Laserfiche WebLink
APPLICAT�N FOR CONSTRUC�ON PERMIT <br />CRV OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 •(425) 257-BB70 <br />�_ p COMBINATION ❑ BUILDIN6 ❑ MECHANICAL ❑ PLUMBIIW O 810N <br />�Clm6c��� %�leti 1163,�, a.BF+� SI� 9E Euar}I� 9 ao� S (4]S) 397 - 8770 <br />•nCwrfcrOR LcuFn u1nY)p+Fss �ib /ir r.Knr <br />f�rl�n Cnne�. aS19 Seu�h YI.v1�ia5 RJ S.yh�,;�9sa90 C� 15)335=H18 Fbl EN 1fJ@�Q <br />ccntnucwm�cion w�n�wm[ss Cm pr n�xnr surti¢tr�v. <br />4FCNINiC�1 CONIN4IUP M��IAtNWE55 biY pf� PqNf Sry�f UCFMSf � <br />�iuEti%n% PI.�.,6:�y P.n,�o� �1�7 Fan.�...le 9Ro16 �. -7733 �ovrHCPl93d1 <br />olu4l�qM Mul eqM[55 �_ � crtr j�n rrroqF 5111F1�[FMSf � <br />ovuwer w�nK �wo sou.ar �oor�ct Nvavco <br />�n Fieer Neu+S.f = 1115 <br />�1"�` F4.ot NeW S �-- 5885 <br />Re,;d�.,�P — 5r-� <br />YlqVpp{OIISfpf1111i1pK. ��� <br />�SCt Aila.+r,1 <br />�tGY�ESCPiVllpll pf PiqPEPry 151qWN NIOW <br />�— <br />ioi aiaa .or_ <br />��9 0� — �{-O/C <br />DISP <br />� <br />SUB TOT�L f <br />PERMIT f <br />FOR OFFICE USE ONLY: <br />iP(INIS�ifl�fM µt�'�L P[1RSile1CR <br />O yr � <br />IISEIONF I Ip1I.NF• <br />—� "'� v � <br />NEIGN��I41�.��IOY 40 U! [1WfllING <br />' Q4 I II41�G • <br />�J <br />SYSTEM: ❑ GAS [vIELECTqIC ❑ <br />a+�xnn«y.rw . � <br />I NEREBY CERTIFY TMAT I MAVE REAO AND EX�MINED THIS <br />APPLICATION AND NNOW THE SAME TO BE TqUE AND COR9ECT �LL <br />PAOVISIONS OF �AWS AND OpDINMlCES GOVERNING THIS TYPE OF <br />WORI( Wil l BE COMPLIED WITH WHETMER SPEGFIED MEREIN OR <br />NOT. THE GR�NTING OF q PERMIT ppES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVI$ION OF ANV <br />OTMER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TNE <br />PEHFORMANCE OF GONSTRUCTION TH�T I AM AUTHORIZED BY TME <br />OWNER OF THIS PROPERTY TO PERFORM THE WOHK FOR WHICH <br />APPLICATION IS MADE ANO I COMPLY WITN THE STATE <br />CONTRPGTORS LAV/ 18 2] RGW �NO 496 200 WRC <br />FOFGEDAIRSYSTEMS � <br />HE�T PUMP <br />UNIT NEATERS <br />CLOiHESDRYERS <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE (WOOU 8 <br />FIREPLACE INSERT (WOOD E <br />({IN <br />v�Uv�v�E FEES <br />� �� OVES � <br />RININYf. <br />Sitf MlIDG�� <br />^ O .iI 1'1114R�Mf <br />� r <br />B�,V4F 1 / 4i1:1��Ni1'�I � <br />❑�FS �n -- <br />•Ddutwu rv �s artc. <br />amrn <br />[�q[ Huill)MI: SiI�Cu�11C[ <br />ertrovevenerr ���w„�,�,.� <br />LOCAL SALES -� <br />j TA1f CODE IS 0105 TOTAL <br />�ff <br />TOTAL <br />FEE <br />�_;2Q <br />