Laserfiche WebLink
APPLICATI�1 FOR CONSTRUC�N PERMIT� <br /> CIN OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STpEET•EVERETT,WA 98201•257-BB70 <br /> ❑ DEMOLITION ❑ COMBINATION r�BUILDING O LIECHANICAL ❑ PIUMBING u SIGN <br /> PROJECTADDRESS <br /> �q I�LS i,l - o �5 Avc <br /> M�WJ �iTTJio M•rt•ow+[s5 Gt� fv n�w+[ <br /> � w. n srr�� 1025 I�E�Mo2t 1�W�NaRaTT N�•9620� 4?3�3o3-�fvi _ <br /> iCN�NI untt�pql[55 LiiY IO' RM( <br /> �A �C <br /> �'�C•n�il,[GCIORCLSqNll1 Y4UCMl55 plv Iw RqN[ <br /> .�IG <br /> G[H[n4L01rtMC10� Y�i4WR[55 CrtY aw ApN[ 9�IfL[[NSE• <br /> Sr.l�la <br /> u�c�.vw��cov.r+.cton u.x+w�[ss ci*r zw nro�rt s*uc�..tvs[• <br /> �a«.,,�,�r�� �.2.wa�== ��,. =p �.K s,..E�K��s�. <br /> �!_ <br /> cor�iiuci n�er vr xvwK <br /> HEATING SYSTEM: i�GAS �:i ELECTRIC r� <br /> ocscu�.er wo�nro cou•n�romm�ne�av�o arn.a��nwH.�w rrovc rq <br /> �Y7Z� SN4L � CAG L4iA06 '�l{7 ��` � <br /> I !IE(iEOY GERTIFY TMAT I MAVE READ AND E%AMINED TIIIS <br /> rimrosm u,[w noao��r� pPPL�CATION ANp KN01Y THE SAME TO�E TRUE AND CORRECT ALL I <br /> � PROVISION$OF LAWS AYO OP�INANCE$GOVERNING TMIS TYPE OF <br /> WORN WILL BE COMI LIED WITH WMETHER SVECIFIE�MEREIN OR <br /> an¢ascn�n�mvorrarn[nrv�s�roxr�auowon�r�nc�rnocor�c51 NOT. THE GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE <br /> AUTNORITY TO VIOLnTE OR CRNCEL THE PROVISION OF ANY <br /> T�y N, •�wt j�Y{.�L�T?"�Ma��A 7e�0.Tia+�V bT6� OTHER STATE OR LOGAL LAY�P,EGUTAiING CONSTPUCTION OR THE ' <br /> a�l�K 1��OG TIN IFtl�rl,�—P�yQp PERFORIAANCE OF CONSTRUCTION.TH�T 1 AM�UTNOR2E0 OV TME <br /> VOLJ� �. �•.�O r/WIl IF S•�'• OWNER OF TNIS PROPERTV TO PERFORM THE WORK FOP KMICH <br /> RPPLICAiION IS MRDE AND I COMPLY WITH THE $TATE <br /> rnncu.ue�o�inwn[n CONTRFCIORS LAV!19 27 RC W AND 2ifi100 WAC. <br /> 4G6L 219 001 O� Z4� / <br /> LO�ISIPVL�IVNlU�11lCNC(11,.NIIIt[y51E1[ANMIENIIMBER x ���/`/�OO <br /> $��N IVPI f[� <br /> CIiV BVS�Nl55l�C(MS(�q <br /> PLUMBING MECMANIC�L <br /> N0. TYPE OF FI%TURE OR ITEM FEE N0. TYPE Of EOUIPNENT FEE <br /> WATER G105[i(TOILFT) A'C—�NNDLG 11N1T5 <br /> pATHTlJO FORCEO AIF SVSTEMS <br /> LAVATORY IW/51/B4SIt.� HEAT PUMP <br /> SHOWER UNIT NEFTERS <br /> KITCH[N SINK 6 OISP CLOTM[5�RYERS <br /> DISHWASHER R/NGE M000 <br /> IAUNDRY TRAY 1Y4TE5 MERTER <br /> CLOTNES WASHER WOOU STWE <br /> URINAL MET�L FIFEPLACE(\Y00�OURNING) <br /> �RINNING fOUNiAW FIREPL4LE INSERT pVOOD BURNING� <br /> FLGOR DRAIN GAS FIREPLACC <br /> OACNFLOW PREVENTERS GAS RANGE <br /> SINA�SEPVICE—OAR.ETC.� fiFS PIPING <br /> E%NAUSTFAN <br /> SUDiOTAL S SUOTOTAI 5 <br /> PEFMIT 5 PEPM1VT S <br /> TOTALFEE 5 TOTRLFEE S <br /> FOR OFFICE USE ONLY� <br /> fnCxI5t111�[\ I�f�n�.'IP��:n SICCHIP�Cn R.�N [ Ml�4PCN ICC D' MCCTi1q <br /> � ' s (��-0�3 1 ". <br /> vscr� �oi�in. ��c.n�snE FEES WLVATNIN fEE <br /> arcs f'Fo nnnorva J <br /> uc�c.rtut�:�.*a% ov�to� °Y���wa sutae�osii <br /> 'J 1iVVP�Y] ' <br /> (YCII�AKY M„p5'.MS[ p�CU��li1lOW BAS[4lNt M:CM�Nt4 <br /> G I_� I <br /> 1'��6 � <br /> HPE51'llvwl[qPEOD f�USUH KTX110MLLPLV4Cu(Cn <br /> nIH[R I <br /> im[cUPMR[00 PGSON � <br /> '��f PU�tdMSVM���GE � <br /> tmcorcovs� n�.v,�wuonoer CITYOFEVERETT �'�+e�cxrn+s . <br /> LOCRLSALES <br /> �"� �.rz TAX CCDE IS�105 TOTAL <br />� <br />