Laserfiche WebLink
APPLICATI�1 FOR CONSTRUC7�IN PER�AIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-8870 <br /> f-'�. DEMOLITION ❑ COMBINATION ❑ BUILDING �7 MECHANICAI PLUMBING � SIGN <br /> PROJECTADDRESS <br /> 2So FucLl✓� � � �ZS- .294/i <br /> own:n uuir.00ncss cirv zm r�rorh <br /> *nurn u�nuoousss ���r z ar�p� <br /> .7t^iN� F�R ca�n_,�E �s�MF �s �oo�c 5 <br /> pnG�IRCfOPCESGH[P MEiI�D'J�155 C�1Y !V P1q12 <br /> GLNLI14Cq1111A[ipp N�M1�DDRESS CIIY bP VIIIXE S1�fElICENSE• <br /> 5..+�m c..�Ntrn�cnc� �c �27- 2�'rpa. Jf, hMF}lw. 9V7oq' qzi•J�7cyLy G ��ttn r <br /> uTour�icummnecton uen�oon[ss cnr� zm roror¢ s��ci�curse• <br /> PLLIMOINpLONiR�LiOR MARADbRC55 CIIY ... ihlqlE SUtEIIClNSU <br /> C(�lllllki PPiCE Oi WIX1Y. <br /> HEATWG SYSTEM: ❑GAS ri ELECTRIC I—! <br /> urscmee wopn eHo souu�E rooucE nnav[u cor�uci n�nsau��o mroru rq <br /> � NEREDV CERTIFY THAT 1 HAVE READ AND E%AIAINED TMIS <br /> APPUCATION AND NNOW THE SAIAE TO DE TRUE AND COPRECT ALL <br /> �v�U�VSLD USE OF BURpN6 PROVISIONS OF LAW S AND ORDINANLES GOVERNING Th11S TYPE OF <br /> R'OPK WILL �E COGIPUED WITM WHETHER SPECIFlEO HEREIII OR <br /> uce�o[ScnPna�arcnd�ceni5ranmeuow0uenecniwotani[si NOT. THE GRANTING OF A PERNIT DOES NOT PP[SU'.7E TO GIVE <br /> �o� B�ocK ov AUTHORITV TO VIOLATE OR CANLEI TME PRONSION OF ANY <br /> OTMER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORM..NCE OF GONSTRUCTION.THAT I AM AUTMORIZ[D BY TIIE <br /> OWNER OF TMIS PROPERTY TO PERFORM TNE WORK FOR 1YHICM <br /> APPLICAiION IS MADE AN� I COMPLV WITH THE STAiE <br /> rurcute+m rmuo[n CONTflACTORS LAW 1027 RCW AND 296200 WAC. <br /> � �� ���� <br /> LOrIS1PULilONIOENIBIMRM0�IL55.lIlEPMCfBM14BER X� �. nl �f'a- �G.�Ne/ <br /> :a�umnt=i i� /J w�E <br /> un ousw�s;ueuae eo <br /> PLUMBING MECNANILAL <br /> NO. TYPE OF FI%TUNE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET� AC—A NNDLG UNITS <br /> OA7NTU0 FORCEO AIR SYSTEMS <br /> LAVATORY�WASMUASIN) ! H[pTPUh1P <br /> SH0IYER UNIT HEATERS <br /> NITCHEN SINK 8 DISP CLOTHES DPYER$ <br /> DISMWASNER RANGE IIOOD <br /> LAUP'1l7YTRAY / WATERNEATfR CLF(`1 !C _ <br /> CLOTMES\YASMER WO00 STOVE <br /> URINAL METAL FIR[PLACE�WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSEflT(IVOOD�URNING) <br /> FLOOR ORAIN GAS FIREPLACE <br /> DACKFLO�V Pi1EVENTERS GAS RANGE <br /> SINK�SERVICE—OAR.ETC J GAS PIPING <br /> E%MAUSTFAN <br /> SUOTOTAL 5 SUDTOTAL 5 <br /> PERl.11T 5 PEflA11T 5 <br /> TOTALFEE S TOTALFEE 5 <br /> FOR OPFICE USE ONLY: <br /> n�ONrS[ro�cn nGnsE�o�cn siDES[le�cx ttnMnrtcxM.��m[a rcE n[cEmTq <br /> I olo u3o <br /> v=i:nvc �m�uu v�c.wrsnc FEES VALUATION FEE <br /> n�ts '��+: ovnrnr+o I <br /> ��uerauurte�u.� eaorrnuw�w Sc[aoiocn <br /> ur.ns v�uuo�� <br /> w-�L��u�cv nuttscFis occur.r.rio.o o�s�u[�+r uttNAwKiu I <br /> nrce ❑ero I <br /> IiRESMiiNnICflREOO PC�SIN ADDI1qNLLPlANP1[CN <br /> OiHUi I <br /> IiR[KMNFLOD PE�SON <br /> i1�1F BIIRMN3 SUR�I4RGE I <br /> rrvEnrcor�sr nu�s.rrnovmer CITVOFEVERETT wei[wun+s <br /> LOCALSALES � <br /> i,.�i TA7(COOE IS 9105 TOTAL <br />