Laserfiche WebLink
APPLICATI&1 FOR CONSTRUC'MON PERMIT <br />CITY OF EVERETT r BUILDING DIVISION <br />32W CEDAR STREET r EVERETT, VIA 9=1 a 259-NIO <br />I I DEMOLITION ❑ COMBINATION ❑ 0770 ❑ MECHANICAL ❑ PLUMBING ❑ 81ON <br />-YPROJECT AODRESSI_ N X2 63 S� .S <br />_]LY 1 LIIUP V 'Bali{" c 3 -A pi s �, EJQTLGT 99 zos 3a. - av�'oc t/� <br />Un Ilr <br />1eWN1 YM��YwwQ��fE{ - UIl ♦7 Raw <br />f�DItAN�) QCl/br%/.10111+T1{L•-I ••n� '171,'�7iT'ZELY <br />�II to rtcl Ra otrwa Yw nml{t an In claw <br />RVMra LpIlR4Lf9R Mw 41rc1[H an lla Raw 1141/laf lMlr <br />IA4C11'lllll d Yla1w <br />AFle4SIIA66 r <br />HEATING SYSTEM: ❑ GA8 IA ELECTRIC ❑ <br />alal{I a11Ir 411R lawns roolf9F rnawo <br />j I_ gRtA <br />arI14c1 rrllt9114rn rvaw w <br />EnI(- 9oN-4KSEN ]oL-iS8-o9aY <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW T.IE SAME TORE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPIED WITH WHETHER SPECIFIFD HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR 1 OCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS I AW If 2/RCW AND 212M WAG <br />�._,..•- ,l,,�.�.y-30-y� <br />IF EIHf Mfg <br />ouM rc {ullolla - <br />- 1 til TNC .S�YMC =Sffr TlH� <br />l[fWM{LRalbfV rmRan lLOa11F[I9R d14n4GN Ma n1REM <br />Hit rod in <br />1'411LYI tw 1eM ft <br />IKIa5114CI1RN104NIIA9lR41awNIfllRgN[IAAKrR <br />r 66-33-6-2t.1".7 <br />nn wlwws{14:laY 110 <br />PLUYEINO <br />YECNANICAL <br />NO. <br />TYPE OF FIIITURE OR ITEM <br />FEE <br />NO. <br />I TYPEOFEOIAPMou <br />FEE <br />WATER CLOSET (TOILET)I <br />AC _ AHNDLG UNITS <br />, <br />BATHTUB <br />FORCED AIR SYSTEMS <br />I <br />LAVATORY ASH BASIN) <br />1 <br />HEAT PUMP <br />I <br />SHOWER <br />UNIT HEATERS <br />1 <br />NITd1EN SINK dSP <br />1 <br />CLOTHES DRYERS <br />—ter <br />DISHWASHER <br />RANGE HOOD <br />1 <br />LAUNDRY TRAY <br />WATER HEATER <br />1 <br />CLOTHES WASHER <br />WOOD STOVE <br />1 <br />URINAL <br />!40A1. FIREPLACE (WOOD BURTKNDI <br />I <br />ORI/MNIG FOUNTAIN <br />FIREPLACE INSERT AVOOD BU NW O) <br />--~ <br />FLOOR DRAIN <br />OAS FIREPIACE <br />1 <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />1 <br />SINK (SERWCE — BAR, ETC) <br />OAS PPWG <br />1 <br />EXHAUST FAN <br />1 <br />1 <br />1 <br />- <br />SUB TOTAL t <br />' <br />SIB TOTAL f <br />PERMIT f <br />1 <br />PERMIT f I1 <br />TOTAL FEE $1 <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />IRrclf Ytn4d / <br />Z� <br />IIM)all ^� .7 <br />wW NIMdH PL, <br />1,9 4 <br />19Iw4 .'T <br />mMItlf.4 / <br />5d•K-ID <br />r4cWf rn <br />MI <br />RWFIIf{MAAIIR !If <br />7Z_ 2Z <br />FEES VA 1 <br />PlfYA'Ifq <br />MMIMA 1/• �" .�L„ <br />R1aMM1 _____- <br />MIrIfWYRWUr1v <br />�L7 ..J0 <br />_ <br />I,FEE <br />�/ s <br />r7� <br />OD <br />Mb111AYI41aN 1 <br />' <br />10 M IMIIINO <br />vals <br />14 14RµdpM�M�i111 <br />�-S ri{ NL4JL'F14 <br />IA1avM:r M1Rwwt <br />O <br />naawan9w IwNwal � <br />OlinTYaa <br />Irr rM.Inwou <br />in." <br />WIt" <br />Iq MMYMO9 <br />Mt41M <br />RM11 amine aLaY11Y,11 <br />Im rcIYYI{I <br />dL -Ij <br />:v <br />R4arwrrlMnar <br />wR6 Zo 9% <br />CRY OF EVERER <br />LOCAL BALER <br />TAE CODE IS JIGS <br />RYYr ra+M{ <br />TOTAL- <br />— <br />