Laserfiche WebLink
AF►PLICAYI�V FOF� COfJSTRUC�ON PEF�MlT� <br /> CITV OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98�01 •259-8810 <br /> �i DEMOLITION f I CUMBINATION f l BUILUIYG Il MECHANICAL f l PLUMBING f�I SIGN <br /> PROJECT ADORESS /� <br /> �'/��.."�i ��Ou�[.��� ���C� ��/� � <br /> orvscn unn.nooncss nn nr ruove <br /> iyeE E ,a�,�r.�.� ��,8ox a�6 �v�,�- pdao.� �o� 35s�-5�7a..s- <br /> 1 NI.'�l ;Ail Mf)RCS$ GIi'I LIP �IIONE <br /> _yramioLc•siy�l .��o�dc�y� �ve��✓D`- 9�ao� ao6 asg-aaay— <br /> nac�arrcronoessarn rn<i�uioncss O' a�v ,m pHor�p <br /> S�E � a�.- <br /> co:rnn�corunnaon v<iuooncss a�r nr— r�rous srnreuc[uss. <br /> vrc. wcetcoumacmn vnawonEss att zm cnonc srnreucce=_s. <br /> nuaFrtiGcoHiP�c�oR MULP➢ouE55 Orv zir rrqh�c s*NEl¢ENSEr <br /> LOVIqAClpOICF.OF W011x <br /> /�-j -7 /; HEATING SYSTeM17: [l GAS S�ELECTRIC f7 <br /> orscmnewnnxm:usounnf oonceervoivco co�nncrrcnsor+um�novrNo <br /> Q��Le,r ��iiL SG/bc� 3�� LyGE E ,��/�/✓�L �tOG 3-�-`/7a-S' <br /> �`��}c/. 1G„� = 3oa J-' L = /s%3 sc,Fr <br /> �XZz— 8(�51�, 'Z —� I HEREf3V CERTIFV THAT I HAVE READ AND EXAMINEO THI$ <br /> rn oseo u5E or nmm�vc FPPLICFTION AND KNOW THE SAldE TO BE TRUE ANO CORRECT ALL <br /> // PROVISIONS OF LAWS AND OPOINANCES GOVERNING Th115 TVPE OF <br /> yf�f�� 1�����I WORK WILL BE COMPLIED WITH WHETHER SPEQFIED HEREIN OR <br /> iecn� cscmrnor�oFrnorenrvisrowNottovia nern/rv,�¢m+iesi NOT. THE GRANTING OF A PERMIT DOEE IJOT PPESUME TO �IVE <br /> �or_��_�eocn 3 or �N�qN/Sy A'JTHORITV TO VIOLATE OR CANCEL THE PFOVISION OF ANY <br /> [!�".'ll'd/ �o. �— ��f^ ENoF OTHER STATE OR LOCAL IAVJ REGILAIING CONSTPLICTION OR THE <br /> � ✓ L((q/�' p f L.J�S' PERFORldANGE OF CONSTqUCT10N.THAT I AM AUTHORIZED BY iHE <br /> ��� ��. p T� OWNER OF TMIS PRGPERTY TO PEFFORM THE WORK FOR VJHICH <br /> � /�or � `o �'�� < O �PPLICATION IS IdADE AND I COlAPLV WITH THE STATE <br /> LU���P���O�G ,3 ec�syio /j CONTRACTORSlAW1G2]RGbYAND29G200WAC. <br /> cor�snacnov�ou,inmen,eoonsss iurn�wxervuMnsn <br /> '� /.�L¢vi�.d--� �� /��yl� <br /> _ .ir i O tf.i lv o�rc <br /> cn ousw�ssucexser+o. <br /> PLUMBING MECMANICAL <br /> � TYPE OF FIXTURE OP ITEM FEE NO. TYPE OF FI%TUflE OR ITEM FEE <br /> t1 WATEFCLOSET1701LET) q/C-A-'4N�LGUNITS-H.P. <br /> y DATHTU� "'S C Bf� FOFCEDFIRSYSTEMS-B.T.U. M E.A. <br /> tf • LAVATORY(WAEHBASIN) HEFTPUMP <br /> SHOIh'E{i UNITHEATERS-�TU M <br /> 'Ly.� KITCHEN SINK A DISP CLOTHES�FVERS <br /> �fi '/� OISI6YASHER VENTILATION FAN <br /> �I� LAUN�RYTRAV R�NG[NOOD <br /> /�. CLOTHESWASHER WATERHEAiER <br /> URINAL YlOOD STOVE <br /> ORINNING FOUNTAIV METAL FIREPLACE(WOOD BURNING) <br /> FLCOH ORAIN FIREPLACE INSERT(N/OOD BURNING) <br /> Of�CKFLOW PREVENTERS GAS FlREPLACE <br /> SIIJI((SERVICE-DAR,E I'C.) GAS RANGE � <br /> GAS PIPING <br /> EXNAUSTFAN <br /> SUBiOTAL 5 SUBTOTAL 5 <br /> PERMIT 5 PERMIT 5 <br /> i TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: $qs � t} �2�^� <br /> rncr��sEmn�'H acnnsEmncx smesrroncrc rur�c��ccnNUMncn r� � nEr.cir�n�o. <br /> /� <br /> � J� ��` `�� ���c . �_� <br /> osrzo�e ^ io.encn vsu�H�rsnr. PEES VAWATION FEE <br /> �� ` �"5 fl 1:0 ���j — <br /> nuimum /'_ SJ -�' �=�=� <br /> IIEIGIIIIIA'.IlP`IOY NOO�D\YCIII\G EII[OF�IOL�II � <br /> �N��s s:f P,��o���� /2 <br /> 28�z s�z <br /> GIiJ111�N�' NOOf5I0NE$ OCLl:1�RNILOPI] pRSEMENi M[CNµ'ICII <br /> �;'�J � Z- r�r�s � — IZD ; <br /> naEn�_nrnnEoo ar.�su+ �ooinorveiri.wc��ecn <br /> orxcn <br /> rcr.�=anwnrnneoo nenc�u+ <br /> sv.*eounnirvcsuncnnnce �, ;��/1 <br /> ttveovcor+>* cinr�snrvnwmu: CITYOPEVERETT rueucwones JJ - <br /> LOCALSALCS — <br /> _�=�( onrz �ylq= TAX CODE I$9105 TOTAL <br /> . . .: / "' . . . _ <br /> �J- ., r� . �. _ <br /> i�i. <br /> ii'� .�-, .yi: <br />