Laserfiche WebLink
APPLICATI� FOR CONSTRUC�N PERMIT <br /> CITV OF EVERETT•BUILOIN(i DIVISION � <br /> 3200CEDM STAEET•EVERE7T.WA88201•25&8810 <br /> p DEMOLITION ❑ COMBINATOtI � BUILOMQ ❑ MECH�NICAL ❑ PLUMBNNi ❑ 810N <br /> PROJECTADORESS: /DA7 �uC,I'Pr <br /> R b /.._�,.o... /u�� ki�4ir Ei �il✓l 7TG �1Jj' <br /> owrrtn uu��oa�ss an rm nv4 <br /> 1EMIiNt uYt/,ppKSS CA�� l�� M1O[ <br /> MCNRCiORpE$YJNfN WMMLAf55 GtY lN 1'rUMF <br /> P�� c' / �, � Prr eoR i�,aZ r��,i c,K,F._ 4Yoys 1rz .raz 3 <br /> 6[NFP4Cp111uClOA YYI�WRF55 Gt� )M p\]Mf .tl�iEtIttNSF� <br /> YFCN�M�C4LMiNI.LtON MIuII.Od�E$$ CJtY PC AIpN[ [�IiEIICENy� <br /> PIUYRWGCp1fR4fM Y4te0D'K55 dfY !Iv PKWE 511tElCENSf� <br /> CCM�MLi PIXCY p <br /> 1��j�J �2 — HEATING SYS?EM: ❑GAS O ELECTRIC ❑ <br /> o¢uweewa.�posaunssooerocm�avco � pj cowi��so�r�C'�.� <br /> N r K <br /> �� •. .- cve�l�s P,�.N.. 3r� 1�z 3 <br /> I RfREBY CEflTIFY TMAT I HAVE READ AND ERAMINED TNIS <br /> ��� ����i� APGLIC�TION AND NNOW TME S�ME TO BE 7RUE ANO CORRECT ALL <br /> PPOVISIONS OF LAWS/�ND ORDINANCES 60VERMN(i THIS TVPE OF <br /> �rn WORK WILI BE COMPLIED WITH WNEtHEF SPEGFIEO NEREM OP <br /> iFa�+aE �waaartnrcivrovmecioww�nrcMnqcon[si NOT. THE �RAMINO OF A PERMR OOES NOT%IESUME TO(IIVE <br /> io* e�oat a �UTNOPITY TO VIOIATE OR CANCEI iNE PROVISION OF ANY <br /> OTHEN STATE OR LOC�L UW REOIAATNO CONSTRlICT10H OR TME <br /> PERFORM�NCE OF CONSTPUCTION.T1UT I MI�UfIqRIZED BY TlIE <br /> OWNER OF THIS PROPERiY TO PERFORY 7ME WORN FOP M'MICM <br /> APP�ICATION IS M�DE AND I COMPIY WITH THE ST�TE <br /> INKh�riuio.ruueFn C� i��U�[ TOR 27RCW�N0296200W�C <br /> 4 G zir o 0o d:��ti-� C/���— <br /> CdS11111C1d11WMlfNOER.bME55.tFlEIMC1IEMNMl1 � <br /> Q� SNW/ �E <br /> drtMI5�ME55lCFx5CxJ <br /> /��Ml�q MECHI1MCAl <br /> Iq. ME OF Fl%TUI1E OR ITEM FfE NO. TTE OF EOYPMENf FEE <br /> W�TER CLOSET(TOILET) A/C—A41HDL0 UNIS <br /> BAMTUB FORCED AIR SYSTEMS <br /> LAVATORY(W/SH BA:IN) HE�T PUMP <br /> $NpWEq UNIT HEATEHS <br /> KITCHEN SINI(6 DISP CtOTNES ORYERS <br /> DISHWASHER ��H�� <br /> UUNDRY TAAY WATEfl HEATER <br /> CLOTMES WASHER WOOU ST�VE <br /> URINAL METAL FIpEPUCE(WOOD BURNINO) <br /> ORINKIN6 FOUNT�IN FIREPIACE INSEPT�VOOU BURNINO) <br /> FLOOR DRAIN GRS FIREPIACE <br /> B�CNROW PREVENTERS ��4E <br /> SINK(SERVICE—B11R,ETC.) GAS PIPM� ' <br /> EXM�USTFAN <br /> SUBTOTAL f SUBIOTAL f <br /> PERMIT f PERMIT f <br /> TOTALFEE f TOTAIFEE f <br /> FOR OFFICE USE ONLY: <br /> rnowrscter.c��_/ n[�nu� 6�OESFI� / n��cirtca n rrF Z� a[ceorrq <br /> ! <br /> us[i -Z �/ �oi�u[� v.t�H�v�[ FE 6 Y� U1ITION FEE — <br /> �T ❑YFS p W �� u / <br /> I�FH'iMi UNl/.fICN l MO Or P�FIUNG SIIF Of RO0R1 <br /> lmifF S�� .F. A�AIP�p � <br /> ULCVP�NLY MJdil(M[f ��w�M�IMD l�Y�ENt �����y�.y, <br /> G��ITN I . / <br /> OYtS p'Fo <br /> i1fF5PflI�IRlFR11EOD (IF/.iW �OPIN1Y�11Y�M4'�1[CII � <br /> OMOI <br /> fFENMMpFO'� ���� <br /> � �utEeimrnvnHinn�+m[ _ '.�/�Q <br /> rmear.or1v �ues�rrnwme. CRVOFEVERETT nnur.�c+�.s ^ <br /> LOCALSALES � <br /> �—N _ ,..,��� _ TAX CODE IS J105 'oTnl _ _ _ _ _�7G7�D <br />