Laserfiche WebLink
APPLICATIOV FOR CONSTRUCTION PER ITz <br /> CITY Of EVER-TT •RET-TDIVISION <br /> 0200 CEDAR STREET•EVERETT,WAA 85201 •2570510 O;ffm <br /> I DEMOLITION I I COMBINATION ❑ BUILDING ❑ MECHANICAL I I PLUMBING L1 SIGN <br /> FPROADDRESS <br /> PROJECT ADD <br /> _ 1 zd-- I1 i sLLi —� <br /> UAin ."lea 54 GIY !P P•b f <br /> oRC2 &sr. N3.x�`-al*Aa uuA MaPusw�r ggrrl �Ao �4-dasl <br /> IEIWII Wkgfig lP P,M)NE <br /> FCId 6OKP WPAD4RFg{ Glr t► ROIE <br /> IFIAPµ IPECrpR WR.Cal6t GTT tP ROK {lU1q[r <br /> s p 1JcRc„ __ �Izca�da.✓ <br /> Y[f�nLµSp�PILrpR WP{CP4tF OIY IP RICI! {I.rE IIGEKE• <br /> 4?� i. P Wyt3O rvb"Iebe, 61 z m 3bO-144•F 2& -sk,,Pcz 1417D <br /> m6up,g P14. <br /> pR YEAEpoAFw alr tP RIOIE {uTF UIFNfEr <br /> 1 Lo . - 2 DorloVPn18� <br /> Cal1rYCT IPOf Or YIOIIK <br /> -0-7D, <br /> �• <br /> 77fyD HEATING SYSTEM: I�OA9 ❑ELECTRIC ❑ <br /> asGleF wolw •9UEPE rppIEaE p CCMI FOR Alf 427-1&-aia <br /> '�1 n• � <br /> L 1 6=q'=E- <br /> .9117 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Rlarrouo ux or APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> ` -L PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> 1[pµpEtCPPIgN orRg1'LPn IPOwr•KlOw 011{IrPLR 1NO1X1rPq NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> for�_{Iocll o< AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> I OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> f L P(7rL PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY TIIE <br /> OWNER OF THIS PROPERTY TO PERFOPM THE WORK FOR WHICH <br /> Am ALrL It uooa- m(o APPLICATION 1 ADE AND I COMPLY WITH THE STATE <br /> rucEl Ik Ip MIFlfR CTORS W 2T RCW AND 298.200 WAC. <br /> -z <br /> DOS-acoI^llo-Ol <br /> ca•sl 1 4o•R wEP.Em1Eu.rnl ZS-�I aiwurux wlc <br /> � 1•p(t✓ crtr eumEeelcErcEw <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR NEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C-MINOLO UNITS <br /> BATHTUB FORCED AIR SYSTEMS <br /> LAVATORY(WASH BASIN) HEAT PUMP <br /> SHOWER UNIT HEATERS i <br /> KITCHEN SIVA 8 DISP CLOTHES DRYERS <br /> DISHWASHEF RANGE HOOD I <br /> LAUNDRY TRAY WATER HEATER I <br /> CLOTHES WASHER W000 STOVE i <br /> URINAL METAL FIREPLACE WOOD BURNING) <br /> DRINKING FOUNTAIN FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR GRAIN OAS FIREPLACE <br /> _ BACKFLOW PREVENTERS GAS FLANGE <br /> SINK(SERVICE-BAR,ETC.) GAS PIPING <br /> EXHAUSTFAN <br /> i <br /> SUB TOTAL 5 SUB TOTAI S <br /> PERMIT f PERMIT f <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> rlOff"TYCP RM6ErSKE iER M1SKt RAIZ CR MIII{ER !EE PECEPI IEI <br /> mlIOr NRA YECERI tJn FEES VALUATION FEE <br /> 4 yE O N0 Sb <br /> KORT LIIAMTONcill <br /> I m"rIM m FIRa%OWI <br /> 6 5 S f. K— <br /> Y Kaa XIS OfaIrE111lfYp SEEEYEW t4CP l — <br /> on{ <br /> rmtsm IPIERREOp PEAgN E(pllONµRNI CM[CIt <br /> PTPEP <br /> r PFMMYPEOO KAS91F <br /> 61EIF tUlprq tU11CIWOE <br /> IrPE ar carol PUPg.wwpvtp er CITYOFEVELIETT R cwane <br /> LOCAL <br /> CODE IS 511S-3 <br /> wTF o� TAX 05 TOTAL <br />