Laserfiche WebLink
APPLICAT�N FOR CONSTRUf�ION PERMIT� <br />CIN OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVEREI7, WA 98201 • 257-8810 <br />❑ DEMOLITION ❑ COMBINATION pd� B7ILDING ❑ MECHANICAL ❑ PLUMBING ❑ SICN <br />PROJECTADDRESS <br />�+�J!-(rz�l �I�ll��_�.�J, �l _ �-,,;=,•,: � ; ,,� _ <br />YN- Kcv�N S/j ('- �.ln�:c� I�o.t� e�N�2.J n� ��„_. w�. � <br />�,,,,,,_ S��r� �1/� ISf-a.r <br />�.nP� u�R�.00ncss rarv rw p� <br />r u..� / <br />' '�/ �S-G !'A)'r.� SL. J,;_//���6F Un. 9":U! �%G)� S2-`�7'GY/ <br />Ap�NRE• p1pE51GNEN Y�R�OOPE55 CItY ra e......� <br />� .� "I l• �k�rx /NS �� �� 1 c- rr n. 9gtu LSt 3� s <br />ewc ` � � �!. <br />.111 5 Uir ZW R�ONE Si�iEI�CEHSE• <br />K= ��.d'J hf1(f � <br />/.• <br />V BLOLN _ C�_ _ _ <br />. � . �l.V%�1�.� �t.' ._._ _ �_ <br />_��� _��✓�'_/1�/7 -�'Z? �_� <br />u¢c�iu�o.mn.�.n � '- . ..—'_-- <br />WATER <br />TflAV <br />URINA� <br />DRINKINQ <br />FEE <br />HEATING SYSTEM: Q'GAS ❑ ELECTRIC p <br />COxfKi vEn50ri NWf�qnE xp <br />y/ � z �s - ��w <br />I MEFEDY CEPTIFV THAT I NAVE REAO AND EXAMINED TNIS <br />APPLICATION AND NNOW THE SAME TO BE TRUE ANO COflRECT. ALL <br />PROVISIONS OF lAWS PND OROINANCES GOVEpNING TMIS 7YPE OF <br />WORK WILL BE COMPLIED WITH WHETHEfl SPECIFiED HEREIN OR <br />NOT. 1ME GRANTING CF A PERM�T WES NOi PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PRpy1510N OF �NV <br />OTHER STATE OR LOCAL LAW REGUUT�NG CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTqOCTqN. THAT I AM AUTFpqIZEO BV TIE <br />OWNER OF TMIS PItOPERTV TO PEPFOqM TME WORK FOR WHICN <br />APPLICATION IS MADE AND 1 COMPLV WITN THE STATE <br />CANTfiACT lA1V 1 B 2l RCW AND 2%200 WAC. <br />z � � o � <br />��� h � <br />� .t -t -z -7z•. <br />Li1Y B�Su:'.SS I�CENSE Np <br />HEAT PUMP <br />UNIT HEATERS <br />CLOTHESDRYEFS <br />RANGEHOOp <br />WATER HEATER <br />1VOOD STOVE <br />METAL FIREFtACE �VOpD OURNING� <br />FIREPIACF. INSERT (WOOD PURNING) <br />GAS FIREPLACE <br />GASRANGE <br />GAS PICING <br />E%HAUSTFAN <br />/ , � <br />SUD T07A1 <br />PERMIT <br />TOTAIFEE <br />FOR OFFICE USE ONLY: <br />ffWNi5R0�1LK PEMSCpiOKN 5'.C�ES[1B1CM pW��ry��Kp�ypE�q /�/ <br />usf.iorvc � lOI/.FEA O v�c'.vursnt FEES <br />'`� Z x(iE5 ❑ NO <br />BULDwO <br />N[Iunllluii�iqN IqMOWCLLWG ^QEOf&M41 <br />� ���,s a 3_ -0 5 f a��o�� <br />ca'.�c�cu+cr ruasra�s a:cur..,.io.o e� ucx. uccw.rrx <br />3 Y • � a.es d� <br />INEsvnirMtEnaEoo aE�Sa� �oonpr�uvLwCMECR <br />omcn <br />MCAMMPE00 PEI'ON <br />51�'� OVRPNG SUPCw�PGE <br />n'rcaconst nuus�wrovcoer CIT"OFEVEREI'f ruaicnw+.s <br />LOCALSALES <br />N o•*E S�/B// TAX CODE IS 3105 TOT�L <br />flCCE1Pt Iq <br />