Laserfiche WebLink
APPLICATI� FOR CONSTRUC�ON PERMIT <br />CIN OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 •(425) 257-8810 <br />❑ DEMOL�TION ❑ COMBINATION r❑ BUILDING �'/MECHANICAL ❑ PLUMBING O SION <br />PROJECTADORE55: �/YI� S� G„(!.v�TJf�}'y[q_/!. LSJ_a!y C/�'�D/ <br />•naarrcronoevc.�ce u�n�ooeess cirv rm rvrwrs <br />Meouwc.ir,mnn�c�on uouoWess eirc Im vibry[ 54tet¢EMSE. <br />PIUMBIAGC0111PAf,lp1 N�II�COPE55 dIY SIP PHq1E Si�1ElKENSE• <br />io� oiocn <br />SINK <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />ao <br />1 HFREBV CER7IFY THAT I MFVE REAU AND E%�MINED THIS <br />APPIICAT10N AND KNOW THE SAA1E TO BE TRUE AND CORRECT ALL <br />PPOVISIONS OF UWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANiIN6 OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL TME PROVISION OF ANV <br />OTHER STATE OR IOCAL LAW REGULATING CONSiRUCTION OR TNE <br />PEHFOPMANCE OF CONSTRUCTION. THqi l AM AUTMORIZED BV THE <br />OWNE TMIS PROPEHTY TO PERFORM TME WORN FOR WHICN <br />APPLICATI N IS MADE AND I COMPLY WITN TME 57ATE <br />C NTHA O LAW 27 RCW AND 296200 WAC. <br />�l % <br />si e wrt <br />GfY OUSNC55 LICFNSC HO <br />HEAT PUMP <br />� TOTAL FEE S I I I TOTAL FEE 5 I 'y XS <br />FOR OFFICE USE ONLY: <br />fflpNl[fID¢N f1IM5L�P�LY SIOESF�B4N PtANC11FCXN11411fP fFF �ffFIPINO <br />uvrmvr �im�n[• v�c�uisn[ FEES VALUIITION FEE <br />❑rF5 O �+o �— <br />RInIMM: <br />��FI(:�1lI�Vi1�1104 �:OOUW[LLING SIZEOlBLDG�II <br />IIII1�G p1114fliHC <br />Ull(:111`441:Y Nl�m�1�W�f5 IX:fll1`1NIIO�D 111Gf4EN1 MFf.11�N1(11 � � <br />l.11nll� <br />❑v(5 ONO <br />fili�SP111tiY.LC11fiF09 �F�iCN �Dq11pN�1.1YANC1ICCK <br />owcn <br />I'�:1 PtPi�•.Ili(O�� RFI.f7� ' <br />SL1I OU.tU�qf. SVt1Ll��Of.! <br />tn•r�n�:a•��� rvnvs�rraov[nor CRYOFEVEHETT ruxnr.won.s --� _--' —'— <br />LOCALSALES _.. — ---------- - <br />,,,,, TAX COOE I$ 3105 TOTAL <br />