Laserfiche WebLink
APPLICATIO�FOR CONSTRUCT�1 PEpMIT� <br /> CITY OF EVERETT•BUIIDIN(i DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 9E201•257-8810 <br /> O DEMOLRION ❑ COMBpiATION O lIIILDkW ❑ MECHAMCAL ❑ p�I1NSNq ❑ 8101� <br /> PROJECT ADDRESS ��6� �/Ew.� <br /> OM4R WL�R�Et! CT' Z� <br /> f�%Ee.��.c..v.G L��U, GG z9//� waK <br /> �� �w��Y �vC.�-e� LiJ.a S�ZS-ZSE-53G(� <br /> TEWM!� � wL�OpIFK 7 CrtY // <br /> G�.��ti .'"��n.o s4- f/,. �:� � �PL•l.�Rro �..�~i+�i✓� ?iv�ll�iiti5 <br /> u�i�cranoceor4n u.u�oonEu an zs nara <br /> ou�wammwcian wanooreu an a narc rt�nucua[� <br /> PwNt1 <br /> YECNM11C4CONf1UCTOP WL�CO,E55 p}Y ZP RQE 6I�1f1IR16E• <br /> 'MYlTOCOMtRI{i[M MAlL�0.ME54 SP RIRE ST�IELCFME� <br /> F/�,i...e � <br /> i3..l,�s,._,e/' �"/rc �,� <br /> ca�nuc,mce or wrn+ <br /> HEATIN6 SYSTEM: ❑OA8 ❑ELECTRIC ❑ <br /> OESCRRE Wd11tN060UMEFOOTbEM/0.VfD CONf.1CiPERW11NONqNE W. <br /> / L�/EGe—� <br /> d/�.�/t E,t.51..�-1 T�.�► r....� <br /> G�S� fy/$ �.�1 E��y S � 1 HEREBY CERTIFY TMAT I HAVE READ �ND E%AMINED iHIS <br /> movoseo use or euaoma � � ��CAT10N AND IRJOW T1E SM1E TO BE TRUE I�ND CORRECT./Ul <br /> G� „.._, ,�. / ,zr�./ o���� PROVISIONS OF UWS AND ORDINANCES OOVEHNMq iMIS TVPE OF <br /> � WONK N7LL BE COMPLIED WITH WIIETNER $pECIF1ED HEREIN OR <br /> �auocuanna+arvwr[nrviswhwe[iowon�nrcnrvucov[si NOT. T11E ORANTINO OF A PERMR DOES NOT PRESUME 70 OrvE <br /> iar �-�U /�/pp� (i�s_a_S..-..�//,.. /fy AUTHORITY TO VIOLATE OH CANCEL THE PROVISION pF �NV <br /> z�dd -1� ��E.�r Y� PERFpp TMANCE OF CONSTURUCT qN.�TInUNTaI M�A ASIR IORIZED BY TFIE <br /> ONTlER OF TMIS PROPER7V TO PEpFOqM 7HE WppK FOR WHICH <br /> APPIICATION IS MADE AND I COMPLV WIlH iHE STA7E <br /> vw¢¢�r�z i o.ruuxn CONTMCIORS UW 1l.D RCW AND 2p6,2pp WAC. <br /> ,� _ -- �� � /{/'/ <br /> COM9TAICTpNLQWIEWERMqiE55.1ElERqhEMl1lER z �� / Gl <br /> 6\iWlllllE M}E <br /> GfY GISIE55 LICENSE ND. <br /> PLIMlINO MECMAINC�L <br /> NO. T'PE OF Fl%7U11E OII ITEM FEE NO. T1'PE OF EWIPMENT FEE <br /> W�TER CLOSET(TO�LEiI NC—ATINDLO UNITS <br /> BAMT�B ' FORCEUAIRSV9TEMS � <br /> LAV�TORY ry/ASM BASIN) HEAT PUMP <br /> ��R UNIT NEATERS t <br /> KITCNEN SINK 6 DISP CLOTNES DIIYER9 j <br /> OISHW�SHER MNOE HOOD ! <br /> UUNDRV TMV � WATER HEAlER � <br /> CLOTMESWASHER i yyppp97pyE i <br /> URINAL METALFlREpIACE�WpppBURNINO) � <br /> DRINKINO FOUNTAIN FlREPIACE M9EIiT�WOOD BURNIN(i) <br /> FLOOR DMIN � p�$FIREPLACE � <br /> B/�CKFLOW PREVENTERS � p�g q�� <br /> SINK(SERVICE—&1R,ETC.) (y�5 ppMp <br /> i E%IUUST PAN <br /> _ _ i <br /> 1 <br /> SUB TOTAL S SUB IOTAL { <br /> PER`J!T S PERMIT S <br /> TOTALFEE � TOTALFEE f . <br /> FOR OFFICE USE ONLY: <br /> fRONfSETMCF PEAq6Ef0lipt 6pE5EtlKX RINd1ECRMMlEq p[�(q�q <br /> – � x �STr.JG — - <br /> �� <br /> usez� LOtARE� vic�wrs� FEEa VILLUAtpN � FEE <br /> � - / �'Es P�' euaono <br /> rrtar�ruurc•rror� � raaowEuma sixcorsna+i. <br /> �, �.rs ,�,�r ,� 5.� au.,b <br /> occwiu�cr ruas*a�s occw.wriwo asEucm ��k <br /> Z � � or�s ,�no <br /> FPESPN�MhERPEO� 11EASp1 �CUTIOlMLPI.WCMEfJt <br /> r'' o � <br /> FPE/M1Ai1M11E0U REASON <br /> J ST�IEluapp6UlGYwqE <br /> *rre or c«rs* aµs � CITY OF EVERETT wue wew`s <br /> ,u LOCALSALES <br /> a,� - 1\ - uJ TAX CODE IS�105 �OT�L <br />