Laserfiche WebLink
I�PPLICAT11.r1 FOR CQN.�"►TRl,�G1.ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVFREIT, 'vVA 9�201 • 259-8810 <br />I 1 DEMOUTION f� COMBINATION i'� BUILDING I I MECHANICAL I I PLUM8ING I i SIGN <br />PROJECT ADDRESS .t-. <br />�3y �y S� S � <br />owr+cn Mui�nnncss r.irv �ir ,nc•.r <br />� <br />. ���C _�Il[�(�_ll_'.(l �4 � i�l{1'_��'I��' Jl���� � I`�'T'ir� �,L''.� '�1��_)1� _�,1'._j Q���_� <br />1CNe11i MRX OO�iC55 Clfv )II' PIIONf <br />ARCIIITF.CT 011 �E51GNFf1 M�II ��O�E55 GI1Y 71P PHONE <br />�� \-j <br />�._L����I_i��J.{�.lk�'Cill �l:"h_il _ <br />(3ENER4l C fRRCtOq IA�I �ORE55 CItY )IP PIIORF ST�IE llf.fNSF. � <br />\ <br />♦ <br />���. � �ti'r a.���i (�lb -���`il���-- IZCfi Oni�, i l��.l� jf,l'�l �S,i•,�^�k} tKE};�,�i�_,II<� <br />IAFCH�NIC�ICONTMCIOR \ niunnnF s �� arv j ]it` PI�ONf SiPiFI�CENSE• <br />PLII481NCCONTR�CiOP M�II.�ODRE55 f,liY 7iP PI�O4P SLRIFIICENSE� <br />1 <br />�1G��Yv �7,� <br />or wonK <br />DESCRIOE WOOK ANO SOU�f1E FJOTAGE INVOLVED <br />�� , ., „ l„ 1 <. ,.,; P .. <br />C_ <br />rnoroseo use ov eunon+a ' ' <br />` F" 1 `- <br />IF.C�I DEScqmtior� oi PROPFR�Y �SMOWN <br />iot � PIOCN _ G <br />rance� tnx i o r+uMnEn <br />�����.�.��c_L <t <br />� �� c. . <br />�8 <br />rnc�� two corie <br />i.� _ ci <br />CONSLRUCTION LO�Y IENDE0. �DDRF.55. Tf 1EP110NE NUMflER <br />BATHTUB <br />LAVATORY (WASH BA! <br />SHOWER <br />NItCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRVTP.AV <br />CLOTHES WAiNER <br />DRINKING FOl <br />FLOOR DRAIN <br />SINK (SERVICE — BAR, <br />OR ITEM <br />PERMIT E <br />70TALFEE S <br />FOR OFFICE USE ONLY: <br />rna�rsrTn<cK � nrnn=rrnncK � <br />rll � 7/J <br />ir�r <br />io� �nu <br />�� — <br />IICICMLIIMI1AilON � �!U O�DWfIIING <br />� �rMiti <br />UlIC11P�NCV IMJ U� 91L�IpLG IX:CIIPANI 10�1) <br />fN1OUP <br />IiNI�.�/RMflf� f1f450N� � <br />�V v <br />nnf crRiNNLfqnFon nFRFON <br />__t`i J <br />irrl�OrcoNSi PlnqSnrPr�O`(IDpv <br />J f+ <br />— - � „��r�i� Y� <br />HEATING SYSTEM: I i GAS I I ELECTRIC fl <br />�'l ll� V N/�XU 1'MUNF Nl) /''� <br />-%i�/ \�/l.�l�i,'.).. _il� l �i`\1�`� <br />I HERE�Y CERiIFV THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE ?RUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 1VPE OF <br />WORK WILL E COMPLIED WITH WHETHER SPECIFIED HEREIN Oil <br />NOT. THE GR�NTING OF A PERMIT DOES NOT PHESUME TO GIVE <br />AUTHORITY TO VIOLAIE OR CANCEL THE PROVISION OF ANY <br />OTfiER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br />PERfJRMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED �V 1r1E <br />OWNFR OF THIS PROPERTY TO PERFOFM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WI7H TNE STATE <br />CONTRACTORS LAW 1A27 RCJJ AND 296200 WAC. <br />�; �� <br />`� , � � i <br />x���il�_� � i iL.�. 1-T�.cl � 1_� <br />SiGNnIiYPi. �" D�iE <br />/ <br />GiV p051N( SS lIC[NSf NO <br />MECHANICAL <br />FEE NO. TYPE OF FIXTUHE OR ITEM <br />� A/C—NHNDLGUNITS—H.P. <br />! / FORCEDAIRSYSTEMS—B.T.U. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />/ CLOTHESDRVERS <br />VENTILATION FAN <br />/ RANGEHOOD <br />1 WATER HEATER <br />WOODSTOVE <br />GAS FANGE <br />GAS PIPING <br />EXHAUSTFAN <br />SmeSeToncx � rinr�cnfcKrw rn <br />i <br />s � __ i 3/� <br />vecn��� � i FEES <br />i�rFs Ln <br />ni w ni�� ; <br />�.i�r orni���i <br />u97 Sf �n.,.,t� t riuuniNo <br />.vzT sP c..ul�c;E _ _ <br />PAtiEMFNi � � MfCI1MlICM <br />IIVIS �40 <br />PUO1110NA1 PUN CII[CM <br />ornrn <br />SiRiF. OUIIUINb SUf1QIRR0E <br />CITYOFEVERETT rumir,wonKs <br />LOCAL SALES --- <br />_ TAX CODE IS 9105 TOTAL <br />rtr <br />FEE <br />SU�TOTAL E <br />PERMIT S <br />TOTALFEE S <br />_ _ nrcrirt N�� <br />