Laserfiche WebLink
APPLICATI�1 FOR CONSTRUC�N! PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257-BB70 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING MECHANICAL L FLUHBING ❑ SIGN <br /> PROJECTADDRESS /3'L�� a6{l• 5� F�,�e��t- w�¢, l'8��b <br /> OWNER �.UM1�ess I i�90 EutKiY circ uI,JF. zv warrt <br /> I�� arm��,�+��- P.O. 80+.__ , ,,.� 4£S�O6 YaS-aSa-b?06 <br /> iENANT MA!LAO�PE55 ��1� 1� %�� <br /> ♦ACNREC�011�E54NEF YI.IL�OOPE55 LITY IIP NqNE <br /> GENERALWNiR1Ci041 MAPAOq1E55 Gltt ZIP PNONE S�TELICENSE• <br /> 4ECNANiCRICOlI1P.�CLCR Y.11lAWRE55 UiY ZW V11CNk 4Ui[IICENSE• <br /> SGw{vw.sti lMacG.�.'ca� - Y306 r0� in+arK�l• Skz����+,✓�.4dS33`�-7847 S/�O//ON+kcnscw <br /> FWA�6iNGCONiRPGiOR MAiLAD�flE55 CIiY EIP PIqNE 'vU1ELICENSE♦ <br /> cor�mearac ocwonK � HEATINGSYSTEM: �GAS kL..ELEGTRIC ❑ <br /> OESLPiOE 9N.WDSOV�REFpOb.GEINVIXVEO 4IN1GLiFEP50NANOFqN[N0. <br /> L J I.�- S d-C �r ( Q�5 {+. <br /> <A <br /> I HEREBY CERTIFY THAT I HhVE aEAD AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO DE TRUE AND CORRECL ALL <br /> reoroseo useorew�onm PROVISIONS OF LAWS AND OFDIHANCES GDVERNING TMIS NPE OF <br />, WORK WIIL BE COMPLIE�WITM WHETHER SPEGFIED HEREIN OR <br /> �eceioewaivrwuorvuoaenrv�s�wwnee�owonen�cetwocovms� NOT. THE GRANTING OF A PERAiIT DOES NOT PRESUME TO GNE <br /> ior �aK o� AUTMORITV TO VIOLATE Ofl CANCEL THE PROVISION OF AN'I <br /> OTHEfl STATE OR LOCAL LAW RE3ULATING CONSTRUCTIc7N OR THE <br /> PERFORMANCE OF LONSTRUCTION.THAT I AM AUTHORILED BV THE <br /> OWNER OF THIS PROPERTY TO PERFOPM THE WORK FOR WHICH <br /> APPIICATION IS MADE AND I LOMPLY WITH THE STATE <br /> rnaCEt*na iu xuueEa CONTRACfORSIA B.�JD 296200 WAC. <br /> I CONSiR�CP01110�1EN�]ER.�O�RESS.iEIEPNONE11U48EN X �n� � 1 _ w <br /> S N.VUPE ���� <br /> i CITY BOSME55 ULENSE f%l <br /> 7LUMBING MECHANICRL _ <br /> NO. TYPE OF FI%TUflE ON ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATEBCLOSET�TOILET) ( P!C—A'HNDLGUNITS <br /> BATMTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEATPUMP <br /> SHOWER UNIT HEATEFS <br /> KITCMEN SINK 6 DISP CLOTHES DRYERS <br /> DISHWASHER flANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHESLYASHER WOODSTOVE <br /> URINAL METAL FIREPLACE I'NOOD BURNING) <br /> DRINKING FOUNTAIN FIPEPLACE INSERT(W00�BURNING� <br /> FLOOR DRl.IN GAS FIREPLACE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SINN(SEflVICE—BAR.ETC.� GAS PIPING <br /> — EaHAl1ST FAN <br /> SUBTOTAL S SUBTDTAL 5 <br /> PERMIT S PERA+IT 5 <br /> TOTALFEE 5 TOTALFEE 3 <br /> FOR OFFICE USE ONLY: <br /> FR@ILSEIBRCN PLPRSLiO<L8 SIDFSEIOACH PINICHE[NNUMBEfl iEE AECEIpINO <br /> us[zo��e �or�nu vecwrsne FEES �ALU�TION FEE <br /> ❑vE5 ❑�0 OW��iNG <br /> 11EIGIIILIIAII�IpN uN105i6ALlLING $IZECiBL�G'fl <br /> RIINOiNO <br /> IX:CUPPNLY IAOiS�Cs�[S OCNP�NiIO�D 9�SCA�ENt MECX411C0. <br /> Gnou� <br /> ❑YES ❑NO <br /> fIRES��INMIEHPE00 RE�SON ����KP����ELK <br /> OtNFq <br /> IiRE�UPIARCOD P[ASON <br /> SLeIE BUiI��xG SORCNMGE <br /> 7vecrcorvsr vur+s�Prnovcoar CITYOFEVEHETT woiawonxs <br /> LOCALSALES <br /> o+rE TAX CODE IS 7105 707AL _ <br />