Laserfiche WebLink
I►PPLICATI�"�l FOR CONSTI;fICT'ON P�RiJ11T <br />CITY OF EVERETT • BUILOING DIVISION �e���� <br />3200 CEDAR STREET • EVERi_1'T, WA 98201 • 259-8810 <br />❑ DEMOUTION ❑ COMBINATION ❑ BUILDING J7�ME�HANICAL ❑ pLUM81NG ❑ SIGN <br />PROJECT ADDRESS: �l�i I'� i�/l� I A�I �. I sv �— i TT— G k ����..� <br />—, �i ,.� , <br />IENIJl1 MAIIADORE55 � f.I1V � tIV PIIONE --- — <br />l <br />I n /✓1'�' <br />•qL11RCCTORDE5IGHER k� MAI�DORE55 ❑rv Ii� PuO��f <br />VIUA�BING COGTRA� <br />CQYiRACT PPoGE OF <br />OESGRIBE Yq{iN I1N( <br />C, i -<;� <br />PRp'OSEO USE OF B <br />IEfJ�L DESCPIPiION <br />iot <br />YAII AODpE55 CIIY <br />�r,n�, <br />< t i� �• <br />�-�- 'J�C� <br />1RE FOpTAGE INVOlVEO <br />BIOCN <br />'-I IJ�� OC)�I U�� <br />LONSiPi'.a�LV IOAN LENDEfI. MURESS, TElEP110NE NOMBER <br />TYPE OF FU(TURE OR ITEM <br />WATEF CLOSET (TOILEn <br />BATHTUB <br />DISP <br />CLOTHES WASHEF <br />URINAL <br />SUB TOiAL S <br />PERMIT S <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />fRONT SRp�CK RCA11 SFTO�GN SIOE SEIOACH <br />USE IONF <br />IIE�GIIi UMIiATION <br />lOte�FA <br />NO O[ UWEIIING <br />llNliC <br />51(W[5 OCCUPANIIU�D <br />FIf1E SPHINNL[R NEO'D <br />FEE <br />ruunt 54iE IICENSE • <br />z�-_-.��(v,-� nl,� �,, <br />PIIONE STRE LICENSE � <br />PHONE ST�iELICENSE• <br />HEATING SYSTEM: � GAS ❑ ELECTRIC p <br />CONI�Ci{'ERSON�NfIP110bFN0 � , / , „ 1 . <br />I HEREBY CERTIFY THAT 1 HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES COVERNING THIS TYPE OF <br />WORK WILL BE COMPL.IED WITH WHETHER SPECIFIED HEfiEIN OR <br />N07, THE GFlANTING O�� A PEFMIT COES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CAIdCEL THE PflOViSION UF ANY <br />OTHER STATE OR LOCAL LAW HEGULATING CONSTRUCTION OR THE <br />PEHFORMANCE OF CONSTRU(;TION. TFIAT : AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MA '.4N0 I COMPLY WITH TNE STATE <br />CONTRACTORS LA 8.27 Y1 AND 296.200 WAG. <br />x ZZ���I � <br />$IGNATURE D� E <br />CIIY flU51NES5l ICENSC NO <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />rORCED AIR SYSTEMS <br />HEAT PUMP <br />UN:T HEATERS <br />CLOTHES DRYERS <br />RANGEHOOD <br />WATEF HEATEF <br />WOOD S10VE <br />PIPING <br />�UST FAN <br />SUDTOTAL S /'�, <br />�ERMIT S ��.�_ <br />TOTAL FEE S '( ) <br />1`lMlGll[CMNUM9f11 � IfPI I11fC[IPINO <br />� �� ��� <br />vecu+� srtr FEES <br />❑YES ❑ NU p111101NG <br />sii[orotlM.rtl ------'-'— <br />Pt11M11WG <br />6A5@MENt MFCIUt�i(nl <br />❑YES ❑ MO ----- <br />ADOI IIDN�I. PI �N C8f CN <br />on�rn <br />9qE tlUIICING S�IOCIUf16E <br />CITY OF EVEFlETT �imur.wonKs <br />LOCAL SALES — <br />TA% CODE IS 3105 TOTAL <br />