Laserfiche WebLink
APPLICATI� FOR CONSTRUC7�N PERMIT111////�� <br /> CITY OF EVERETT•BUILDING DIVISION " <br /> �200 CEDAR STREET•EVERETT,WA 98201•25;�P?10 �� <br /> i=i QEMOLITION i.-: COMBINATION ❑ BUILDING ECHANICAL ❑ PLUMBING n SIGN <br /> PROJECT FDDR SS u C�,/�S ��/� ���tP�'r'/ ���y' ��� }�� <br /> pWNCR Y�IL��C�'La5 CIIY Zb fYq11F <br /> iCN�N1 44L�C011F55 CIiY PP 1'�qN[ <br /> �PCNII[LiORO[$IGNfl1 IA�II/.CONL55 C1IY IO' 1'1�ONC <br /> f.CN{N4LONIPnCiOP MVi�IXM1[55 GtY I/p NKKQ /� pSI iEI�CCIP[,•/ <br /> �I �^.�♦ .1.�' �r„ �'f„ /,�! � �- � C 0" �/f�-�/t . �t /.��l��.LL./lr!••/�D�//� <br /> CN CALLOU CtOA N�� �CNC55 CiIY SiP MqNC Si�tCliC[N:[• <br /> h04pMuCONiPI.Giq1 Y��la0Y�R5 CIIY Rq�:[ SI�ICl2UGE• <br /> cwna�cr rnc�ov woax <br /> HEATINCa SYSTEM: ❑GAS ELECTRIC ❑ <br /> L�SGNie[won,��roSownE��Jo. ���'.C��! I�C✓ ��t{� Corvr�ctr[nSON�rrorvwh[wJ �.. <br /> I/i IL � I� fs io � �r��lr�i!✓r.0 ��,0-�SS—.;�C�� <br /> v�.•�` Gi,uL_ ! �f J p / / <br /> ��r,� Jv.� �a '�" �'.li�il/.e/ - - ��'� �cA /R/i��// �!54' �l(�:�C/��i <br /> 1 HLfiE�V Cf.RTIFY THAT I HAVE REAO AND E%�MINED HIS <br /> AaPLh:ATIOh AND NNOW TME SAME TO BE TRUE ANO COPRECT.ALL <br /> vaoros[o us[o�aw�o�xc PROVIEIONS OF LAWS AND ORDINRNCES GOVERNING TMIS 7YPE OF <br /> N'ORK 1YILL OE COMPLIED WITM WMETHER SPECIFI'cD HEREIN OR <br /> imuo[scaivrqna'vnor[arvlsNoxvouowonenerniwocor¢51 NOT. THE GRANTMG OF A PERIAIT DOES NOT PRESUME TO GIVE <br /> m*_ e�oce ov AUTMORIfY TO VIOLATE OR CANCEL TNE PROVIS'ON OF ANY <br /> OTHEP STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED DY THE <br /> OWNER OF THIS PROPER�V TO PERFOFlM THE WORN FOR WMIGH <br /> APPLICATION IS MADE AND I COMPLY WITN TME STATE <br /> n�n;,��i�K i o rniuec4 � '` / <br /> CONTRACTORS LAW 1B2]RCW AND 296200 WAG. <br /> cces�uoa�orviowieHocn.wmessra[e�oser�ve�em p ��/!//7- � 7 f�/���'J-OJ <br /> Sc�+tunE o�*c <br /> CI�Y BU51M[`v5 LIC[NSC fYJ <br /> PLUMBING MECHANICRL <br /> NO. TYPE OF FI%TUPE OP ITEM FEE NO. TY?E OF EOUIPMENT FEE <br /> �WATER CLOS'cT�TOILET) A'C—AHN�lO UNITS <br /> ATHTUB FORCED AIR SYS1E'dS <br /> I.A\'FTOFV�WASM BASIN) HEAT PUMP <br /> SMOIYER UNIT HEATERS <br /> KITCMF.N SINK 8 DISP CLOTNES�FYERS O <br /> �ISHWASHER RANGEHO00 /� <br /> LAUNDNViRAV WAiER NEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL IAETAL FIREPLACE�WOOD BUHNING) <br /> �RINKING FOUNTAIN FIREPLACE INSEHT pVOOD�URNING) <br /> FL009 DRAIN GAS FIREPLACE <br /> DAGRFLOVJ PPEVEMERS GAS RANGE <br /> SINR�SEPVICE—QAR ETC J GAS PI71NG <br /> , E%HAUSTFAN / <br /> l <br /> � <br /> SUBTOTAL 5 SUBTOTAL 5 °;�/rJ <br /> P°PM1IIT 5 PERMIT 5 <br /> TOTALFEE S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> rnartsno.cx nt<ns��oscx sm[sEre¢n nnnn�mKxuua.n r[s n[[nvtxo <br /> u;�::•.� �o�.uu v�unrsnc FEES VRLU�TION FEE <br /> �res nr�o ounon+c <br /> �a.�.uvwi�rqm rqorLauuv: s¢cormmn � <br /> VNi15 PIV�IBiNG � <br /> thClil=IrCY HJCi6t00�5 aLllluNiL01p IO�SCA�CNI 4CCN/.NICAL <br /> � n .".YE$ I�NQ � <br /> f6�1.',PnIV0.E11VE00 PEASVI �DDI11pHµPLAl1O1CLx <br /> 01NCR I <br /> l�aC�l��1AR[Qp (�E�SCN <br /> S*�iE�Ui�Di�e:SUebunGE <br /> niir:cris ttuxs�>vawcoev CITYOFEVERE7T �oi�cwoa�s <br /> LOCALSALES � <br /> �,�� TAX CODE IS J105 7oT�L <br />