Laserfiche WebLink
APPLICATI�1 FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVLRETT,WA 98201 •257•881U <br /> ❑ DEMOLITION ❑ COMBINATION Ri, BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDHESS �L� I ( ,,,% a�� <br /> 7 Ill <br /> qy�q M�M1�ppP65 IiY S� ��✓�h <br /> �r,yl il r���u+.t1 Rb-JOl �d5�-aS� - 6"7�{- � <br /> iCN�NT � N�I • E55 GI'Y Z�P R�OMf <br /> Alll;llll(CN�'D`IMS�NC(P- N/.I�Api`PES$ GIY 2� W��E <br /> ll W I l V\i <br /> (:[NCP�LCONIN�LiO� u�IL�OJPC55 CIIY ZW WqN[ Sil.IEIICEN$E• <br /> MCCNANiC1LLWlLRLCICN P4L�ODAE55 CIi� IIV PtlOME Fi�IEIICENSE• <br /> PlN1BiNGCONIP�LWP NMI�N'PEGS CItY .� %1JNE SiI.1EUCO15E• <br /> CONtP�:f PPCE O�NYIDK <br /> HEATING SVSTF:M: ❑GAS ❑ELECTRIC f7 <br /> pCSC�I�EKOf�KANO50UW �W1AR[INVh�ED CONt�LiP[PSON/.tR1P.qNE1q <br /> � ya c �,-l� ro f � <br /> lbv.2o n.,�ar r 1__s�.� 4 xy o,r_ . � . �o �c � �if h 4aS- asa- �'T�i-� <br /> "( � � I MEREBY CERTIFY TNAT I HAVE REAO AND E%AA!INEO THIS <br /> � APPLICATION AND WOW THE SAME TO DE TRUE AND CORRECL ALL <br /> aearos[o vsc a ewmiun l�p{,I y-t', PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVCE OF <br /> �D Y�'1 L� WORK WILL BE COMPLIED WITM WHETNER SPECIFIED MEREIN OR <br /> �[p��p[$CqIpIpNCfPpWER1Y�51qWNOFLOYlq1�RdW TYOCW�CS) NO7 TFE GRAN7WG OF A PERMR OOES `JOT PRESUME TO GIVE <br /> tat BiaK a AUTNORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW PEGULATING CONSTRUCTION OR TXE <br /> _}/. PERFOflAIANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> e� PAOI j� \ ftAAd-C� L pWNER OF THIS PFOPERTV TO PERFCflM THE WOP,K FOF WMICM <br /> APALICPTION IS MADE AND I CUMPLY WITH THE STATE <br /> ru+tEu�..�D nuuecn CONiRACTORS LAW 1027 PCW AND 29G.200 WAC. li <br /> ' _ � li !� <br /> C(M!$111UC110N10/.Nl NDfRAD�f1E$$.iLLChqlILM1418E11 z ��F �� �' �� �1/� I <br /> �'��y�y S�GNt RF OeIE , <br /> �-��' �(IJ�YIfn i <br /> �iireuANEsSIK[x5E'p. ' <br /> PLUMBING MECN.\NICAL �' <br /> NO. TYPE OF FIXTUPE OP ITEM FEE N0. TYPE OF EOUIPMENT FEE �, <br /> WATER CLOSET(TOILET� k'C—h'HNULG UNITS <br /> CATHTUB FORLED AIR SYSTEMS � <br /> ;.nVATORV(W�SH BASIN� HEAT PUMP ' <br /> SHOWER ' UNITHEATERS <br /> KITCHEN SINN 8 DISP LLOTMES DRYERS <br /> DISMWASHER PANGE NOOD <br /> LAUNDRVTRAV WAiERHEATER <br /> GUITMES 1YASHER WOOD STOVE I <br /> URINAL METAL FIflEPIACE(WOOD BURNING� ' <br /> DRINKING FOUNiAW FIREPLACE INSERT�WOOD BURNING) i <br /> FLOOR DRFIN GAS FIREPLACE , <br /> B/CNFLOW PREVENTERS GAS RANGE � <br /> SINK�SEflVICE—DAR.ETC.� GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL S SUBTOTAL 5 <br /> PERAIIT 5 PERMIT 5 <br /> TOTALFEE S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> IRONtSEtB�CR PE��cElO�CF y0E5[1B�CK MNCMECM6VMPEN �E[ PECEIPiIq <br /> '7�,-� Io O � <br /> uxmi��� � ior.nu v.c.Htsrte fEES VALUA710N FEE _ <br /> t�- �Lv_r nvcs .!ia �hp� <br /> xcc���umr.iKw ��oam+xuna sucaeioc�i <br /> uw�s � 6 F t7�5GC nuueiw <br /> OCLUvu6Y NaO�ADP[5 IXCtm�NilO�D B�SLM[Ni MELN�,NVI <br /> GRWV I <br /> ❑Y[5 0 <br /> FIRESR�III�IlPRE00 RC/.SON �OOI1pN41'l/IICI .;t <br /> o��rn <br /> IIPEAUPMPEOD ��NSUN <br /> Si�IE 9UM1�PA SIIRCN�PGE <br /> rrreorco�+sr r��Hs�evrrovcoev CITYOFEVEHETT �++e���+s I <br /> LOCALSALES <br /> nai CI N TA%CODE IS 3105 TOTAL <br />