Laserfiche WebLink
APPLICATI� FOR CONSTRUC'f�N Y�ERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 88201•257•8810 <br /> ❑ DEMOLITION ❑ COM9INATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PROJECTADDRE55 3O1q ��g�, pvE• EVerz�- WA. <br /> OWNf4 4�1��0�'11f55 CIiY ZV pMpN( <br /> Gou�Y FtwPGttX1ES U-G PO� Sc��v7 ,�5��' -�c/Oa <br /> *u�•�+* uuuwAcss rtr �/ zw aew:e <br /> �Tu+i N ING FAGI L1T`( I���I mOa +�Y �,QL(�t�L'� <br /> �q�Mi}EIipRCE5a11FP V11�AOq1E5$ `'ry � jp pHr�E <br /> euae�s B.oC,otiJ 4z���4z- i43o <br /> GCN[4�lCOXiP1CiOM Y�R�pCPCLS CII� $Ip pNq.F, 6l�ifl�CEN$E• <br /> "T� 3E geZEttt'r� <br /> 4Frw�uiCaNyCONiP4.ilq N4L�GpqE65 MY Ilv pqpry[ GAiFl1GE115F� <br /> �� 9G 5� <br /> LIIM811IGCONiR�LION M1ilADW1f55 CIiY SV %IOflf $1��ElKEN$E• <br /> � 6� s��a-�o <br /> Cp1liRqi VPICF W YCo+ <br /> � 30 DOO HEATING SVSTEM: ❑GAS ❑ELECTRIC ❑ <br /> O[SCNiBE WOPx I.110 9Tl W E fMUiF INyIXVE� WINC10F1150N MO MpNE 1p. <br /> �TE"R�,o2 cUAu I a�utl�le <br /> r�QR51ev5 r-�p0 -v VML MU�IF t-lWAt1W - �_ <br /> Nrw S'tn�u:,pRa�.-Y'. �„q _(� �M� I NEREB CEfiTIFV THAT I MAVE READ AND EXA1dINED TXIS <br /> na�osEc u5F of emmnn� APPLICATION A1JD KNOW TNE SA61E TO DE iRUE AND LORRECT AlL <br /> Ott10E5 E'RtA1uING PROVISIONS OF LAWS AND OFDINANLES GOVERNING TI/151VPE OF <br /> WORK WILL DE COMPLIED WITH WHETMER SPECIFIE� HEREIN OR <br /> itwicxscwo„���avnov�anis�ww�iociowonertewMoccc�[si NOL iHE GRANTMG OF A PEFMIT DOES NOT PqESUME TO GIVE <br /> ic* O I � 17_e�acn�ov AUTHORITV TO VIOLATE OR CANCEL TME PROVISION OF ANY <br /> OTHER STATE 09 LOCAI LAY!REGULATING CONSTRVCTION OR THE <br /> ��T�B-OL'(� I IJ VdL� OF � �L PERFORMANCEOPCONSTRUCTION.THATIAMAUTNORREDBVT�.1E <br /> OWNER OF THIS PROPEFi�T O PERFORM THE 1NORN FOR WFICH <br /> SNO{{LI'�I$�-� (�V kJ . APPLICAT10�A[)E' AJtlD I GOldPLY tVITN TME $TATE <br /> veacE�*�RiO r�uueEn COhTRALTOFS 6 fE � 200 WAC, <br /> q39�,� d�v 0� �!o x ���L.�ra�,.�f -�/� �,f��oi <br /> CU�IFApC110�I lOW LfNOEP I.00PE55.tEIE>MGIE�UTAlEP <br /> NO�IE NON I+E 0�1E <br /> ❑iv BU6n�E55 UCU�SE�q <br /> PLUMB!NG MECHANICAL <br /> —HO—. � TYPE OF FIXTURE OH ITEM FEE N0. TVPE OF EOUIPMENT FEE <br /> � I N'Ai[RC105[T�TOILET� A'C—A'MNDLGUNITS <br /> �nTHTU6 � FORCEOAIRSYSTEMS � <br /> Z. LAVATORY 11VASH OAS,Y) HLAT PUIdP <br /> SNOWER j UNITHEATERS <br /> NITCHEN SVJN 6 OISP CLOTHES DRYERS <br /> �ISHlYASNEP qqNGE HOOD <br /> IFUNDRY TRAY WATEfi HEATER I <br /> CLOTHE5IYASNEH � 1YOOD STOVL i <br /> URINFL IdETAL FIFEPLACE�WO00 OURNING) <br /> DFINNING iOUNTAM FIpEPLACE INSEFT(1VOOD BUPNING) <br /> FLOOR ORAIN GAS FIREPLACE <br /> BACNfIOW PqEVENTERS GAS RANGE I <br /> SINK�SERVICE—BAR.ETC.I � GASPIPING <br /> EXNAUSTFAN � <br /> I <br /> i <br /> t <br /> SUBTOTAL S j SUBTOTAL S <br /> PERMIT f i PERlAIT E j <br /> TOTALFEE S TOTALfEE 5 <br /> FOR OFFICE USE ONLY: • <br /> rnOlrtSEiB�CK nEAl16ETB�IL[ 61pE6Ctl�Lit CMEWNU40EH IE� uE<EPI�q. <br /> � � /� 3 -a��� "° <br /> I u�sc[q!rt _� i [> , wc4vrsit[ FEES VALUR710N FEE <br /> b � �C.rl ❑rEs �0 em�Dnq - <br /> MEiOH�iL�u(it�ip/N 1A�pKE �I 6iIE0[BnlA <br /> �% 1 �i (�OO RU4tINp <br /> p���Je��KY HOC�5�0�(9 OCGWINLLO�O p�SEMEMt �IE[rUN�L4 <br /> � �S f]NO <br /> fIR[ PRIMt�ENPEOD qGSpH �W�iUMµVLWCMECK <br /> ��/J <br /> 4iHEP <br /> iAE�Uf141RE00 qE�$(yi <br /> r�� 6LiE&1R�iN65URCM�pOE <br /> *ro[o�consr n,u�anvo �oer CITYOFEVERETT rueiewp+.s � <br /> v. ���� ,/ LOCALSALES <br /> one - TA8 CODE IS 3f05 TOTAL ��[� I;Z� <br />