Laserfiche WebLink
APPLICA't�N FOR CONSTRU�ION PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201•259-BB70 <br /> J2JDEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUTABING ❑ SIGN <br /> PROJECT ADDRESS: �3/3 Y�{oc�I /�t�� <br /> .J�q K C—r�E,si3i9 flrx�t �la�e Gvr,—� 9Aaoi�E a58—(��1PG <br /> c���,. .. <br /> IEMM'i YYI�OpIf.55 CAIv f�� ���CMF <br /> •qClllf[CiOPOES�GMFN M�IIYIOnE55 CIM1 )�� �'MOxF <br /> QENCIII./CONtA1011 MM��CO11F$$ GIY )i1' PIIONE $IAIFIICCNSE� <br /> /' --�--�T � � Q�,;� a�v /,�c sfC�,c.�s 9d'a58 _339�-9a�:a tio�ff �'�i2ycn <br /> �ECNaNiC4CON1 �C�OP MI�U�E55 btt I�P FUOME SGiEUCENSE� <br /> ��G�J .j�9A-�.'✓� <br /> PIUUBwGLONIuqiW 4u1�W1�E55 C�IY D� ���E SiA1El�CFt�SE� <br /> ea.rnnervmccwwone HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> ' i 'sSo <br /> o[SCNaEv.onK�Wusrnu�frppincEwvo��2o cov�ntrrcnsoxu�or w <br /> .�o x a�T r�c � �rod�-�.�9-l0�/�� <br /> I HERF.OY CERTIFY THAT I NAVE REAO PND E%AMINEO THIS <br /> APPLICAT1011 AND KNOW iME SAME TO BE TRUE AND CORRECT ALL <br /> vnpvpseous[a am�m�a PPOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> �-7�1i'AG E WORN WILL BF COMPLIED WITH WMETMEfl SPECIflED HEREIN OR <br /> iEG�.LOFSCPiP➢W0�1'flp'Eiltt .ry�OwHBCIOWOne1TeLN1VroCOviE51 NOT. TNE GRANTING OF A PERMIT DOES NOi PFESUME TO GIVE <br /> tm�'d x eiote � ��Cr r AUTNORITY TO VIOUTE OR CANCEL THE PPOVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGUUTING CONSiRUCTION OR THE <br /> PEHFORMANCE OF CONSTRUCTION.TMAT I AM AUTHORIZEO 9Y TNE <br /> ' OWNER OF THIS PROPEflTY TO PERFOPM THE WORK FOP WHICH <br /> /Q E � // APPI.ICATIDN IS MAOE AND I COMPLY WITM THE S7ATE <br /> ��� CONTfiAGTORS lR1Y IB27 RGW AND 296200 WAC. <br /> rrx[t r.0�o ruuecn <br /> �h5- �1 ys--cxJ� -0vo� • „ C � <br /> cwsrmic��ou�i[xoen�ooncss.r[iErnaemnocn x <br /> S�G un w�E <br /> CIIY 11U4NE5$lIC[NSL� <br /> PLUMBING MECIIANICAL <br /> NO. TVPE OF FlIRUNE ON ITEM FEE N0. iYPE Oi EOUIPMENT FEE <br /> WATEfl CLOSET�TOILEn NC—NNNDLG UHRS <br /> BATHTUD FORCED AIR SYSTEMS <br /> UVATORV(WASH�ASIN) HEAT PUMF <br /> SNOWER UNIT IIEATEf15 <br /> NITCHEN SiNK 8 DISP CIOTHES��vERS <br /> DISHWASHER fL1NGE MOOD <br /> LAUNORV TRAY WATER MiEAT�R <br /> CIOTHES WASHER WOOD STOVE <br /> URINAL MEiAL FIREPLACE(vVOOD BURNING� <br /> �RINNINO FOUNTAM FIflEPIACE INSERT hVOOD BURNING) <br /> FLOOR DRAIN GAS FIPEPIACE <br /> OACKF�OW PREVENTERS GAS RANGE <br /> SINK�SERVICE—BAR.ETC,) GAS PIPING - <br /> E%HAUSTFAN <br /> SU�TOTAI S SU�TOTAL S ' <br /> —T <br /> PERMIT f PERMIT S _ <br /> TOTAIFEE f TOTALFEE f <br /> FOR OFFICE USE ONLY: — <br /> (11pNf5E1BI^�CG ]EMSfi0^4✓. f�OfS[1R�C✓.� / �141f.11(CFNUVOff1 !Ff ^O �ff.flP1N0 <br /> �� �/ ./ / •' �� �W.7� <br /> us¢1art �ounu � v�c�r��s�rE FEES VALUATION FEE <br /> F. , � ;',V, ❑res ❑r�o ou�awr, fj S� ��l ',� <br /> NE�G��1 L�uR�ipM XO O�O�Klurq S�IE d BltGrtl � <br /> I i.♦ UNllf ^ � PIIIMMG __ i <br /> V <br /> CCnapN61 Mp51M6 CCCM�N�W�O 8�SE4E4t uFC�UNK4 - - <br /> „_ � o.�� r� <br /> �:nEsowH�itnnco�o nc�sa+ •oaiin�:u.n.Hc�uc. ' _ <br /> on�cn <br /> (iPENAIIMNFO'0 PE�SCh 1 <br /> Si�IEB���lpr�f.SitOb���( ��� <br /> ��rcorcovsr ru�sN'r�qvmar CITYOFEVERETT ^���K`�'"`°° <br /> �- LOCALSnLES --- —---�—'— '--�— <br /> -�t/ �,.�� G�3/gS rnzcor,r- �a,os roin� ! <br />