Laserfiche WebLink
APPLICAT�N FOR CONSTRUC�ON PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-8870 <br /> ❑ DEMOLITION ❑ COMBINATON p BUILDINfi �"MECMANICAL ❑ PLUMBINO ❑ S16N <br /> PqOJECT ADDRESS: Z O Z-S� �.OGK LFdLLd.0 /}�/ Sl LS-�J'� -O/9!� , <br /> ST.f-riG �✓ie.Li9ns �3�0- /96 sr t✓�B-�/���i�M✓o�°o ,✓/� 98n�6 <br /> o+w�[u uui�mn[55 on Jm rrqw� � <br /> � S��n- /7c.Giicc.o/ �rJ�-i.eoau�r-Ectice ,9,,. dv�eFrr <br /> 1[M�NI Y41�IId1�5$ G1Y )IV M�QNF ' <br /> 1lgwifC�OPMSG4E0 u�nLMM65 CiIY !T � rvQ1Nf � <br /> G(N[fl�l[ON1�I.LIp1 4�i1�MI�[SS �II♦ �i� MMriC tl�ill6(MSf� <br /> 4{C1��NI[�ICDYI��CIUA V��I�IAUE$$ �'.Irv jll' P�qr:f [��1(llC[MS[1 <br /> �n�uPhGCON�P�Cib� 4nl4MlnE55 P�v be Ce(nf SfqfliC(�+Sf• <br /> COxin��r wq�R �— <br /> OO MEATING SVSTEM: ❑GAS ❑ELECTRIC ❑ <br /> MScnipr wx�n wt�sW�nt�OOUGf MvpvCo �Mtq�ttnSDr��qn rrqM rq <br /> �-�4-5 i�z TD niE�✓ c✓.?T�.- S7F�E t✓�u..�sJ7s �1-S-SC/-a�9y <br /> 1�t/�T�2 f- s D.� � . <br /> I HEREOV CER7IFY IHAT I NAVE READ AND EXAMINED THIS <br /> �PPIJLATION AND I(NOW TNE S�ME TO BE TRUE AN�CORRECT ALL <br /> i��arosro ust or ammmn PROVISIONS OF�AWS AND ORU�NANCES GOVEFNING THIS TYPE OF <br /> /��S/O��v��//�L WORN WIIL BE COMPLIED WITH WHETHEH SPECIFIEO NERE�N OR <br /> l[Win[Scmm�orior o,rorpnM1isormenowonm�CNrvmcq+tA NOT. THE GR�NTING OF A PERMIT DOES NOi PRESUME TO GIVE <br /> �m e�ocK w AUTMOqITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTNEF STATE OR LOCRI LAW FEGULATING CONSiRUCT10N OR THE <br /> PEfiFORMANCE OF CONSTRUCTION THAT I AM AUTMORI2E0 BY iHE <br /> OWNER OF TMIS PROPERTY TO PERFORM TME WORN FOR WHICM <br /> RPVLILATON I MADE AND I GOMPLV WITH TIIE STATE <br /> rmcn u�i n�mun n GONTq OR IB t�RCW RND 296 t00 WAG <br /> z�i3 a <br /> CON51111IC�IfM1=piH�f1.1{1f111[55 I[l[h10NF MMRFII . l <br /> x �/� <br /> — eroN uuc n,n <br /> b lVYM[SlCFMS[HO <br /> PLUMBING MECM�NICAL <br /> NO. TYPEOFFI%TUREOIIITEM FEE NO. TY7EOFEWIPMENT FEE <br /> _ WATERGLOSET�TOILET) A/p—MINDLGUNRS --�— <br /> HATMTUB FOPCED AIR SYSTEMS <br /> LAVATORY�WASH BASIN) HEAT PUMP <br /> SMOWER UHIT HEATERS <br /> KITCNEN SINK 8�ISP ��OTIIES ORYEAS <br /> D�SHWASMER RANGE HOOD <br /> _ L�VNDRY TFAV WAiER HEATER <br /> GLOTHES WASNER WOOD STOVE <br /> VRIHAL METAL FIREPLACE(VJOOU BURNINGI <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> OACNFLOW PREVENTERS GASRANCE <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING <br /> EXHAUSTFAN <br /> �_ <br /> __ SUB TOTAL $ SUB TOTAI S <br /> PEHMIT S PERMIT S <br /> TOTRIFEE f TOTnIFEE S <br /> FOR OFFICE USE ONLY: <br /> �neu��nn.rx nr�nsnp•c� 40I5[IR4R ner.ortcar.vunrn r�� nrrnr�vo <br /> n•.�rorr w�en�• vuv�sn[ FEES VIILUIITION FEE <br /> ❑r[5 ❑Ml '�— <br /> RViM4l. <br /> ��IIC.IIII�Vi�lillV 4(Iry{IW[IIIHG $�1(MEIDG�fI <br /> n4tl5 <br /> l���Yq�.4f <br /> fK��mq�.d riyin� IX�fJiNN110�0 B�SF4(nl ____�_�_ _�..�� __'_'.__._�{�� <br /> ��0111' 4f1:1��Mf�l <br /> ❑\f5 ❑v] ' <br /> �i�lY�an.t11HPC9D �l�VCM �Oqli(14qP1�YC�PCa <br /> Oln(11 <br /> i��a�.—�u.n�„iao _— nr�co� __ <br /> vu1 ain�WmG Snnbunrd <br /> i�re�r��n•�e� rtnw��rrnavvnnr CIiYOFEVERETT rnnnewon.c — —"— --- — <br /> IOCAL511LE5 — ------ --- <br /> i,.�� TAX COUE IS 7105 To7�L <br />