Laserfiche WebLink
APPLICATIgFOR CONSTRUCON RI" <br />of EVERETT • BUILIDINCIOMSIOW MAY 1 9 I' <br />3M CEDAR STREET • EVERETT. WA 9MI.2"10 <br />t,,,,, J <br />DEMOLITION ❑ COMBINATION ❑ BUILDING QrMECNAISCAL ©I'M*# T4 <br />Enpin�er,nprPoplic Sere' <br />RWECTADDREtS[ -Is 0i NA2o2so[-+ (ZoAo me <br />�• ^-•- • .,L.G C 414' L2o4 L-ti hvE 5/w L..YNNV...X�p wA 9803 ✓. (1oL)'7'IB '2s9[ <br />[EEA &W nF niaia <br />E,Iet�e.A 6.EF. <br />(oA%4 204 it, ST. s <br />DE.[Iw wnNaDrar <br />YulNIOn[M <br />PI%eTrEc�'J <br />���• <br />Z"7J'j'ioi'Ltt.12 E <br />- - <br />Ttr.,w- wA <br />9b�24 i�ss�'1�l. <br />Pn�Tz\OT TIE.E <br />t <br />not <br />ar rt[K[Ns[ <br />EtotSrSDEAtomtScroA <br />suAAooNEss <br />pn <br />nuwea00NrNecr011 <br />Eux enoNSss <br />an no <br />NIU.t <br />saR u[fxMr <br />mNrwrer men or wont _ �- <br />e-.rtur_eveTFu• rIaAS <br />fIELECTRIC ❑ <br />-.p -o� <br />C/ellYefwpntN oaD Ff 10pTAe[NVpLYM <br />CWIr.Cr NP[CN.Nn nY}4 N0. <br />213oo Ste. FT. OFFt�F. T• (. hl <br />:vl E%t STS.-1 �j l,�wza c-k�- P <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI <br />M c L t Nkz t�CSGE A <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ILL <br />aMVElDMM Pe11ADetD <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE C <br />oFF1C£ <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN 0 <br />DltLwet e[Sa+atSrrSaE Two con[u <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO DIV <br />.ofewrtoeanaFBtn <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF AN <br />sEnoe a <br />OTHER STATE OR LOCH. LAW REGULATING CONSTRUCTION OR TH <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY TH <br />gy p q yo[ yv C oP. �s S <br />OWNER OF THIS PROPERTY TO PERFORM: THE WORK FOR WHIC <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STAT <br />CONTRACTORS LAW 18.27 RCW AND M200 WAC. <br />Ire1C0.T6R w.r111Y�1e E volr ^I, <br />EOIIf11e1C110N LpN1 LPOBI[CDNEfLRUAEOrt AMEN <br />{X Awl%E CAT[ <br />clI NEE981 11C[AE[ W, <br />A:EE:IIANICAL <br />RIIMIllNKI <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OFoauw% ENT <br />FEE <br />WATER CLOSET ET) <br />AIC—AAIINLG UNITS <br />FORCED AIR SYSTEMS <br />MTH7UB <br />LAVATORY ASH BAST <br />HEAT PUMP <br />SHOWER ER <br />UNITHEATERS <br />KITCHEN SIIef f DISP <br />CLOTHES DRYERS <br />DISHWAEIRR <br />RANGE HOOD <br />LAUNORYTPAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />FIREPLACE INSERT (.wNW BURNING) <br />t <br />DRINKING FOUNTAIN <br />OAS FIREPLACE <br />FLOOR pRNN <br />GAS RANGE <br />\ <br />BACKFLOW PREVENTERS <br />RINK — BAR. ETC.) <br />OAS PIPING <br />EXRAMST FAN <br />t <br />Qt.�1Ka..RL <br />SUBTOTAL S <br />SUB TOTAL f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />SIDE SETe.cx nSNnrtcxNMEN rEE n • O'>7 <br />OYES ❑w <br />Dumwn <br />..,rnwmnoN <br />n�n+awD <br />. JrV+ LUW <br />su[tx e[ooni <br />" iiucv xo astat[ <br />.aw•nrJ�[ <br />DCC~T IOW <br />RmwNt <br />OYES O w <br />SODTpN•Enur nta <br />rmE vaennlNEav <br />AEsta <br />otlte <br />STATE ISMDEED wNr:.+xtE <br />Haar ..OrwF <br />TOTAL <br />HtN Afcv <br />NEASOM <br />MEDFrbN[r <br />PLWI ngV[DeY <br />CRY OF EVERETT <br />TAN CODE m SALES105 <br />