Laserfiche WebLink
e:�PLICATIC71 FOR CONSTRUCti .ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT, Wp g6�p� .25g.gg�0 <br /> � ���ON ❑ COMBINATION ❑ BUILDINO ❑ MECMANICAL <br /> PROJECTApppEBS: �PLUMBINfi ❑ SHiN <br /> �p� " �� � '/ 2 s�ai �/�/l��s �dC Edr'�E��Q�I�m� /z oc 1 �r� Yyoo <br /> MNl AUDRE55 CYTY <br /> IIP P � <br /> 7EIUNT WYL�Od1E55 <br /> GTY ZIV PNONE <br /> ML/IREC�ORDESIONER GWIMORE55 <br /> Cltt 71P / l ��' " <br /> a¢r�wcaym�cron uui�oo�ss ( �'0�•/z Y.C'y�'Oa <br /> / ' JTY I P PIqNE SGTE IICENSE I <br /> I � i /`� <br /> � �ca�rn�cron � wui�oor�ss � [�e , J � /�✓l� 0 <br /> arv zm a�wrre <br /> STQE UCEN$E��� /�� � <br /> PIUYlN6 CONTR�CTQA Yi4l MONESS � <br /> CITY ZIP P/qNE <br /> STATE IICENSE� <br /> CONTMCT PRICE OF W01Mf <br /> r� <br /> � HEATING SYSTEM: AS ❑ ELECTpIC ❑ <br /> r� rooT�wwyveo� � cwT�c veAsoNua �q <br /> �� <br /> [r S o N� 0 Z � �00 <br /> L" S L� �Go <br /> I HEHEBY C.EFTIFV THAT I HAVE READ AND EXAMINED TlIIS <br /> �D� °�� / APPLICATIOf(AND KNOW THE SAME TO BE TRUE AND CpqqECT A(,� <br /> � � D /' � C� PROVISIONS OF LAWS AND ORDINANCES GOVEqNMq THIS TYPE OF <br /> ����T���ERTYI9�OW11lELOWd1ATTALNiNqCppES) �RK ��� BE COMPLIED WITF{ WHETHER SPECIFIED HEREIN OR <br /> iot �� � NOT. THE ORANTIHp OF A PEpM1T DQES NOT PRESIMAE TO (i1VE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PqOVIS10N OF ANy <br /> OTHER STATE OR LOCAL LAW RE�iUUTINp CONgTplICTpN pq TH� <br /> PERFORMANCE OF CONSTRUCTIOh.7:qT�µ�����D BV TF1E <br /> ,� OWNER OF THIS PRpPERTY TO PERFORM THE NpAK Fpp yy�{�{ <br /> p�aT�ioM�q ��0�'�O APPLICATION IS A D I COMpLV WITH THE STATE <br /> CONTRACTORS 1 . AND 298.2pp yyAC. <br /> ��,�„�,��,.��.,����a �� � <br /> �,,,,,� <br /> DATE <br /> ��Q GTY EUSMFSS LICENSE!q. <br /> MQ TYPE OF FlIITURE Op ITEM AIECf IANICAL <br /> WATER CLOSET �E �' TY���ENT <br /> ROILEn � FEE <br /> BATHTUB �—MNrDLO UN113 , <br /> � LAVATOqY(yyA$►{g�glN) � FORCED AIR SYSTEMS , <br /> �q�q � HEAT PUMP <br /> KRCHEN SINI(8 DISP � UNIT HEATERS � <br /> q��ER � CLOTHES DRVERS � <br /> UUNpR�TRAY ' RANGE HOOD � <br /> CLOTHES WASFiER ' WATER HEATER , <br /> �q� ' WWDSTOVE � <br /> DRIMCM�I(i FOUNTAIN � M�AL FIREPLACE(WOOp BUHNING) � <br /> ����NN � FIREPLACE INSERT QNppD BURNING) <br /> BACKFLUW PREVENTERS � �FIREPIACE � <br /> SMIK SERVICE— ' ��GE , <br /> ( BAR.ETC.) � GAS pIPING —i-- <br /> D(HAUST FAN , <br /> � <br /> � <br /> � � <br /> � � <br /> � <br /> � r_ <br /> SUB TOTAL f ' SUB TOTAI f ' <br /> PERMIT f � � <br /> PERMIT f -T— <br /> TOTALFEE S � TOTALFEE f � <br /> FOR OFFICE USE ONLY: <br /> ��T�� ���T�K SIDE SET6�LK <br /> MAN d1ECIt NUMBER iEF RECEIPi Np <br /> �z� IOT�REw V�CANT5ITE �U <br /> F�ES VALUATION FEE <br /> ❑r¢5 p rao — <br /> IIEIG/IT 1M11T�TqN ry0��lU� BUIIdNR � <br /> UNIlS 5�2E Oi BLDO/f I � <br /> FIUMBING <br /> �OCpA11NCY MO Oi 51(qF5 OLCWANf IO�D B�SC�EHT — I <br /> MECNUUC�I <br /> rr[s ❑np � <br /> FIRESP{tlW(�RNEO'D RE�SON �Dp710N�lMANCHfC1c <br /> i <br /> FlREAW�ypEp'D qF�� OtHER — <br /> i <br /> STAiE BWIDiNO511qC11\pGE <br /> t���ST PIAN$APPROVEDBY _ <br /> CITY OF EVFRETT runuc wonss — <br /> LOCALSALES <br /> o�Te TAX CODE IS 3105 TorAL —'`— <br />