Laserfiche WebLink
APPLICATI� FOR CONSTRUCT�N PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVEHETT,WA 98201 •259-8810 <br /> fl DEMOLITION f I COMBINATION fl BUILDING 1 MECHANICAL t 1 PLUMBING f � SIGN <br /> PROJECTADDRESS {t__ <br /> �� - � , �t�� qR <br /> OKN[B MMl�OC1�F59 Clh liP �ryp � <br /> �<-� �ti �'� s� i r �',F �.;�U,�E�r �„ � ���0_ .� ) � � � <br /> rzv�vi uu�ern��rss nrv r,iv' I �1,� rurn, <br /> � i 2'� � ^io r 1— !�1���..1,��L�L.�--���/ \-4�7�0_-- <br /> •r¢�arrc�ono[sr.vt uenenonics �i�r �,r r hF <br /> r.run�i .avmectm vui.n�w�rss l�-�f-�?--�-I.L�C'- <br /> 'I ♦ ^� ��/ �11 cnr riT nav� curtucrvse. <br /> /v/! 1 l.tli����:'/���-_. ��L.. il ,.�� I/ � p y��]�I I //! <br /> FC 4 O OP /l )C�� ���—�/�G- �� (�1/�--�����1_LL� <br /> lAI1MF5 Clh In Ti ryp4 541f11ClN5[� <br /> PLIINBINGCQYIPAf,lIX1 44lEfNME55 CIfY !iC PI�ONE <br /> SGIE IILFNSf• <br /> CONIMCI l`IryCf q NTN1v, <br /> ���C' HEATING SYSTEM: I�GAS � i ELECTRIC � t <br /> ntunmc wonK u�a�aunF ropuc[MvoivEo corrtncr rrnsor�um rrrovr rq <br /> � J - <br /> ..^ �y �1 R, L-��Sl�� <br /> 1 HEREOV CERTIFY ?HAT I HAVE READ AND EXAMINEO iH15 <br /> napes[ouv w nminrq APPLICATION pND KNOW TME SAME TO QE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE Of <br /> i[ceircscnmua�orvno�nrvis�row�n[�awp�uup�mpcpn¢si WORK WIIL OE COMPUED WITH WHETHEP SPEGFlE� HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO CIVE <br /> ��� A�aK a AUTHOfiITY TO VIOLATE OR CANC'cL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGl1LATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I qM AUiNORIZE��Y THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS h7A�E AND I COMPLY WITH THE STATE <br /> r��«����omn.�n[n ' WNTRACTORSLAW B:? 6N D296200WAC. <br /> �� �J`� �� �� �'�� I I <br /> CON511111CTONIO�NlfNI1F11MyM1f55.1i1[hIPVE PE11 � / � <br /> X <br /> SqN9U11C l t( <br /> f,I1Y BVyM55 tlCf MSC uO <br /> PLUMBING MECN�NICAL <br /> NO. TYPE OF Fl%TURE OP ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/�-qry�NDLG UNRS-H.P. <br /> __ BATHTUD FORCEDAIRSVSTEMS-B.TU. M E.A. <br /> LAVATORV pYASM OASIN) NEAT PUMP <br /> SHOWER <br /> UNITHEATERS-�TU. M <br /> NITCMEN SINK 8 DISP CIOTHES ORYERS <br /> DISHWASHER VENTILAl10N FAN <br /> LAUNDRY TRAY flANG[HOOC <br /> CLOiHES WASMER WATER HEATER <br /> URINAL WOOD S70VE <br /> _ �RINKINGFOUNTAIN h1ETALFIREPLACE�WOODBURNING) <br /> _ FLOORORnW FlREPlACE195ERT�WOODBUflNING) <br /> BACNFLOW PREVENTERS GAS FIREPLALE <br /> SINK�SERVICE-OAR.ETC <br /> - ') GAS RANGE --�- <br /> GAS PIPING <br /> E%HAUSTfAN <br /> _ $UB TOTAL S SUB TOTAL E . J � <br /> _ PERMIT S PERMIT 5 %�— <br /> TOTALFEE S TOTALFEE E ;>� <br /> FOR OFFICE USE ONLY: <br /> InnlltSflP4k nfM15FID�CN $IMSF�R�CM %�NCIRCNMIMIfp f(f PROP�Iq <br /> �7��� <br /> "`�+�v� io�u�fe wcer�iy�r FEES VAlUAT10N FEE <br /> I�v[[ I:NO T— <br /> OVIIfIR/C <br /> �V�f.ql P4p�li0Y NO�N l�'MlO4G gIE p OIW'll <br /> InlllG <br /> nu+num, <br /> aruru�cr x•n.v,���s acvneNtm.o e�,ceu[rvt - �1— <br /> [.iltNin MfC11U4C�t <br /> �I�E4 n NO _ .�_. <br /> 1i11F�1�1r4111q1� flf�i�vl FIWIIf14�1 f��4C1�1.CN <br /> ---i <br /> - omm <br /> nu�crniv�unnvnn nrec� <br /> <rn�mmnrvt.s�mnum�c — -- <br /> i.n�n ro�.v rinvs�rrncwrnBr -- -.— <br /> CITYOFEVERETT ruw¢wp�.s <br /> LOCALSALES —- <br /> ____ _ oni TA%CODEIS7105 7oTqL <br />