Laserfiche WebLink
APPLICATI� FOR CON�TRUCT ON PERMIT <br /> CIN OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVER[fT,WA 98201 •(425)[57-8810 <br /> ❑ DEMOLITION � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PIUh^.81NG C SIGN <br /> PROJECTA�DRESS: IDUD 5.�. �JLYU(7�' }�(,�,Q, WLvj � � rR. � ��Q(ftJy,j # 30S <br /> �a�s F /ue �,- �/o C�!(ie�s � &ao 5thAv�e� Su4Cc 3y3o� SEafik ul� 9&Oa <br /> ow��tn �u��oouc�s � arv nr v�ron[ <br /> Cc'�4 Uiw(vev9ifr�1 � 335 1/G�hqu15E � /x((evc�G� UIR qS00� CuKve P�)8 <br /> i <br /> irv�v� � u.nw�ess niv no vrmne �'/t �'— <br /> EotaKC�� I�C>�9v� � c�r�069 L�(fh`�}uC I.J� Mdcu+.f�Q.�: r'�11?-a �U/ff' 4�25�(old-(o/O�i <br /> ♦m;n�*rcin�o[s�on�� i nnntsc �nr nr � rv�o.��— <br /> ��5 �onfn.efa�; �y?v8 If8'�Sli1� a�llQ� ayKnwaod, UlA HS�on;�eod�c. <br /> ctNr.ulcovmec��n unnnoon[55� �n� )ir �x�v[ c4qlR(Ms�. <br /> NI9 �i:�� �,� �-laS�y4-a�3� �70-�� <br /> NFCu/4i�lf.ON1�410� 4ul�fqnf55 [?I � ��t Mb.f SfR1LCEN5E� <br /> MUPBn:f.CON�n�pqi Y��1I.[NME55 bir IIP �eONF SI��fVLENSF• <br /> mvm�nrn¢ru won — <br /> _?���}g���(5 7 b�,c(a(pu,f�� HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> OF,GG111�f W'JqN/. I)SOU�P[fOO1�Gf INVOIVED COY11Ll vlRSON�Ml l'll(M'f NO <br /> �ur Ti a.kd bo�.:.ldowf'. �; ��, �Q„q yar 6�0-��06 <br /> I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION ANO NNOW THE SAME TO BE TRUE ANO WRRECT A�� <br /> inovosroiist m n�mmrx: PpOV1510NS OF LAWS AND ORDINANCES GOVERNING THIS tYPE OF <br /> D�GG� WOAK WII� BE COMPUED WITH WHETHER SPEGIFIEO HEFEIN OR <br /> tvr..in[su��nup�o�riror[nrv�sww��etmwonenecNrxomncsi NOT. THE GRANTMG OF A PEFMIT OOES NOt PRESUME TO GNE <br /> io� nioc. or AUiHOFITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> '/ �� OTHER STqTE OR LOCAL LAW PEGULATING CONSTRUCTION OF iHE <br /> �LL/JJ6�'�. bJ1�t�f T�� PERFORMANCE OF CONSTRUCTION.TMAT I AM AUIHOR2ED BY THE <br /> OWNER OF THI$ PROPEHTY TO PERPORM TME WORN FOR WHICM <br /> APPLICATION I MADE ANDA I GOMPLV WITH TME STATE <br /> rnncr ur i p rniui rn WNTqA ORS L IB�2l PCW ND 29ti.400 WAG. <br /> }sr18o5 - 3 -05`/-ooZ � ,�n� <br /> �!ti5� 3�• pU <br /> ClIVGIlIIIC�IlM�10�N1(NfIF(1AM111[5[,1[I[AIp4ENU4RFf1 z <br /> �•GIIIIUII! U U11[ <br /> Olv pV5nrt5'.liCE115[HO <br /> PLUMBING MECN�NICA� <br /> NO. TYPEOFFI%TUREOf11TEM FEE NO. TVPEOFEOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—P/HNDLG UNITS <br /> BATHTU� FORCEDAIRSVSiEMS ' <br /> IAVATORV(WASH BASIN) HEAT PUMP <br /> SNOWER UNI7 HEATERS <br /> NITCHEN SINI(8 DISP CL07HE5 DRYEFS <br /> DISHWASHER RANGE H000 <br /> LAUN�RY TRAV IVATER NEATER <br /> CLOTHES WASHEP WOOD STOVE <br /> 11RINAL METAL FIREPLACE(VJOOD BI/RNING� <br /> DMNKING FOUHTAM FlREPIACE INSERT hN00D Bt1RNING� <br /> ftOOR DFAIN GFS FIREGLAGE <br /> DACNFLOW PRLVENTERS GASRANGE <br /> SINK�SERVICE—BAR.ETC.) GAS PIPING <br /> E);HAUST FAN <br /> SUB TOTAL S SUB TOTAL f <br /> PERMIT S PERMIT 5 <br /> TOTALFEE S TOTALFEE 5 L_ <br /> FOR OFFICE USE ONLY: <br /> in"�rt¢I�MrK nrNWiP�cR S�as[IB�cx r��np�[cxnvanrP r[r �)� nfrrmrMo <br /> lSOc�o3 -oo�� �oly� <br /> ���.�tovr io�•au wc•wsn[ FEES VAWIITION FEE <br /> A.D'"'YC$ ❑HG� Rllll[114f. O� —T— <br /> ��!I:�1�I I411�1104 141lY I�w�l11MG 512'F O��9/�vy^�1 ''�`) I � <br /> t/ y_1 �� ��- 1`111411iNf � <br /> ✓V�V' <br /> __ _ .. —. ______ _ _... _�— <br /> t);`IIIU\<v ��I���`n1> IX:CIi�'�NIIV� fl�CFNC41 <br /> .� JVIYJ / �� MEI�.���l�if�� <br /> b �( �, U O�fS �nn . . . .. . <br /> r�.r.t �1�upEo�tl-- nr�s»+ noannv��rieuartcx __ ___ ___ __ <br /> �' — �,YG' mnrn <br /> i�i:�nuiwam�o nwsm ` <br /> y� �/� (Inll P�Irlf)V1:511fiC11�11f.0 <br /> � <br /> i�norrovcr — rtnas��wrnm CITYOFEVERETT ���n.�a-nni�.� <br /> � '. N D LOCAL SALE6 <br /> _ ��.�t O�/ TAXCOUEI5�105 TOTAL -'--- �—�— '_�— ' <br /> i <br />