Laserfiche WebLink
APPLICATI�4R CUI�iST�iIDCTI�I PERNiIY� <br /> CIN OF EVEHEIT•BUILDING DI'JISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259-BB70 <br /> ❑ DEMOLITION ❑ COMBINATIOM ❑`BUIL1A,INp\ ❑ MECHANICAL I� PLUTABING ❑ SIGN <br /> PROJECT ADDRESS: 5/y �I �� S l�u�K�%�G�tt�tl�l (�//q- `J�'! 0 3 <br /> hAi t�tN71� ��s A7 A�r - �wa*.t+` w�- .�s9-Gs/6 <br /> OMIEII YULLWXE55 Ptt J SiV R�GG6. <br /> 1E�uNi uMMq�E55 Grv t�v C�D�1E <br /> •IIGRCCfOROELGNFP Y/JIY)011E55 GIY ll� �'��E <br /> GFMEMICWtMLi01 YYlA0IX1E55 <br /> CIIY T� P110NF (IAICIICfXSE� <br /> YfO1tMiOltWiMCip1 '/ MULApOPE55f 'p /r ['Att I�� VuOME 51�1El�CFxY� <br /> ��y� �l �/i�W'��(i 5 E IL SE <br /> PlU4BWLCp��F�t'tp1 �Mut/.00�E55 ��n ��� <br /> °ONt""pTP"'�OfWOR1t HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ _ <br /> ocuAe¢ uasa�nucrooiw��vav[o / cwi+c�rcnsaxnro>rrovErn <br /> �l, /Ka <br /> 1 HEREBY CERTIFY THAT I NAVE READ ANO EXAMINEO THIS <br /> APPLICATION ANO NNOW THE SAME TO BE TRUE RND COFRECT pLL <br /> vnpos[ouseor euin�xa ���// PROVISIONS OF tAWS AND OROINANCES GOVEfNING THIS TYPF OF <br /> (' WORK WILL BE COMPLIED WIiH WHETHER SPECIFIED HEREIN OR <br /> iE�pEyly�p�riqe�mr�y�yxr,etinnoq�rtwMiwocooi[s1 NOT. THE GRANTING OF A FERMIT DOES NOT PRESVME TQ GIVE <br /> io �� � AUTHOHITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OF THE <br /> S /� � F Wt�c. - L�N�. PEHFORMANCE OF CONSTRUCTION.TMAT 1 AA1 AUTHOR2E�BY TME <br /> • <br /> OWNER OF TNIS PROPERtV TO PERFORM TME WORK FOR W I <br /> 31L 3O 6OO APPL�CATION IS MAUE AND I COMPLY WITM TME STATE <br /> CANTRAC10R5 LAW�827 CW AN 96200 VlAC. <br /> PMILFL ilJ:l p.NWeFl1 <br /> LpISifMIGi�ON IO�M LENOEfl.�CORE55.IELER�OME M1MYP 7��I9� <br /> X OML <br /> $ICJlAL <br /> /}-L YCLL�I <br /> arv eus�yvsss i�ccxs[rro <br /> PLIlM81NG YECHRNICIIL <br /> NO. TYPEOFFlXTUHEOiiffEM FEE NO. TYPEOFEOUIPMENT FEE <br /> WATER CLOSET(TOILEn �/ ' !JC—NMNDLG UNffS <br /> BFTHTIlB FORCED AIR SVSTEMS <br /> LAVATORY(WASH BASIN) �I NEAT PUMP <br /> / SMOWER -7 UNITHEAIERS <br /> / NITCHEN SINK 8 DISP 7 CIOTHES DRYERS <br /> �ISHWASHER RANGE HOOD <br /> UUNDRYIRAY 7 WATERHEATER <br /> CLOTMES WASHER W00�SiOVE <br /> UPINAL MhTAL FI0.EPIACE(YJOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD B1IRNING) <br /> FLOOR CflAIN GAS FIREPIACE — <br /> BACKFLOW PREVEMERS GNS FiANGE <br /> SINK(SERVICE—BI1R.ETC.) GAS PIPING <br /> IXHAUST FAN _�� <br /> � / <br /> suerorni s q ; suaTorni s <br /> PEFMIT 5 PERMIT S <br /> TOTALFEE S TOTALFEE S `_ <br /> FOR OFFICE USE ONLY: iscrmira <br /> rnourumu:K n=�nsr�wcK vo[sE�e�tK n�.xc,rtr.xruuern r[r <br /> �na 30 <br /> usE10ME lo��nG WUxrv�E <br /> FEES VALU�7�ON FEE <br /> ❑YFS ❑� OUI�� <br /> ��c�ruwuria+ rwaowcun1c srsEaxocrti � — � <br /> niiuwvr --�— <br /> p[LUV/.NCY Iq(MS�MfS OCCUOANllO/�U B�YIENI 4ECNNtlCY <br /> Gf101A ❑vF5 ❑M� � <br /> OFL[IXi ������L Mu1 CW CF <br /> fIPESV2NhlFPR[OV -r— <br /> OINEN <br /> iWFNMMNEO'D Af�<� <br /> SltlE BV�IMMi SINICM��F <br /> rvreacor�sr ruusu�rnovmor CRYOFEVC�RETT runur.wm+s <br /> LOCALSALES - <br /> i,,,i TAX CODE IS 7105 i07AL _ _1— <br /> --- --- P R�07-r�oz <br />