Laserfiche WebLink
APPLICATI�1 FOR CONSTRUC�N PE�MIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257•8810 <br /> ❑ DEMOLITION ❑ COMBINATION G✓�UILDING ❑ MECNANICAL ❑ PLUMBING G SIGN <br /> PROJECT ADDRESS <br /> Z !(.� �/5� sT. s �- EveRET 94�103 (/as) a��e-sv�9 <br /> OWNEP MulA00PE55 ��T� �� P��� <br /> �?RE/�D% SR�pG y°5 �9-1�ovE <br /> iENeNI MARPOOPE55 �I(� ZW PNONC <br /> •R[XRCCLOP�LSiC.NIB 1A�IL�fiP65 CIIV IM PNONE <br /> CENfPµCON1RAC10P IA�IL�DDFL55 CIIY ZY N�OIiL $iI.IEIICENSE• <br /> SEc- F <br /> AI[CNa1nCRlC0:1iGt:iON NPRPDOP[55 CtII 31P PIqN[ SGiEIiCRbE• <br /> VLUTAOINGfJ111Ri�tOR IAAIL�DJRG55 LItY IIP 01101i[ $iAICLICINSE• <br /> �UN1RALl PIiICE Oi WO�M <br /> HEATING SYSTEM: ❑GAS rl ELECTRIC fl <br /> ocscnmc wonx nrm sau.Ae�ooucc uno�vio cornan vrnsor+��vo wwrv�ra <br /> — a - -s <br /> J CONSI RUG% f} G 9� Sq Fi- _. <br /> I HEREBV CERTIFY THAT I HAVE flEAD AND EXAMINED THIS <br /> F APPLICATION PND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> vPo✓os[o use o em:omc PqOVISIONS OP LAWS AND ORDINANCES GOVERNING TMIS NPE OF <br /> VlOFN WI'.L BE COMPLIED WITH WHETHEP SPECIFIE� HEAEIN OR <br /> uc.�ocscn�vrior�acaa��eervisrwvu+oe�owonuuc��ttiocowe;� NOL THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior��o o�oc� UOS—U'�r TOw� O F LO�LC. AUTIIORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTPUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOHIZED BV 7NE <br /> OWNER OF THIS PROPERTY TO PEPFORM TME V�ORK FOR WHICM <br /> APPLICATION IS MADE ANU I COMPLY WITM THE STATE <br /> v.acu rcx i o ru:�.roen CONTRACTORS LAW 182�RCW AND 296.200 WAC. <br /> SUpj —ODS —UOcj - UDL�G / <br /> consrnacrior+io.xieuotn.nooncs,.ic�c�nor.cxw�ecn X /Jd �u,.dd� �/�19�DD <br /> s�c�� ec osr[ <br /> crtv ousi�ass ucv�se r:o <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET� NC—A�HND�G UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LqVATORV(WASH BASIN� HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SINK 8 DISP CLOTHES DRVERS <br /> DISHWASMER RANGE HOOD <br /> LAUNDRVTRAY WATtR HEATER <br /> CLOTHES WASNER WOOD STOVE <br /> URINAL �AETAL FIREPLACE(WOOD BUHNING� <br /> �RINKING FOUNTAIN FIREPIACE INSERT(WOOD BURNING� <br /> FLOOR ORAIN GAS FIREPLACE <br /> EACKFLOW PREVENTERS GAS RANGE <br /> SINK�SERVICE—�AR,EiCJ GAS PIPING <br /> E%HAUSTFAN <br /> SUOTOTAL S SUBTOTAL 5 <br /> PERh11T 5 PERMIT S <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: ��1.9 � 'OZ-6 <br /> lPONiSCi�}C� Pi4�SC10aCN SIpE$E164CK PU/LIIfCKNUA��L1i0�� �E�� . �/ RECEIPL1q <br /> J lli � l <br /> osraorre� �orancn v�c>rnsne FEES VALU�TION FEE <br /> ^res :'��o eunomc J <br /> nt��rtuvnuror� uoornwnu�e,: s¢eo�o�a:�i <br /> ��,��s 6 t F v�« ,.��u�,�,� <br /> ULQIPANCv I.p Gf Sq0.f5 CCCUP�Ni LOAO �ASEFIENL U6N>111G� <br /> fi4'�1pi � <br /> V nres nrvo <br /> rweson�,x..icnveoo r�esso�� �omriorvunurio�ecK <br /> orr�cn —� <br /> roan�:.wnNEoo nenmrv <br /> SiniE BU:LD�NG SUPL�uPGE <br /> rvneormns* vur�snvvnovtouv CITVOFEVERETT nue�ewon.s <br /> LOCALSALES <br /> — h/ oarc li '�u TA%CODE IS 3105 TO7AL <br />