Laserfiche WebLink
APPLICATI� FOR CONSTRUC�ON PERMIT <br /> CITY OF EVERETT•BUILDINC�DIVISION � <br /> 3200 CE�AR STREET•EVERtTf,WA 98201 •(425J 257•8810 <br /> (S�DEMOLITION ❑ COMBINATION ❑ BU1ILDIN6 ❑ MECMANICAL ❑ p{,UMBMKi ❑ SION <br /> PROJECTA�ODRESS:__ �O//� I`g /At � <br /> �J1*�CL'dr1N��C��—(P31D—lS� � StJ /yiro'� [4�A 930?� y7f 774.-�477 <br /> r u.n u�nnscs arv r�r rewe <br /> I���rr ltfetrtiZ�e /al! /s, Oa sE .Eu�nef� /��/_ 9pzoy �jZ� 5i3 -L�/// <br /> 1IN�Y\ V�X�M1d�15$ f.11� jiV Fqy� <br /> T.N�fGIp11fIFVCr��f�� I�fM>��f55 �ilY /�r h(M <br /> .d1,7���1io�t�_Lif�cCS�Qich ��H n� __ 2db- Slo- yYi7 �/z5-YR! - 9ZIL <br /> r.tx�n.icor�mnrn i�orcnvs prv nr rrqr� sunicrvv�. <br /> usnubiu�trn�nq�vn a�n�rcu�ss prv pir riq.r curruc[uc[. <br /> 1'IIMIIn�fCON�N�f,lp1 VuI�fMMR55 CIIv l�n hlp�! Sl�IfIICC\Sf• <br /> corm�n r��si or vm�w HEATING SYSTEM: ❑GAS ❑ELECTpIC ❑ <br /> ors�n:n�r w�n..rn sounm�no�.ee.�+«vro eowner n n<o.,nvn rw�rr r,o <br /> /12mo �51� 5m fG �2 D 70 <br /> �� I NEREDY GERTIFY �N�i 1 HAVE RE�� �ND E1(�MiNEO TNIS <br /> qoP�ICAiION�ND NNOW TNE SAME Tq BE TRUE�NU CORRECT ALl <br /> oiv��ocr o•io�� nmiro . PROVISIONS OF UWS AND ORDIN�NCES GOVERNING TMIS TYPE OF <br /> /J!(6r0%1'�( �� ' �� WO�N WIIL BE COMPLIEO WITM WHETMER SPECIFIEO HEREIN OR <br /> iroux•cnn7iwttri�MEnnisrio�wert anmq:emOCMeSi rypT TNE GR�NTING OF �PERMIT <br /> OOES NOT PRESUME TO OIVE <br /> �o� pia, a �UTHORITY TO VIOLATE OP C�NCEI THE PROVIS�ON OF �NY <br /> OTIIER STAiE OR LOCRL UW PECUUTING CONSTRUGTION OR iNE <br /> PERFORMANGE Of GONSTRULT'ON TNAT I�M AUTMOFIZED BY TME <br /> OWNEF OF iH15 PROPERTY TO PERFONM TME WORR FOR WMICN <br /> 11PPUC�TION I$ AIAOE �Np I COMP�v W�TM TME ST�TE <br /> vu. i��,jiR�n�w/rtn GONTR�CiORSIAWIB2�RGWl1NDZ95yppW�C <br /> 3 7 U_L4e1 �) —��� � �f <br /> COVC�Tx'!x�rv�0uri�M%P4IMLSSIIIIn�WFMNPFl� J �- I�' /� <br /> � ,. n�L111 ` � f�111 <br /> Pb dU4MS51C[NSL v0 <br /> PLUMBING MECNANICAL <br /> NO. 7YPEOFFlKTUREORITEM FEE NO. TWEOFEOUIPMEN{ FEE <br /> WATER GLOS[T�TOILETI NC—MIN�LG UNIB <br /> B�TNTUfl fORCEO�IF SYSLEMS <br /> IAV�TORY(WASN B�SIN� H[�T PUMP <br /> SNCWER _j UNIiHEAiEPS <br /> NITLP(N SINK 8 DISP CLOiNES ORYERS <br /> DISHW 15NER finN^.E N000 <br /> I�UNDI r TRM WAl[R NEATER — <br /> GLOTH[5 W�SHER W00�STOVE <br /> URINRL A�ETAL FIPEPIACE(W000 BL'qNINGI <br /> ORIHqNG L�UN7AIN RFEVLACE MSEPT�YOpD BURNiN4� <br /> FIOOri ORMh G!S FIREPLpCE — <br /> p�GNFLO'NPF.EVENTER$ GASRANGE ' <br /> SINR�SEnVIC[ -B�N.ETC.) GASPIPING <br /> EXHFUSTiAN <br /> —"_—�— _+� <br /> SUBTOTrII S SUBTOTAI f <br /> FERMIi t PERMIT f <br /> _ ___ TOTALFF.E f fOTAL FEE f 1_ <br /> FOR OFFICE USE ONLY: <br /> IPON�ViP¢t P(�n5f1P�Cv ypCS(1114Y ry 4U.C�M1VM,fP ql Of(fm�40 <br /> p � oy-oo <br /> irvr�ovr io��ur• �•uv�vrt FEES VAW��ION FEE <br /> ❑vf5 ❑w R���MM ��� <br /> ��f��aal•onnv�.a 4o1Y0wflPNf: iil[MHW9� <br /> rvi�wr�n <br /> nain�v. �. i.or aam�ei�o�o n�uwa �u.���xu _'_�_—_ —'-- ' __""__y_ <br /> ❑�[S ❑4� - �� <br /> tiol'rn x11��P['�It nln�[N �IldliffMnl M�VC�M�a <br /> 1)l�if� <br /> n=i c.r.wu�ioo m�=o� --� <br /> ann nminmr.s�mm.+nrt <br /> ,.r�i�-nvv rvnrs��M�nvrnm CITYOFEYER£TT i�crww.c -.... '-- — <br /> LOCIILSALES -� — --�— --- <br /> �,,,i TA%COOE IS J105 Toi�L <br />