> V�11 P�HiI).lf.�im(���R�.f <br /> nreni^rn�a ne�.s�rraavfnn. CITYOFEVERETT rrn��rwrw.s . .. .- --� '�- <br /> LOCAL SALES •----- --- - -- -- -' <br /> �,.�t TA11 GODE IS 7105 TOTAL <br />