Laserfiche WebLink
APPLICATIO� FOR CONSTRUCT�N PL�{RMIT� <br /> Z'Frv oF�nerr•eimarx;onnsio►i �`0 4`',►�<ed <br /> 3200 CEDAR STREET•EVERETT,WA 98201•25PeE10 ,OO� <br /> ❑ pEypL171pN ❑ COMBINATION ❑ BUILDIN6 �MECHANICAL ❑ PLUMBINfi ❑ 81OM <br /> PROJECTAODIIESS• �910 M� r ' Il L�� r 1� Os�1tw�.. F/Jtrt�'" <br /> p,��� �,�n�mn[ss an n�' �� <br /> ♦ � <br /> �aw4y� �e. 8//< B / 9.�0 ,v��. i�� Cre k Pw kw .� <br /> � M�� bl1 lM hKMf / <br /> �l�/��/�� <br /> yC1�R��p(SqYfN MN��P455 CIIv IT P��OMF <br /> /ar�19s/-�Xde <br /> oErrtiwcwrruc�o� r.a�owcs� cn. n—��vrt er•nuaxu. <br /> Sm�fh F'�c Svsr4 //OG- t�l�" A.� �" Tc..«a, �A,I 5�//�1 Sn�sTdE.S[3Ge <br /> M[Cl�unU�lLd1iP�CTp1 4ul ESS fIrv l�� ry�OMF 1MiElC[MR� <br /> RINBNGCWIP�CId1 u1RMIX�ESS GfY l�� ��� fI�IFLILEM3[� <br /> COMTR"���0`�"` HEATIN6 SYSTEM: ❑GAS ❑ELECTHIC O <br /> uec�ME wo���Mo sou�x rooluE Mvavto con�K�r[nswun riw,c Ho <br /> � <br /> //70�� Sah.. Ti.olc.� <br /> 1 MEREBY CERTIFY THAT I HAVE READ AND EXNAMEO THIS <br /> APPLIGTION AND NNOW TME SAME TO BE iRUE N�D CORRECT ALL <br /> W a r�e.��'Le�d'p PROVISION9 UF UWS ANb ORDINANCES OOVERNMIIi TMB TMPE CF <br /> WORK WILL BE WMPL�ED WITN NMEMEH SPEdFlED NEREM OR <br /> iEa/+o[stronworrmrcnrcl9�eciowon�n�cMtwDcart51 NOT.i11E OR�NTINO OF�PERMIT DOES NOT PRERINIE 10 OIVE <br /> i� �� a AUTHORITV TO VIOUTE OR CANCEL TME PROVISION OF 11NY <br /> OTHER STA7E OR LOGU.L�W RE0IAATINO CONSTRUCt10N GN 7ME <br /> PERFORMANCE OF CONSTRUCTION.TIUT 1 AM�UT110RIZE0 OY TME <br /> OWNER OF THIS PROPER�Y TO PERFORM iME WDNK FUN MA�f.'M <br /> AFPLICATION IS M�DE AND 1 COMMY YATH T11E BTATE <br /> MIICEITA\10.MMEN CONTRACTORS UW 1l29 RGW Ml0 2GE300 W�C. <br /> COM511111Ci10111dW LENOFR/.0011E55.RIEAqNE NU4sEn ��i. — � WtE��I�'9 7 <br /> drv NISME59lKEx5E M� <br /> ���N�Q MECNIINIGIL <br /> Np, TYPE OF flKTURE d11iEM FEE NO. TYPE OF EOUIVMENT �E <br /> W�TER CLOSET(TOILET) IVC—MMDL�UNRS <br /> BATlITUB FOPCED AIR SVSTEMS <br /> UVATORY�4ASM BASIN� HE�T PUMP <br /> g�pyyEp UNIT HEATERS <br /> KITCNEN SINK 6 DISP CLOTHES ORVERS <br /> DISHW�SHER W1NGE NOOD <br /> UUNDRY TRAV WATER HEATER <br /> CIOTHES WASMEN WOOD STOVE ' <br /> URINAL MEfALFIREPUCE(WOODBURNIN6) ' <br /> DRINKINOFOUNTAIN FIREPUCEINSERTpVOODBURNING) � <br /> FLOOR DRAIN CJS FlREPUCE ' <br /> BALNFLOW PREVENTERS ���E <br /> SINK(SERVICE—BAR,ETC.) G�5 PIPINO <br /> EXHAUSTFAN <br /> � <br /> SUB TOTAI S SUB TOTAL f <br /> PERMIi S PERM�T = <br /> TOTALFEE f TOTALFEE S <br /> FOR OFFI�E USE ONLY: <br /> rnonrsEie+cx n[.nsrte.c� s�acscte.ca n•�nKcr r¢F �tcE+trq <br /> ,� aa/ aco <br /> us[1a�[ m�mu wc�+�vrz FEES V11LW1TIOM FEE <br /> ❑r[S O� euinun <br /> NEiGN�UurtNpx N01'O�OwtWM6 S�IEO�BlOf��l ` <br /> I411YpINp I <br /> p���p�xC� Mq51Maf5 OLCU�ANIt0�0 B�SEMFNI 4FCM+MGI � <br /> ��P O�fS ❑NO � <br /> •Oqiqell M11NCM(CR <br /> RPESVPMRlE11N[0'D PFLiW <br /> OIHER <br /> liRENM�REO'0 �����• <br /> SI�IE EUIU�Mi SiMCNM16E <br /> rvrtar.p+s* ��nMs 9{'nov[oer CITVOFEVERETT nbiM�^"s __.j__ <br /> /� TAX CODE Sl7 OS TOTAL � <br /> o.�[ 3- � . <br />