|
APPLICATI� FOR CONSTRUC�N PERMIT
<br /> CITV OF EVEP.ETf•BUILDING DIVISION �
<br /> 3200 CEDAR STREET•EVERETf,WA 98201 •(425)257-8810
<br /> O �EMOLITION ❑ COMBINATION � BUILDINGr �MECHANICAL �PLUMBING ❑ SIGN
<br /> PROJECT.4ODRESS:a��',_�4�__{�JEf�- f�v.0 r ,� _ _
<br /> tC�xw�vN�t�l�P�t;witao t�o�N f�,_�I_,9�2�..(4?5 34�-��7 _
<br /> rLwy�n �. �xmrss an rm �:o�a
<br /> ����
<br /> ��..., ,�.x�,�. �,,. „� - ,,,.�
<br /> �,�j,����- -rQ„����.,���.-�e�, (�1z�7-� � — – --�
<br /> � ,. .
<br /> �isr�R-��x9.1N�.o;a�5���r_�+-iN�za>tti9�, C3t�)-�s14r99-_Fr�e_s_a5�,.°E __.
<br /> nnuiro�.m.onr+ �i nnnrss � � - i��,• �
<br /> �AA.e 1T�.:a',d-MILI�R'l'71"1 fXitzD(i-'4�"CLLE .����f-`?A�o�.I�-�2z��1�_�-�t���t_
<br /> �_,��.,,�,.�,:� ..�.,�- � �,,, , �.. �,.,�„«�«.
<br /> �,�. M���;:�� -- - - ---
<br /> l�luRi�.�.l'Or�1N�r1t11� fNM[55 r�.� l�� �.�'�'�1 C1�e11iC(Y`�f•
<br /> ,m
<br /> �a„�. ,����� „�.�r�.
<br /> ��' —
<br /> �y -���arJ A�� �ry�y�_��vcJ HEATING SVSTEM: �GAS ❑ELECTRIC ❑
<br /> r5ca.nrvw)nR�nusnu 1 Mucrwvolv[n raiuc�nntov.qnn�nvruo
<br /> (�N�LP���a�--��-�hN�
<br /> `��u,�,�� _�r� �vl�� �C�)���-
<br /> �� �y„��=��5.�• V���b�� I MEREO EATIFY INPi I HAVF: PEAD AND E%RA1WE0 THIS�
<br /> ��-'- 1— -- /PPUCAiIONlNO kNOW➢¢SFME 10 OE TPUE FND COFRECT FLL
<br /> �u�dmr-�osr�n av�o�aw�oiwr. PpOV151p��5 OF�AWS qryD OR�INANCES GOVERNINf THIS iVP[OF
<br /> .J_]Ly�GI/ _ WO�N WiI L BE COA1f'LIED YlIiM WNETHER SPECIRED HEREIN OR
<br /> i�ru nrsonrup,o�nnortnrvi5rawneuowOn�n�u��woronu� NOT THE GRANiiNG OF 4 PERAIIT DOCS `!Oi PRESUME TO GIVf
<br /> io�___einr. Or _ AUTHORITV TO VIOIAT@ OR CANCEL TNE PROVi510N OF ANY
<br /> OiNER STATL OR IOCM LAW REfiUTATING CONSiRUCtION OR tHE
<br /> �ERFORMANCE Of CONSTR11CTiON TIIRT i pM AUtHORIZED OY iME
<br /> UWNER 0° TIalS PqO�ERiY TO PERFORM THE WORK FOR WMICH
<br /> APPIJCATIOI! IS MA�E 4ND I GOMPLY W�TN TME STATE
<br /> r�ircn u.i n vuupi n W N1 RhCTORSI�W: I N T�iGW AN�236 200 W/•C
<br /> lu'� —_
<br /> !(yl<1RIKIIry11[II.NIlNMIIIDfM�[SSlCIfAIO�ENII�I�F11 � . . ..
<br /> _�f.N�ulll. � 1��11
<br /> ��12 _.
<br /> — CilY01RIN['$li!IH
<br /> PlUM81NG MECN�NICAL
<br /> N0. TYPE OF fl%TUHE OR ITEM FEE N0. TYI'E OF EOUIPMENT FEE
<br /> WATER CLOSET�TOILET) P/C-P/HNDIG UNITS
<br /> BATHTUD fORCE�AiR SY'iTEMS
<br /> LAVATORV�WASH OASIN) HEAt PUMP
<br /> SMOWER UNIT NEAiERS �
<br /> _-_�__ .
<br /> KITCHEN SINN S DISP CLOiNCS URVERS
<br /> DISMWASHER AA��GE HOOD
<br /> IAVNONV TRRY WATER HEATEP
<br /> GLOTMES W45MER YtOOD SiOVE
<br /> URiNAL METAL FiPEPLACE M1YOOD BURNiNG)
<br /> DR W K iNG FOUNTAIN RFE PLAC[INSERT M1VOOD BUPNING)
<br /> fL00A DHAIN GAS FIREPLAGF _ _
<br /> UlCNFLOW PR[VENTEFS GASFANGE
<br /> _� SINN(SERVIC[-E3AR.ETC) GFS PIPING
<br /> E%MAUSTFAN �_
<br /> 1
<br /> SUB TOTAL S SUB TOTAL f
<br /> PERMIT f PEAMiT $
<br /> TOTALFEE 1 TOinLFEE 5
<br /> FOR OFPICE USE ONLY: ��-Q� ,j�'�P
<br /> in wV�pe�x ar�nsnMc�� SMSr�P�ci nrtr�nuanrn qr nrrtmreo
<br /> tui
<br /> �' 2o D --�2�So0
<br /> ���c� '/� ioi.u�n vr..asn _ iEES VALURTION �EE
<br /> � o,<< o. �� � —3 �-
<br /> PiniIMVG � ��i p�l.� �'�
<br /> . -..�n J�p�o� w a uwnu�: vit a eiocn ___ "- ,_'_ . —
<br /> M1il� ('. ii4�N�� i
<br /> 1 � I I — . ._ _. .____ _ _. .. —{_. ..
<br /> :nl � � 'Y"•��i�v�♦ IMC��1�M11010 BI.a�41��
<br /> ��.11'�1
<br /> �/l,11•4�j.. LL'{ ❑,�s �,0 41,,� _.-- _ _____' __ __ _.
<br /> =�-�i���-w�a��-- rKnzrw- .uonoca ,.norta.
<br /> �t�__ l/�G _ ai��ra — _— —_ __.
<br /> . ��wU��ia�o av�sm __'_ _-_
<br /> ,r� � ,.,�A.,,�.�,:,,.z,..�.�
<br /> y ar0 i , t — - -
<br /> �:rr o��'rn��• n.�s��onnvmm CITY OF EVERETT �
<br /> , �rn.�n-r�.c � /5:.. ' . .
<br /> �"/f,- LOCALSALES . ___._._ _ -____- _. _-_ .__ __ '" _'_
<br /> �' i :' �....r�y�.;_ TA%CODEISJ105 iOiAl '� •
<br /> . - - . . _._� . _ _'__. ___ ..__. __ ' . ___ _ � '--'_�_ �..
<br /> 1
<br />
|