Laserfiche WebLink
APPLICATI� FOR CONSTRIICT�N PERMI�T <br /> CIIY OF EVERETT•BUILDIN6 DIVISION � <br /> 3200 CEDAR STREET•EVEREff,WA 99201 •(q25)257•BB70 <br /> ❑ DEMOLITION ❑ CUMBINATION ❑ BIiILDING ❑ MEChANICAL �LUMBING ❑ SIGN <br /> PRUJEC7 ADDRESS:_./Q2O w <br /> _�P <br /> mw+rn uui.awrss c tm >�ro�, <br /> S�aa��n �x�rf rz,���, /�eC,�� ���� �t,� - iias <br /> IENWI 4YIAMP�S$ �I�Y I�� � R�ONF <br /> 1flf,llri(��0�1INSIG�1{I� 4Yl/.DOI�F55 CIIY )r� �H�f " <br /> O!q[f14COqiO�f,Ip1 441I�IIDESS OIY )iP PpptiF c4ftIRfNSF� <br /> Fbit4iL��p•114�f,1�� W� IHMF55 Orv p� PnOYf [f11f l�C[NSE• <br /> ' (�rJe� �IV�. 11,7L ��,Au��uu� .9�i_o73 42;L{otf/ y3�d <br /> ����Biqcc N�a�f,�n vu�etvmEss C�h Z�a r,uahi sultl¢[nSF. ��/ <br /> �.or�n�crnmcr rwone ��[) <br /> .__��.�QO ,0�� HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> orscnmewonxevuroi n���r�ceiuwivm � mrn.ci�.rnsoH•rmn�or�Fuo <br /> S S <br /> I HERE�Y CEFTIfY THAT I MFVE REAO AND EYAMINEO THIS <br /> ruorosvo usc or nunoivc APPLICATION AHD NNOW TNE SAME TO DE TRUE�ND GORRECT ALL <br /> PROVISIONS OF LAWS AND OR�INANCES GOVERNING TMIS TVPE OF <br /> WORN WIIL �E COMPUED WITH WMETHER SPEQFIEO HEREIN OR <br /> ieceioescmn�ip�a�noremyisawr�euowonenen�iwown[s NOT iHE GRANTiNG OF A PERMIT DOES NOT PqESUM[ TO GIVE <br /> �°�- oiocK or AUTNORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW PEGULATING CONSiRUCTION OR TNE <br /> PERFORMANCE CF CONSTRUCTION. iNAT I AM AUTNORIZEO Bv THE <br /> OWNEfi pF THIS PROPENTV TO PE�FOPM THE WORN FOR NHICM <br /> nPPLICATION IS MFDE ND �LY WITN THE SiATE <br /> rnnr.rt u.i o Hvuncn CO" RPCTORS lAW 9 2]R W q� eg6 200 WAC. <br /> � <br /> CO45fl111CIIpl1l1�N�[NpF11.�qM[551[IEApNENU4pF11 % <br /> _ �IG11�1�11 � ��I( <br /> fifVq111N[ IICFIISCHO <br /> PLUMBING N.cCHANICAL ---�'----- <br /> NO. TYPE OF FIXTUflE OR ITEM I'EE N0. TypE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—N11N�LG UNITS <br /> BATHIUB FORLE�AIP SVSTEMS <br /> LAVATORY(WASH BASIN) HEAT PIIMP <br /> SMOWER UNITHEATERS � <br /> KITCHEN SINN 8 DISP CLOTHES ORVERS —��-- <br /> OISMYlASNER RANGE HOOD <br /> _ LAUNDRV TRAY WATER MEATER <br /> CLOTNES WASMER WOOD STOVE <br /> URINAL METAL FIPEPLACE(Vl000 BURNING) <br /> _ DRINKING FOUNTAIN FIPEPtACE INSERT hV00D BURNING) <br /> FLOOR DRAIN GAS FIREPLAGE <br /> DACNFLOW PqLVENTERS GASRANGE <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING � <br /> EkHAVSTFAN <br /> Q <br /> SUD TOTAL E $UB TOTAL E Q; <br /> _ PERMIT S PERMIT S <br /> TOTAI FEE S /�J ' TOTAL FEE f <br /> FOR OFFICE USE ONLY: <br /> �nourvID�rx nr�ntt!p�c[ SO[SFIeLCK r4MUi(CxNounrR rfr nKrirrrvo <br /> 5� d <br /> i����ovr im�nt• v�u•nSnF FEES <br /> VRIUATION FEE <br /> ❑Yf5 ❑�'(J fllnlf��4f. -T- <br /> nf iGnf I�w��uOv NO�N UWEIUNG SRE W Bi0G�11 - <br /> M�l <br /> I�IVMpWfi <br /> O� in�niv X1fie�luqS IX:CVn�N�IU�D � �� �� <br /> . . � B�SFMENI Nf�11.1NiC�1 <br /> ❑Y!5 ❑r�� � _ _ ___ __ <br /> 1����1.'�111.I:KL[HNE�]'D 11��tifY! �DD1�1(IN111'I�NCIIlCK <br /> ��� <br /> (III�f� <br /> I��I:I0.LAlINPfO�� IIF�CnV <br /> [I�If PVi1�iM1(:51111CIInl1(.f <br /> nrt rn roqvr nnp5.rraovvnor CITY OF EVERETT �nnucxnn.c <br /> LOCALSALES ------- —. ---- _ <br /> mie TAX CODE IS J105 To7AL <br />