Laserfiche WebLink
APPLICATAN FOR CONSTRU�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-BB10 ��� <br /> ❑ DEMOLITION ❑ COMBINATION/� ❑ BUILUINa �ECHANICAL ❑ PLUMBINCi ❑ SI6N <br /> PROJECTADDRESS: 3zz�- /�D�</B/��/t E!/c�Q,�(��D� <br /> J�R�I C�L� �3 z��✓o/l7.,� �1de� cd��c�9£l20_ / �06) ��/3-y/6z <br /> .a�,«.����A �.,,�Es� ��r ,��zab) z slz y?ma <br /> ai.rtnrnco.��n�c�rn �uiiworrtss . . crcr ��///fo �� NoRii1�✓f//o 3 /I2 <br /> nl1✓l✓/� z�(v.o �f/a/1N.4�ilC Scfl�� rr � r � <br /> 4ECM�N�C/�lCON1P�Llpi1 YMl S� nn l�l` PIILWF [l�fEll�F!!YO � �� <br /> � � <br /> Au1A1NGCW1R�Clp1 WR�OU�E55 CIIY P� P11011E 5111EllCCx$E� <br /> COMtMC�PHCE O!MIX1M <br /> C�� HEATING SYSTEM: GAS ❑ELECTRIC ❑ <br /> OESCWeENpu1M �PFfOOI.�GF v0.KD � f.a��/.Ct n AMrvp� <br /> S c� � C - �nl O!✓L ���Z f�1 �`��00 <br /> / . i <br /> L�c'C� 7 O �g�.s L�Oh�G�r:�-f/on/ <br /> I HEREBY CEPTIFY iH�T 1 I/AVE RE�O �ND E%�MINEU TM�S <br /> vioaaSEousE d euruwn� APPIIC�TION/JID NNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> S PROVISIONS OF UWS AND ORDINIINCES GOVERNING TNIS 7VPE OF <br /> WORK WILI BE COMPLIED WITH NRIETHEF SPECIFIED HEREIN OR <br /> lEfu40f5CMlICNOfP110PEP1YlY�JMMSFIbMOR�TiKNiWOCOP1E51 HpT. THF qR�NTINO Oi A PERMIT DOES NO7 PRESUAIE TO OIVE <br /> iot uoni or AUTNORitY TO VIOUTE OR CANCEL THE PROVISION OF �NV <br /> OTHER STATE OR LOCAL UW REODUTINO CONSTRUCTION OR iHE <br /> PEflFORM�NCE OF LONSTRUCTION.TM�T 1 AM AUTIqRIZED BY iHE <br /> 4 ^WNECAOF i ' ERTY 70 PERCOMPLV'EWIWT�H NT ER ST TE <br /> 3 � �J- � -0 3 - o000 <br /> y,,p;i i,��p Mw�q CONTR OR I RC ND 296200 W�C. <br /> coxsimicria.��awt[Motn.wrntss.rct[narrtHwntn X ��/1� � <br /> sir✓uiwc w.[ <br /> G�Y SIILNESSIICENSC 1q <br /> PLU1101N0 MECNI1qICAL <br /> NO. TYPE OF FlXNRE OII REY FEE NO. IYPE OF EOINrMEM FEE <br /> W�TER CLOSET(TOILET) A/C—A?Mq.p UNfIS <br /> BATNTIIB FORCED AIR SYSTEMS <br /> LAVATORY(W�SH BASIN) HEAT PUMP <br /> SHOWER UNIf HEATERS <br /> KITCHEN SINK 6 UISP CLOTHES DRYEHS <br /> DISHWASHER MNGE HOOD <br /> LAUNORY TRAY WATER IIEATEfi <br /> ClOT11E5 WASHEN WOOD S70Vf: <br /> UNINAL MEfAL PIHEPLACE(YJOOD BURNING) <br /> DRINKING FOUNTAIN FIREPIACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN GAS FIPEPIACE <br /> BACKFLOW PREVENTERS G0.S MNGE <br /> SINK�SERVICE—�AR,ETQ) GAS PIPING <br /> E%HAUSTFAN <br /> $U0T0TI1L f SUBTOTAL S <br /> PERMIT S PERMIT f <br /> TOTALFEE f 70TALFEE f <br /> FOR OFFICE USE ONLV: <br /> fMfNiV1MLN PFM[qflI�CM y�(5[�B4M R�NCIKfMMK�1f11 fIF �If.fM�MO <br /> us[ta�r iounce v�c�N�vic /EE V�L1I�TION FEE <br /> O�ES O� ��ryqNf. <br /> IIEICII�1�41I�11ON 1q C{ON[1U11'J SIIf W MCC✓11 � <br /> umlC rl��ullivfl <br /> � <br /> Q'�p�NC� Wp511nI5 CCNMNIl0�0 B.lSE4EN� 4ff�1�Mf.Y <br /> ❑Y[5 ❑M <br /> iIRFJN11N1.1[11P[Q� �f�SIX1 �I]1MIION111'I�NCIII(.F <br /> ourtn — —' <br /> in�euµunmo nr�5p. <br /> 541C OUItNNp$IIIIpUM[ <br /> nvear.o.�sr nees�rrmavcnar CITYOFEVERETT nmicwm�rt <br /> LOCAL 511LE5 — �— --— <br /> ��•�E TAE CODE IS J105 TOTeL I <br /> —_i_ <br />