|
APPLICATIO FOR CONSTRUCTION PERMIT
<br /> CiTY OF EVERETi•BUILOING DIVISION �
<br /> 3200 CEDAR STREET•EVERETT,WA 9B?01 •(d25J 257•BB10
<br /> ❑ OEMOLITION L] COMBINATION ❑ BUILDING O MECHANICAL O VLUMBING ❑ SIGN
<br /> PFiOJECTADfiflESS� 4123 hIWnO�ti PCaCC� EveneLt, UJA 98203 _
<br /> Seanai 4723�Alenmont PCace, Eve�ett, WA 9h203
<br /> uvSrn"--.. ._.uminidMi.:s " bn" tm rro+c . "_ —"_—.
<br /> N/A
<br /> vn.,� '. _._��uiuwens' "!nn n'. n4,c -�
<br /> N/A
<br /> u¢n�q.lMLiLLiM1n Vu1MtNtfS -- C�q +In rygy,� �' • • •
<br /> I�de�eCoch L�duetniea, Lu. 7505 Haadeton Rd, Siu.fe 400, EvelteLt, (UA 98203 60I 828 920
<br /> u.—ni.ii.b,n�.u.nn—u,�T.u'nrmss - '-n�.'-•"'•— - '-
<br /> h� ih+r.e xr�r�iqr�u: �
<br /> N/A
<br /> w¢pu+ a(ntinuCiun uu.RAx�lSi--` drv Ar npvt S�uFI�CEAQ� —
<br /> N/A
<br /> rvu�e.�.� r,rnin:ciw—�:�iuemas ' crtr r�r '^ rrwn[ _.•..-
<br /> SG1F PCtNSC�
<br /> _26.fi95.95 _ __
<br /> CG41F�C'�'nCL Cf YlO�1R .. ��
<br /> Renoo cn rtojec.t -36S uacea HEATING SYSTEM: C]GAS ❑ELECiRIC ❑_._^
<br /> �_� �._.�_,__.
<br /> MfC��:�K'1�I��MII!AUlltl(fO01�'y{INVIXV[O (�ry��[��((ISCNI.MI'M04(\0 ��
<br /> —...._,___.._ .__.__ Bc.th Am�e Luannnma.tli/RoCPand Stnnkc
<br /> --•--_--._._. 425- 438-8585 -.. —
<br /> 1 MEREBY CERTIFY 1HAT t MAVE AE�D AND EkAMMEO THIS
<br /> �=nrosrou:e er nv��m.y.`�� ^ AVOUCATION ANU NNO�V TIIE SAME TO OE TqUE ANp�ORFCCT ALL
<br /> J PFOV4tON5 OF�AWL AND ORDIN,W�ES GOVERNING TMIS 7VPE OF
<br /> rt, rt5tmrnW pT�n�rpmr�ahwvnnnx0iii�IKniwOcorvl5l �HK WqL B� LOMPUEO WITM WHETHER SGEC:FI[D HEREIN 09
<br /> NOT THE GMNTINf, OF� PERuII DO[5 NOi PqGSUME TO CwE
<br /> iG� ._m0a_._,___cr, , AIITNOARV TO VIOLATE OP CANCEI TME PROVISION OF ANY
<br /> � O1nER STATE OR IOCAL LAW REGUUTING CONSIRVCTION Oq TME
<br /> _....... .�_,_.__.__,_ pERFORMANLE OF LONSTRUCTION 7NAT 1 AM�UiH091ZE0 9Y ME
<br /> OWNER OC TMIS AiIOPlHTY TO PEq(ORM TNE WORR FOR WNiLH
<br /> _ APPUCATION IS MADE hND I COMPt,V WiTM 1'l1E SUTE
<br /> en����i r+To�iLw�rn -----^'- CONTR�CTORS LAW 1�27 RCW AND 79fi 000 WAC.
<br /> Crw15�nvcr��iO�+iMnPi+N•n[1,41f�rrwor.;wuuatn _ .•� �, � �i l0 nP>/J��� �".���C(
<br /> _- •-.- -- _ s a.m..033681 ���`�'°`.'r�'..
