Laserfiche WebLink
.-, <br /> APPi.ICAT10►. FOR CONSTRUCTI �N PER`MrT <br /> CITY OF EVERETT•BUIL'JING UIVISION � <br /> 3200 CEDAR STREET•EVERETT,Wq gg2p� •Z59-BB10 <br /> p DF.MOLITION [] COMBINATION ❑ BUILDING ❑ IIIECHANICAL � pLUMBING ❑ SION <br /> PROJECT ADDRESS: �1� � U��� �Q � ,r, go <br /> � �i umm�-.�ai `'�sC_ <br /> OWNER MUl�Od1E55 � � uJ�� � <br /> �,en5 r�mF � �' .� 1' Ln v � � "'� <br /> TEWW�'�' ��F � �S I a r � /n <br /> MNL�I)ORF55 f.IfY �AC� �U�VV <br /> � � ONE <br /> 11R('MTECTpiDE51GNER M�IjYNN1E55 <br /> Ciff liP PUONF �� <br /> tlNi�w�Kv ---- IfZ �J � �ZG <br /> GENEIU��,p�TMtTd1 MNIMINIE55 --- <br /> GI\ 11:..- - P�IONf. if�TEUCENSE• <br /> �ECM�N�C�ICONTR�CT0i1 MIJlA17piE55 CIfY - <br /> 7�� �I�E ST�iE UCENSE� <br /> -� rt- �Iv�ti„� 2h2G - � � �%� r. ��l�_ �'ffG3E " <br /> %U��' �Tp��-� tOR M II�ODpESS L'WP� O <br /> CIIY !IV P110NE <br /> SUfE IICEHSE� <br /> CONTMGTPRICE OF W011N ___'__ <br /> IIEATING SYSTEM: ❑GAS ❑ ELECTqIC O <br /> SCrylENOIMAIIP$q�APEFppI EMVOIVED --- _ <br /> Gv - � ccxn.r.rvrns��rmrHor�erq <br /> ' � i <br /> G J , (� Wr <br /> ( ' ' � 'r � � i � ' �, t � r��,� I HEREBV CEHTIFV THAT 1 HAVE READ AND E%AMINED THIS <br /> °�O�D����p� �PPLICATION AND KNOW THE SAME TJ BE TRUE AND CORRECT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOYERNING THIS TYPE OF <br /> ��0E�P1P�"��pTM«�+'"e��o�'a+�n�cNnrocorrts� Wn�K WILL BE COMPLIED Wlhl WHETHER SPECIFIED HEREIN OR <br /> �oT NOT. THE �RANTIN(i OF A PERMIT DOES NOT PRESUME TO 61VE <br /> � B1O� °` AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTNER STATE OR LOCAL LAW RE(iUUTINO CONSTRUCTION OR THE <br /> � PERFORMANCE OF CONSTRUCTION,THAT 1 AM AUTT1pRqED BY iHE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WOpI( FOR WHICH <br /> APPL�ION IS MADE ANO I COMPLV WITH THE STATE <br /> ►�T�vc�°'Mw�e�R CO A TORSLAW 1B27RCWAND298.2ppyyAC. <br /> caamuctah�ww ieuoen.�ooaess.reiena�rnMeen <br /> X / l� �- / � �7'� <br /> SMN�IURE —� <br /> r�lY RU$INESS IICENSE NO <br /> K���� <br /> MECNANICAL <br /> NO. TYPE OF FlXTURE OR 1TEM FEE NO. 7VPE OF EQUIFMENT <br /> WATER CLOSET(TOILET) FEE <br /> g�TH7U0 � NC—NHNDLOUNfTS , <br /> UVAtORV(WASH gAS�H) � FORCED AIR SYSTEMS � <br /> ��R � HEAT PUMP <br /> ' UNITHEATERS <br /> KRCHEN SINK 8 i CLOTHES DRVERS � <br /> DISHWASHEF � RANGE HOpD � <br /> � <br /> LAUNDRYTRAY ; WATER HEATER , <br /> CIOTHES WASHER � WOODSiOVE � <br /> URINAL � METqL FIqEPLACE(INOOD BURNING) � <br /> DRINKINfi FOUNTAIN ; FIREPLACE INSERT�NOOD BURNING) <br /> FLOOR ORAIN � GAS FIREPIACE � <br /> BACKROW PREVENTERS ; GAS RANGE , <br /> SINK(SERVICE—BAH,ETC.) � GAS PIPING � <br /> ' ExHAUST FAN , <br /> � <br /> r � (" � � <br /> a-t ti- � <br /> � , <br /> SUB TOTAL S ' SUB TOTAL S ' <br /> PERMIT f � PERMIT f , <br /> TOTALFFE f � TOTAI FEE f � � <br /> FOR OFFICE USE ONLY: <br /> Fpp1�T5E�B�LIf IIE�pSFTB�CK SIpESFTB�CN 1'I�NCII[f.MNUMqfli fEf - . <br /> REf.EIM Np <br /> USE ZONE -- � �� <br /> lO1�PlA vec�Ntsn[ FEES VA�UATION FEE <br /> ❑rEs ❑ NO <br /> MEIpHt LIMIi�TION PIIIIfIINC. � <br /> NO Of AVRIUHp SIiEOFlIDG/fl <br /> JNI15 <br /> PlII4pMG � <br /> d��1NCY NO p SIMIfS OCLUP�Ni LO�D BASEMENT i ' <br /> MEf.11�Nif.�1 —�f_ <br /> ❑YES ❑N7 — i <br /> FlRESPRINKIEqpEO'D RfRSGN eOUibnNA1 !'IeNC111CN i <br /> O�IIFII i <br /> FlNEMAqMPEOD RFASpq - <br /> 51�1[pUilOiN6 SUt1f.N�OGE i <br /> TYI'EpFf,ONSi PIINSAPP�OVEDAY --- � <br /> CITY OF EVERETT ruqi ic wonKs — <br /> LOCAL SAIES <br /> ue+E _ TAX CODE IS 3105 TOTAL --��— <br /> - —'-- i <br />