Laserfiche WebLink
APPLICATIJIFOR CONSTRUCTIN PERMIT <br /> �* <br /> CITY OF EVERETT R BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •(425)257-8810 <br /> ❑ DEMOLITIONV COMBINATION ❑ BUILDING ❑ MECHANICAL/ O PLUMBING ❑ SIGN <br /> PROJECT ADDRESS:_J Il'J - 7��I'�l �I' S� s ,e>=Tr <br /> �` , ruDr li K - �Cn 4L Gk a �i w � —� Qc 14 <br /> 1[IM«, YM HIG!!! GTI tIR nYIR <br /> .Rb„7C,P,,,L6«rR Y.R wMtls�/l GM1 , lrrr n /na nJ'Z D1r <br /> �]_�'s«Nn� YM AGMR6S "mf G,. lm rv�1M r .I rl lKrR MSF• <br /> RK[M«rM[4 TItACI YRR InGlF59 Gry 7A -- nfH 11.I1 IKFMt• <br /> grMRq GJR,RY:IOR Y4 RnGI[f! GM1 fTl.,f IK[N!F r <br /> L <br /> HEATING SYSTEM: OAS ❑ELECTRIC ❑ <br /> W KIWIF NORM AMOlOUAR FOOTAOF NSSAY[O C'dTA[r nRsw AM r1Aw Mn <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> S F R APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> wcrovtrlH[a eullX«Y PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH VMETHER SPECIFIED HEREIN OR <br /> t[HYA ntxNPflGlal^KYfR,Y ISNOMI MHOw GIRDAp Two C 51 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LDT1 - AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> Jam• <br /> OTHER STATE OR LOCAL LAW REGUTATING 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 /> 3/J js w OQ� VoZ APPLICATION IS MADE AND 1 COMPLY WITIH THE STATE <br /> 77 CONTRACTORS LAW 1527 CW AND 78E 200 WAC <br /> IW1L[L TRF In MIIIfR �s <br /> ^TAjfFf.AJFIT }�jAA -j y <br /> CnNSTmK,R}IIdMNMC(w MIMff Rl MIIMR E -- <br /> r ouF <br /> GM1 ruvr<ss IICtRlt AXI _____ <br /> MIBIBINO MECHANICAL <br /> NO. TYPE OF FIXTURE OR REM JrEENO nK OF EQUIPMENTFEE <br /> WATER CLOSET ITOILETIAIC—AnMG UMTS <br /> BATHTUB FORCED AIR SYSTEMS <br /> .? LAVATORY(WASH BASIN) / HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> KITCHEN SIM 6 DISP CLOTHES DRYERS <br /> DISHWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURM0W <br /> DRINKING FOUNTAIN <br /> FIREPLACE INSERT(WOOD BUR151D) <br /> FLOOR GRAIN GAS RRE <br /> BACKFLOW PREVENTERS GAS RANGE <br /> SINK(SERVICE—BAR.ETC) GAS PIPING <br /> E%IIAUST FAN <br /> I <br /> 1 <br /> SUS TOTAL E SUB TOTAL E A_ <br /> EMT f PERMIT E r <br /> TOTALFEE E TOTAL FEE f <br /> FOR OFFICE USE ONLY: 4A <br /> INY1i V1RYR Rru SI�M{r FKt M1eACR( gRMGwCR Mlldw /' RH ,•O <br /> Z.O I II <br /> if -3 d <br /> uv Hol + wuMI PR E _ VALUATION <br /> FE <br /> Orrf D lu .,,,ow„ o Zo 3 <br /> IftlMTImR,Kw aMH I"6 <br /> IIM,! 1555 �w Srf nuwgHl __ -_ �, <br /> -u•Rvrr RonHr.ls IKGAwY,w.n eANASvr Nr«AMI:H <br /> 2 Orfs �Kn <br /> IR S"MlFR R09 MAXM RndrKnN nWCMCR �- <br /> WKS 1 <br /> FwERURMMYO - IF ASRI l,YI MgMKIPRC«Alfll <br /> rFr lx rOMar MA, APIRtlY[ne• CRY OF EVERETT nwK wG.s 2� <br /> LOCALSALES17 <br /> wn TAE CODE IS 7105 roto__ <br />