<br /> __ GflWYwf.tSlM1lXSCNO
<br /> 7LUNBING � MECNANiCAI �� " "
<br /> _N0. I � TvOEOF�I%TUqEORITEN �FEE N0. TYfEOFEOUI►MENT FEE
<br /> VlATER ClUSET�TCILETJ A/C-A/HNDLG UNffS
<br /> _ tlAINTUO_ _ _ � ! FORCGDAIRSYSTEMS
<br /> l<VAIU��(W/.SH BASN� �_E�i PUMP '-
<br /> .__ Si'.OWEH.'_�__` ❑NITHEl�TEf15 � -..�• "
<br /> NIT�H[N SIYR d DISP '�� � -• ��.._
<br /> — .. ,��_ LLOiliE50RVF,RS
<br /> _ UISIIW�BNEn � _ f1ANGENUOD �"
<br /> � LAUNOf1YTfiAV ' WQER11'c4ER _•
<br /> CIOTnE5wA5NE�_ '�— WOODSTOVE
<br /> �'_'
<br /> _ URINu _ MLTA�FIREryqCE�WOODBURNINGI �
<br /> OFiryMlNfif0UN7Al!1 _ ' FIRE��qCEINSEl7QNCODBURNIN7�
<br /> , _flOORUf�qry WSFIREPUCE �"
<br /> _ D>CiFLL'W MLVENiERS GASPANGE '-
<br /> . .._ uNK(S�RVICE-DAR_ETC.1 � GASPIPINC "-�—
<br /> -� . —.-�.____ �_ EENAUSTFAN -•.. "" —'
<br /> �:"'�__ ...__..._.____� __ ..
<br /> --�—'"' SUBTOTAL ,S ! SUBTOTAL f _---'�—
<br /> ^. __..'_"_-� �ERAUT S ��•- GERMIT f -'-'_T
<br /> __.__,__,_ _ T�14i:FEE S TOTA�FEE S �
<br /> FOq OFFICE USE ONLY: • ��� �— `'
<br /> +-arvm.-.--` nUnSi�pnM � x�e[ltm¢a � n O�¢.YuunG / ref nerriaruo
<br /> ��_.. �.�_. .. l M ! — C��.
<br /> ''!:IOr! IUtup♦ � ���'� :� _�. .. ��
<br /> V�C��1\i11
<br /> v . FEES V��U�TION FEE
<br /> o�cs n,u n.mi..n .._ - . .._—�__-
<br /> �.�-,,-.:. :. --1,�,.,,.�,..� „��o,�,a.,. ---- -- - .-�—
<br /> ,,.�:
<br /> r���uo�nr,
<br /> -�.:in,.� •-rv.. _..�.___ "" _'___ . .
<br /> 'I�:J• 1 '� 1L (4'1''.��I�IIU�I� P.1CfV[\I �• .• • . •.•��y'•••.�
<br /> ' I M{I:i��N��i • �
<br /> ---- � --- 7 a.�e ❑,o �- �--- -�--^- ' ...
<br /> �err. ..nWu ��1;:�.:f.'r""_" ' .' "'._._..�..�..
<br /> :• '—��� �DC�1�114�II'1�YC�IC(.Y �
<br /> . ...... . . � 1 _
<br /> u.nW :�.'r'�p � MnMI � •.• OIIIiP
<br /> . '....�... ��....�.�...�.
<br /> S�tl I Ouhpwtt SnM�ullf•1
<br /> M1KOfrp � � fl��t���il�PvfOf.v ` ' • • ....
<br /> CITY OF EVEqETT rnnnc.wu�+x
<br /> . _____„y_
<br /> LOCALSAlES •--.. -.�. .—.._. ._.._ .."' .'_"
<br /> . . ..__._._...__ °i!_ __ �?AX COOE IS J105 TOT��
<br /> --^ -- ._. .._i._
<br />
|