Laserfiche WebLink
� ' APPLICATI�1 FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98207 •257•8810 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDIN6 ❑ MECHANICAL ❑ PLUM8INQ ❑ SI6N <br /> PHOJECT ADDRESS <br /> � / (_�s :1> �1 Q� � .F' <br /> CHNEH HUL�WPE55 GIiY IW P1�OME <br /> l'ot�E�r� K a• (�lol ;��,� . �%7 � ��� _ <br /> ,�:�. ��� �"v 55 ^-3 z�,( �,r. � =�S� '� 2a <br /> �iCNQECiOROESqNFR NAIL�GOPESi LITY ZW � � <br /> GENEPALGONfPA�iJA /� MAiI�pDBES � CItY ZW R�ONE STAiELILENSE• <br /> lL� — <br /> MECIIRNICKLONiHI.L10� IA-"%JDf1L55 CIIY 21P PMCHE $iA}[LKENSE• <br /> PWMBR1GC01RP�LtOR Mna�00n[55 CI1Y Z�P PNONE SieIEIIC[n5E• <br /> W NiRACi PP'.LE Oi NOfIK <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> DESCRIOE WOFFA110 SCUAPE FOOUG[Iro/QYED fAN*�LT PL115011�Np�IqN[�q. <br /> 11� 1�— P�{� <br /> rJ /1i 'G 90� I MEREBY CERTIFY THAT I NAVE READ AND EXAMINED TNIS <br /> �� �� APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT.ALL <br /> vaaroseo useor awmir�o PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORH WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> IEGALDESGFIP110NOfPNOPEPLY15110WN�ClO oanrteF� rv+ wrics� NOL THE GRANTING OF A PERMIT DOES NOT PRES�ME TG GIVE <br /> tor 3 Buse o � AUTHORITY TO VIOLATE OR CA4CEL THE PNOVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME <br /> ���K`. . � � PEHFORMANCE OF CONSTRUCTION.TMAT I AM AUTHORIZED BV TME <br /> OWNER OF THIS Pf'.OPERTY TO PERFORM TME WORK FOR WHICH <br /> APPLICPTION IS MAOE AND 1 COMPLY WITH THE STATE <br /> a.ncei* i Nu ee CONTRACTOR 1827 RCW HND 29fi200 WAC. <br /> ��a,� aSa m3 aoo <br /> �o��s,���,�o�,�o.��E����A�p�Ess,E«��E���eEa X /R Bn <br /> sa�unnc o•.E <br /> CIiY BUSfAE55 LICLNSE WJ <br /> PLUMBING MECHANICAL <br /> NG. TYM!OF FI%TUNE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> � WATERCLOSET(TOILET) NC—NHNDLGUNITS <br /> 'z BATHTUB FORCEDAIRSYSTEMS _ <br /> LAVATORY(WASH BASIN� HEAT PUMP <br /> / $HOWER UNITHEATERS <br /> / HITCHEN SiNK 8 OISP CLOTNES DRYER$ <br /> DISHWASHER � RANGE HOOD <br /> � LAUNDRY TRAV WATER HEATER <br /> CLOTHES WASHER WO00 STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOO�BURNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFLOW PREVENTERS ' I fiAS RANGE <br /> SINK(SERVICE—BAR.ETCJ GAS PIPING <br /> E%HAUST FAN <br /> SUBTOTAL S SUBTOTAL S <br /> PERMIT 5 PERMIT S <br /> TOTALFEE S TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> 6POII�i�K �El�Ei0D4K `+�DESEiO(.IX PUNCNECNNUMBE�/ FEE�� PELEIPIN� <br /> S �� <br /> usezar:� _ ioranc�^rt ��, vecu+tsrte FEES VALUATION FEE <br /> (/ lllJ _ �.E: �� a���o�� 35 z <br /> �IEIGNiI�MiUiqN NOJ�OWF.LING SQ[OiBl�fTl <br /> tIMIS ��.j� 5� p�UM01NG <br /> ! <br /> OCCIICANCV �qC�StOGYS CCCUP�NilOAp 0�5 MENi YECNINC0. <br /> G�+00 <br /> 3 J• Z ❑res r+o <br /> iIP SGpI11XtERPW� PEASGN ADOIipN�LPLWCNEC6 (f�/� <br /> OtNCP � <br /> fIREAIARMREOO REA�0�1 <br /> SGLE BUiIDiNG SIIPCNMGE <br /> tvveoccorvs* ruxs�vaaovEoav CITYOFEVEHEI'f oueiawonKs � <br /> LOCALSALES <br /> —/v o+.e (0 2 C2'� TAx CODE IS 3105 TOTRL <br />