Laserfiche WebLink
APPLIC�TION FOR CONSTRUCTIOj - PERMIT� <br /> - CITY OF EVERETT. BUILDING DIVISION �� <br /> 3200 CEDAR STREET.EVERETT,WA 08207.257-8870 <br /> , p DEMOLITION ❑ COM&NATION ❑ BUILDINO ❑ MECHANICAI. 0 PLUMBING ❑ SIGN <br /> PROJECTADDRESS <br /> 7601 Ritlgewoaa Dr p3 <br /> 0'hMEN AYLNCrtE6� ptt <br /> SV MO�IE <br /> Lonney 8 Slacey Ford 7fi01 Ritlqewood Dr%3 Everotl Wq �pSCp275gq <br /> tE1MNi IM4.W}IFS] fJtY lV AqNC <br /> <NAME> <ADDRESS> <CITY> <ZIp> <pHONE> <br /> MCM�I:_iMpFSiOMFN WIApLV1E55 ryry jp q�� <br /> <NAME> <AD�RE59> <CI:Y� <ZIP> <PHONE> <br /> GCMFIW COMiMC�OR Y.4�OdlE�� Grv SP %U,E ii�iFlK2M5E� <br /> <NAME> <ADDRESS> <CIN> qIP> <PHONE: <LICNO> <br /> YFC-�,4r iPA[ �W��t�c 55 �� /����Tp qpyE SiAiEIK(MSE• <br /> N ,�'�� /���► /7 21P PHONt LICNO <br /> % .•.....,,........� +wrvwncaa un zv MOnE — - sr1tEULENY• <br /> <NAME> <ADDRESS> <CIlY> <21P> <PHONE> <LIC NO> <br /> Cp1tML1 PPiCE OF KCRK <br /> 3e9.00 HEATING SYBTEM: O GAS O ELECTRIC O <br /> ocscuie¢wauwmsoww[rao�wcwva��rto cou�icirtwanu�oa�ror�ra. <br /> Removelreplace electric water healar <NAME> <br /> <PHONE> <br /> I HEREBY CERTIF'i THAT I HiVE RE��AND EXAMINED TNIS <br /> APPLICATION AND KNOW TME SMIE TO BE TRUE M!D CORRECT.ALL <br /> vaooas[ouuw eu�prw pROVI510N5 OF UWS AND ORDINANCES GOVERNING THIS T'PE OF <br /> WCqN Wlll BE COMPLIED WITH WHETMER SPECIFIEO NEREIN OR <br /> LE6LLOEKMp11ONCFFNCVENiY15�':W�(LOWORI.fI/LNiNDCORF3� NOT. THE GRANTING OF�PEftM1T OOES NOT PRESUME TO CIVE <br /> ior__,__sooc_ __or __ __ AUTHORITY TO VI( .'r OR CANCEL THE PROVISION OF ANY <br /> OTNER STATE OR LO AW REGULATING CONSTRUCTION OR TNE <br /> PERfIX2MAHCE OF C��,,.RUCTION.7H�T I AM AUTHORRED BY TME <br /> OWNER OF h„S PROPERTY TO PERFORM THE WORK FOR WNICN <br /> APPLICATION MADE AND I COMPLY WITH THE STATE <br /> nwu�ruio.rnna[n CONTRACTO B.t7ROWM1D2BB.700WAC. <br /> roHsrnucraxiou1ia�mtn�.00nEss,iE�n�axhwacn x.�1M.. 11N32000 <br /> <NAME> <A��RESS> SIONAiURE oere — <br /> <PHONE> CIIYlUSiNE55 LICEMSE Na. <br /> PWMRING MECNANICAL <br /> NO. 7YPEOFfl)lTUREORITEM ig �p, T'PEOFEOUIPMENf �g <br /> 0 Wp7ERCLQSET OILE 0 NC.AMNDL�dUNRS <br /> 0 OA7HTUB 0 FOitCEDAI0.SV57EM5 <br /> 0 LFVATORY ASH BASIN 0 FIEATPUdP <br /> � ��'�R 0 UNRHEATES <br /> 0 k.TCN[NSINK8p5P 0 ,:.OIMESURYERS <br /> 0 CiSMVASMER 0 RANGEHWO <br /> 0 tAUNDRYTRAV 1 WqERHEAIER <br /> 0 CLOTHESWr15HER 0 WpppSTOVE <br /> 0 URINAL 0 MEfA�FIREPUCE 9UpNING <br /> 0 OfiWKINGFOUNTAIN FIRER 10EINSEq7 BURNING <br /> � FLOORIXiAIN 0 CASFIREPIACE <br /> 0 BACKFIOWPREVENTERS 0 GASRANGE <br /> 0 SINKSERVICE�BARETC. 0 ('.f�5p�p�!!� <br /> � 0 EXHqUSTFAN <br /> 0 Q <br /> 0 0 <br /> 0 <br /> 0 � <br /> SUBTOTAL 5 SUBTOTAL <br /> PE7A�T 5 PBiMf S <br /> TOTALFEE S TpTALFEE S <br /> FOROFFICEUSEONLY: � � — <br /> {RONiSEtBAC4 Gq5[IMCR 54CS[1N.C4 %Ayd(CRMIYBEN RE IIECFIV11q. <br /> us6iorh otu�u wcwtsrtc FEES VALUATON FEE <br /> or[s orq wt� <br /> N[KNiUWl�iqry NO.C(OWELLFO SItECflIIXYII. <br /> VmiS RW�� <br /> fAOUo��� ��51� �wµ�LO.N BAS[M[Nf YFCIIAMU.L <br /> Ott5 qN0 <br /> fiPE6nNiH4CPNE0D PUSCN MdlpµLLplµCKO( <br /> OtNFp <br /> IINEAW1YqE�D qFA5p1 <br /> SI�1ElUlpM65UPC1YPGE <br /> nvEwcousr. w,ws�avnovcoer CITYOFEVERETT weucwonq <br /> LOCALSALES <br /> an TAX CODE IS 7105 TO7AL <br />