|
APPLICATI� FOR CONSTRUC7�N PERMIT
<br /> CITY OF EVERETT•BUILDING DIVISION �
<br /> 3200 CEDAR STREET•EVEREiT,WA 98201 •257�8810
<br /> � � OF.MOUTION �Y. COMBINATION �' BUILDIN6 I�MECNANICAL �pLUMBING � SIGN
<br /> PROJECT ADDRESS yn i- "
<br /> � O // �
<br /> nwwn wn�p�.nss c�n rn n�
<br /> i11iK� rr,r�� 5y,,,.,�
<br /> IIN�H� Mu��Cprt55 •i�� /i NqN[
<br /> �IN�III�{.1(Mlf[S{III.P U�iI�IMV�I: C'1\ !q� ��4yS
<br /> f�f�1�111C(Y11R/�Ipl Y�R�[IpH55
<br /> Lllv b' ARINf 6�RC IICOnt•
<br /> C�RfYSiwE(�r,.«< �2917 31�71�{ Avc �E FvER*�T `/K2p$" (Yrs)337-7t4� C�Q'yu �oll�Z
<br /> 41tr��IM'.1ICUN�Py,ltM 4�n�IRn[."�5 C�l♦ !�� ACI( SIIIfIK11��1•
<br /> �V�iir�i�(-pllal�l:M1 Y�N�[IJP[•vfi CIfY li�' I�xxµ Sl��ll�(.Ir��l•
<br /> �I�1�(.11`li�.l tM 1��1��
<br /> __ �
<br /> r�� ' 1C C��' MEATING SVSTEM: GAS ' !
<br /> EIECTRIC
<br /> f�St�u�0 A%�uv qk14q[M'.q N U 1 ur��c f�I�r.tr�n�d nix�.•Y NJ�
<br /> �cr-mr,k,..� '13s s F A DD i l7�r.i ��rn�3•e G,_�=15'a -3/,3S
<br /> .,{-cMOQ(L EYit7W4 i
<br /> I N[IlEOV CERIIFY Tllqi � ��pyE RERD �ND E%RMWED TMIS
<br /> a�roun ua o�puepnn APMICATION AND NNOW TNE iAME ID C'TRUE ANO CORFECT�LL
<br /> ��f—S�� LN CC P�OVISIONS OF LAWS ANO ORDINANCES GOVEPNINO THIS TYPE OF
<br /> i�.•aoE:cnntUepmaYnrviHqvmpuowonnt¢wiwpcovt& �YOPN WILL pE COI.IPLICD WITH WNETHER SPECIFlCO NEPEIN Oq
<br /> NOT iNE GRANi1Nu OF A pf.RMli ppES N07 PRESUME TO GNC
<br /> " — aa� o� AUi110R17V i0 VIOLAIE OR CANC[L THE PROVISION OF RNY
<br /> OiN[R ST�TE Ofi IOCAL LAW RE.CUTING CONSTRUCTION OR TMC
<br /> .- PERFORMANCC OF CONSTRUGTION TNRT I AIA AUTMOIiIz[D OY TNE
<br /> OWN[R OF 11115 Pl10PERTY i0 PEAfOFM TNE WORk fOR WHIGN
<br /> __ APPLIUTION IS MADf �ND 1 COMPIY WITM iNE SfATE
<br /> ����Ti�+�i o nuvnti�n CONTRRCTORS U W IB P�PCW AND 294 P00 W�C
<br /> ���Z.�LS--I� d Y UZO OOUv �
<br /> �,w.v��ti..ruon��uarn u�wrss mtrrxx w.n./ntn ' ,�����G_—_ � �
<br /> �7 cc.
<br /> — _ ,�.euum om
<br /> �in nu.��u�.�.u�n.,� in
<br /> PLOMBINO MECN�NIC�L
<br /> N0. TYPE OF FlNTURE OR ITEIA FEE NO, TYVE OF EOIIIPMENT FEE
<br /> W�TER CLOSET ITOILET� �OLC UNRS . --
<br /> pr1TNTU0 FORCEO r11P SVSTEGI$ �--
<br /> • 1 IAWiORY IK'ASH p�51N� HEFi PUMP —
<br /> —/ SIIOWLN j — _
<br /> UNIT NE�T[PS
<br /> kRCNEN SINK 8 OISP ClO7NL5 ORYEHS —
<br /> DISHWASMER _ - 'f1ANFENOOp
<br /> UUN�RYTRAY �_ WAiCRMEATER �—'
<br /> _ CLOi11ES WASHER_ � WOOD STOVE
<br /> URIN�L l.�tTALFlqEPL�CE�W00DBUriNING; �
<br /> DRIHNING FOUNTAIN flfi[PUCE INSEfiT�WppD OUANIN6� -
<br /> FLOOR DRAW WS Fln�P�ACE . —
<br /> _ UACNFLOW PREVENiERS fi�5 RANGE -
<br /> SINN�SERVICE—O�R EtCI � OASPIPINA ' ,
<br /> � ' E%H�USTFAN
<br /> __�_ I/li A.G /.t A i .
<br /> _ SUBTOTRL S SUDTOTAL f '
<br /> �_ _ PERMIT 3 PERMIT f ' _
<br /> _ IOTALFEE f TOTALFfE f -
<br /> FOR OFFICE USE ONLY:
<br /> narn u�re.c. � �.i ixe. snrt sae¢R —
<br /> A`tl CMCn MI4µII ,( M[fVl NJ
<br /> � — � ��� —S / I —�/ 7 rd�S��
<br /> � � �� "�'N15"� FFE9 VALU�TION FEE
<br /> '_—��_ . .�. � �n �w.i �nnmm�
<br /> ,.�.,,.,�,,,.,., �.,,,.�,w„��-- ,:��,.�„,..�� '1� 995 / i 5
<br /> � ,,� —
<br /> ,,, y�53�f �„4,,.� ,
<br /> ;��y.�� '�� �w.i uir�r u[uuraµ �
<br /> _�� 3 . ��,�� ���.—,,.,.��.--1 .�s »/ .3G j
<br /> l�el '.� .. u�r lu . �L�Ui41NVWNC�1[CX I -
<br /> _' ____ . -.. ._____ nunn
<br /> � , .�,��.��,i�..� . . � . . . - -..--
<br /> ,��,. . G�. .
<br /> � �,.i�a�,n»,suc�wu r
<br /> I.i�1 .�� .r�- ...— .�i i..���I I�IF���11'P� �
<br /> ' ii CITYUFEVEflETT noitmw�s
<br /> � ' / ` LOCALSALE5 w
<br /> . _N I'��•� 4/�UO I TA%COOE IS JI05 tOT�L � �
<br /> ._ . __ '.—_— ._—_—.. '__ _-- -_�
<br />
|