Laserfiche WebLink
APPLICATIO.� FOR CONSTRUCT�JN PERMIT <br />CITY nF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•BB10 <br />f 1 DEMOLITION f 1 COMBINATION I i BUILDING ! I MECHANICAL �� PLUMBING I! SIGN <br />PROJECT ADDRESS —� -, /� � <br />�l /� / ;,t�l�� /`�� S�- /_'(/r�r�� l�,/,� i��?O� <br />�/C��(;� /%//�B�7nnrss / � �X�l��N.X ��� / /,f-6C"YY" L r� /O�Q� ��,�( �)��J S�� <br />iFNAN NMI �DfMl55 `� -�� ' " � <br />� f.IIY ]IP PIIONF <br />� �s /�42 �CL �� — <br />�. rct on c�vm¢n u.n �nno�ess arv �ir rv���.� — -- -� <br />LE6�L <br />LOi _ <br />NYlfil( <br />� <br />sou�nE <br />PLO(:I( <br />u�n <br />' . _ '." __ __ <br />__clt�_-__'_' vm rnn!rt aut �icrNSF. -_- <br />57Oi . � - , ,_ , rUl�'��lJ� _.��� �il�/�% --- <br />�.(iu l <br />nr�._- ��r r�wne sTnrrur.rr+se. <br />55 a�r rm --- <br />���n��F SGIFII[�.FNSF• <br />ivvaveo . /. � <br />15MOWN BELOW OR �iT�f.N TWO COfMES� <br />or <br />PARLEL TAfI 10 MIYBER <br />CONSTRUCTION 1 O�N I ENIlF11. MIOfiE55. TELEP110NE NUMpFfI <br />NO. TYPE OF flI(TURE OR I7EM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY(WASH BASIN) <br />SHOWER <br />NITCHEN SINK 6 DISP <br />�ISHWASHEF <br />IAUNORYTRAV <br />CLOTHES WASHER <br />UR�NAL <br />DRINK�NG FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />SINK (SERVICE - BAR. ETC.1 <br />SUB TOTAL E <br />PERMIT E <br />TOTAL FEE S <br />POR OFFICE USE ONLY: <br />fRONTSFiMCN IIFU1GfiP�f.N <br />ISE70Nf �pfAp[A <br />��EIOIRLIMITITION NO(XUWfILIN(i <br />IINIIS <br />nccur�Hcr mnicrnns a:curemioeo <br />r•nrnm <br />i me �unu nron �— nr�sc� <br />ri nus <br />FEE <br />HEATING SYSTEM: j�TGAS i I ELECTRIC I l_ <br />t.�r�r�cN�As�L�Lr�nr�rNn, , _ <br />— ����a�0�'� %8'% �/•?D <br />I HEREBV CERTIFV THAi I HAVE READ AND E%AMINED THIS <br />APPLICATION AND 1<NOW THE SAME i0 DE TRUE AND CORREC7 ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TV�E OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIt.I �'1 <br />NOT. THE ORANTINCa OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVIS�ON OF ANV <br />OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORH FOR WHICH <br />APPIICATION IS MADE AND COMPIV WITH THE STATE <br />CONTRA�T RS LAW 1827 RCW ,,� 2 20Q WAC. <br />,� , z � l��� 9 i iS <br />siaN�tune n��c <br />f.IfY flU5P75S I IC(NSf. NO <br />�IECHANICAL <br />NO. TVPEOFEOUIPMENT FEE <br />A/C - A/HNDL(3 UNITS - H,R �— <br />FORCED AIF SYSTEMS -� B.T.U. M E.A. � <br />HEAT PUMP , <br />UNIT HEATERS - B.T.U. M <br />CLOTHES �RVERS <br />VENTILATION FAN i <br />RANGEHOOD � <br />� <br />WATER HEATER -T-- <br />WOODSTOVE � <br />METAI FIREPLACE (WOOD BURNINCa) � <br />FIRLPLACEINSERT(WOODBURNINO) r <br />GAS FIPEPLACE ' <br />GAS FANGE �— <br />6AS PIPING � <br />$IpF.SE1pAfN PI�Nf.I1fCNN11MOT <br />wurn snr FEES <br />��vrs ���rm - <br />m m n���a <br />cllf O� PI Of9 i — <br />1'IlIR1111N1i <br />flAFlA1fNI MI'OI�NIf.�I --- <br />- I lv(5 I I NO-'- -�- <br />nnpmOqq rleuORfM <br />nnrzn <br />sreif nunumr,suncrunar <br />CITYOFEVERETT runiirwrnat <br />�oca� sn�es - - <br />TAX CODE IS 9105 TOTAL <br />SUB TOTAI S <br />PEiiMiT S <br />fff �Rff.fIPINO <br />