Laserfiche WebLink
APPLICATI� FOR CONSTRUCTiN PERMIT� <br /> CITV OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVEfiETT,WA 98201 •257-8810 <br /> ❑ DEMOL�TION �COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJEC DDRESS <br /> I 7L'� �v11Nb . , �Gtrizc <br /> OWNER Y�ILApppE55 �ITY Zp MIp1E <br /> CUAG � i Z ao� - 77f- �f� <br /> iCNUIi �WIIE55 GiY ZO RId1E <br /> �RGNIiCGi011p[$GMl1 M11L��OIIG$$ CILY SV p1b1IE <br /> 'T��iG f�AN.tl�/�1 1 f IZ G/ETH�� .FU Fai��t��i-3So-SSe� <br /> 6ENEMLCON1p110R M��L� 55 LIIY 2V p1p11E $i�tELKENSE• <br /> �/�/ L�i�rrr'-.(<%�x <br /> NECN�NiCetCOxiP�GiOf1 H�RLppnE55 CitY 2W A�ONE SleiEliCEvSE• <br /> /� /T <br /> PLUMBI/qCONIMClCR NAiLAppq[55 piY ZP R4I^Q 51�1[LICENS[� <br /> // �/ <br /> COIIIPACi PIIILE CF N911R <br /> ��j 04O HEATING SVSTEM: _ AS ❑ELECTRIC ❑ <br /> oEscnieE xronK u10 souraE roor�cc nNavco �q�i��p�nsw�u�p rwrrt rq <br /> lzefza�e exi�-r �z> t3.a7N r� , � il,�,vyrf �os--r�A�c�,S��Mun <br /> 4. _ Grvt'� Fikj:s�i LUH.Y��L 3po' �5500 <br /> T�L'�LHLL" L� A/Vb 'l���P/ GlUfj� App�CATION AND NNOW THE SAME TO�E�TRUE AN�CORRECT?ALL <br /> rnoros[D uss or awmnq y�ppsr pqOVI510N5 OF LAWS AN�OROINANLES OOVERNING iHIS TVPE OF <br /> /�� WORN WILL BE COMP�I[D WITH WIIETNER SPECIFIED HEREIN OR <br /> iEGeioEScnmipr�orraovcnrviSNowxa[iawwerucnmoCorits� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �o* otoCK or AUTHOPI"Y TO VIOIATE OR CANCEL LME PROVISION OF ANV <br /> OTHER SiATE OR LOCAL LAW REGULATING LONSTRUCTION OR THE <br /> _ PERFORMANCE OF CONSTRUCTION.THAT I AM AUTIIORIZED�Y THE <br /> OWNER OF THIS PROPERTY TO PERFORM TNE WORK FOR WHILH <br /> APPUCATION IS MADE AND I COMPLY WITH THE STATE <br /> aence�*ex io nu�+oca CONTRACTORS lAW IB27 RCW AN�296200 WAC. <br /> v <br /> corusinucrroHio.Hiuwca css.iEiEn�rov[rvuuorn ���; � _ <br /> !'Nl" Oc..��G1L 3ax� o.rE <br /> COY W S�xE55liCCHSE 1q. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUNE OR ITEM FEE N0. TVPF.OF EOUIPMENT FEE <br /> .y WATERCLOSET(TOI�ET� P/C—NH4DUiUNITS <br /> DATHTUB ' ! FORCEDAIRSVSTEMS <br /> IAVATORV(WASM DASIN) i HEAT PUMP <br /> ' SHOWER i UNITHEATERS <br /> KIiCHEN SINK 6 OISP CLOTMES DRYERS <br /> �ISMWASMER � RANGEHO00 <br /> LAUNDRV TRAY WATER HEATER <br /> CLOTHESWASHER � WOODSTOVE <br /> URINAL � METALFIREPLACEp'VOODBURNING) <br /> �RINKINGFOUNTAIN j FIREPLACEINSERT�WOODBURNING� <br /> FIOOR DRAIN GAS FIREPLACE <br /> �ACKFLOW PREVENTERS GAS RANGE <br /> SINN(SERVICE—DAR,ETC.) GAS PIPING <br /> j EXHAl15T FAN <br /> i <br /> SUB TOTAL S � SUB TOTAL 5 '. <br /> PERMIT S pERM1T S �i <br /> TOTALFEE 5 TOiALFEE S <br /> FOR OFFICE USE ONLY: <br /> lnONi5E10�C[ PE�RSElOACR 51�[SEIBIiCK uEGx e'ERR��Q iCE qELEiVtlq. <br /> DOCI ��v� <br /> u;cxouE ior�au vecuursne FEES VALUIITION FEE <br /> ❑YES OMO ONlOiNG �� <br /> 110GbiL1411�1qN IqOPOWCLIIlq 512[OLBLIXYtI <br /> uHns <br /> .��G rwueira Da <br /> occur�r¢r wornoacs occuv�Niio�o e�sEucxt r <br /> �cn in uECM�vcu <br /> -3 nvcs ❑no <br /> FlP(SPRWKLCflPE00 RGSON �OOIiqNIAPLVILNFCN <br /> O1NCP <br /> fiRE>URMP[OD PEASON <br /> SLiE BUR��NJ S�PCIUR6E �� <br /> ir��EorcoHsr r��r�s�rriqvtoer CITVOFEVERETT �'ue�Cwa+xs �A <br /> – � LOCALSALES <br /> o.�c UJ TA%CODE IS 3105 TOT11L �0 � 7S <br />