Laserfiche WebLink
APPLICATt �; FOR CONSTRUC'� 1`N PERMIT� <br /> cmoF�A�-r.euiinuao omsioN <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(4251 25 7-881 0 <br /> ❑ DEMOUTION ❑ COMBINATION ❑ BUILDIMO ❑ MECHANICAL Q pWG191Np p g�pN <br /> PRWECT DDpESS: � <br /> S'�VCfwYr��(-F7 ��}:'•fe % K•rk��d 94p34 �I25 8�2 4�74 <br /> �rtA IWMFSS p <br /> 1P prpR <br /> \Ewwi Yul�DURSS Ury �v p�� <br /> .� Ma..m�onnxva��rtIn �1xb"�,J't00i,{(fi $+ nrv rm n,qy <br /> �O.fi�Q1�� lGnST �..�t! ?OL _�•�fk�u-n�. �---.�-_ 42S'S:C?'4174 <br /> OF pAl COMf�1ClOq M41�ppnE65 CI11 AP mYy1p 51Mf I�CENSf• <br /> MfCNWC4CWIN�LIOP Y�q�ppnE55 f.irv }Y� hqNf Sl�IFlCENSE• <br /> VIUupMGCp11P�fI0n M�KApOR(55 CIIY [IP V�qN( Si�IEIICEMSF• <br /> COMIMG�aPKE 0�NONt <br /> • � HEATING SYSTEM: �GAS ❑EIECTRIC ❑ <br /> 0[5 neswwx�wosou�nEroouaexvaveo e �trrtnsw• n.orrtw <br /> ' h'r a�coll 425�338-2147 <br /> � �� 1 HEREBY CERTIFY 7H�T I HAVE READ ANO E%AMINEO TNIS <br /> F " �PttI�ATION ANO tNOW THE SAME TO BE TRUE 11N0 CORRECT A�l <br /> ��OSEDUSE oflinla1J� ?pOVIS10NS OF LAWS AND ORDINANCES 60VERNING 7HIS TYPE OF <br /> �1u M/ON(NpLL BE COMPUEU WITN WHETMER SPEGFIED HEREIN OR <br /> i[a•�.ceu uworrinr[�� �yq qBELOWd1R�/CNiWOCORF51 � pp7,7HE OH�NTINO OF�PERMrt ppES NOT PRESUME TO 6WE <br /> im � � aiaR a �Oo �UTHORITY TO VIOLATE OR CA4CEL TME PRpVISION OF I1NY <br /> OTHER STATE OR LOCAL L�W pEOUTATIHO LONSiRVCTIOH pq THE <br /> PEPFORMANCE OF CONSTRULTION.THAT I AM AUTNORqED BY TIiE <br /> OWNER OF THIS PqOPERTY TO PERFpRM THE WOPo( FOR WH�CH <br /> APPLICATION IS MADE ANU I COMPLY WITH THE ST�TE <br /> rrac[ttw'io Hurne[n CONiR�CTOPS UW IB.P7 RCW I1ND 296200 WpC. <br /> GONS1p1Gi1p1110M11ENOFN.�OpnE55.lElERqHEHU4BFl1 x���,((�-� y-.2i-49 � <br /> S�iAlU1E O�IE <br /> L1fYlU9H[SStSFMS[rp <br /> :LUNBINO MECHMNCILL <br /> NO. TYPEOFFI%TIIREOpREM FEE NO. iY�EpfEp�IPMpR FEE <br /> (� WATER CLOSET(TO�LET) � �_�a0�8 <br /> BATHTUB 1 Y FORCEDAIRSYSTEMS <br /> (O �UVATORV(WASH BASIN) � HEAT PUMP � <br /> ,� SHOWER Q UNITHE�TERS <br /> Z K17CHEN SINK d�ISP Z CLOTHES DRVENS <br /> L DISHWASHER L RANGEHOOD <br /> UUNORYTRAV Z N'AhRHEATER <br /> L CLUTFIESW�SNER WOO�STOVE <br /> O UHIN�L � METALFIREPUCE�WOODBURNING) <br /> DR�NNING FOUMAIN FlflEPU10E WSERT(VJOpD BUHNING) <br /> Q FLOORDRAIN Gp$FIREPUCE <br /> � BACI(FLOW PREVENTERS �.qgqqNGE <br /> SIKK(SERVICE—BM,ETCJ OAS PIPINO <br /> E%HAUSTFAN <br /> _{"� <br /> SUBTCTAL f SUBTOTAI. f <br /> VERMIT� f PERMIT S <br /> TOTALFEE S TOTµFEE f <br /> FOR OFFICE USE ONLY: � <br /> {Rf)NISFI�ICM q[np5(1MCK SIpEYIlKR �IµCIRCANU4qiP(� fFf 14f.fM(HO <br /> �� J <br /> us[ta�r im�wt�� r�cun>.•; FEES VALU11ilON iEE <br /> o.[s o wo ' —T= <br /> euuwr: q`t Z � 7 <br /> �rtieM��ru�ruroN woaowEuwa s�teaw � .— <br /> ��M�< 34a.�P2t S F, .,��..�.� --- _..L� +� <br /> OCCW�NLr �9npiMs IX:Ne�N�to�o e�5F�4N� / yirniwC4 -- — —' <br /> �� 2 o.e: R� � � ��� <br /> Fi�svmrn�ienp[��o nr�vor1 �oa��inwuca <br /> OIH[q . <br /> f111F�lAPMPEO'O q{�SpV <br /> AI�I[FIi1W151�1CM1M! �^ i( v <br /> . <br /> nPFMnwv ru�smmro�rtoer CRYOFEVENETT nir�.:��ons ' —' -- — <br /> LOCALSALES � — � <br /> � wrt ZL 49 T�%CODE I$�105 TOTAL • <br />