Laserfiche WebLink
� APPLICATION FOR CON�TRUCTItiN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 9200 CEDAR STREET�EVERETT, WA 88201 •25B•8810 <br /> �DEMOLITION O FOM8INATION p DUILdINO (7 MECHANICAL O PLUMBINO ❑ S�ON <br /> PIiO.�EC�TADURESS: �f3/L� CvL�Y / 4zs/ / <br /> G /-}ON�:.2 Nn4`M;.v7 /�UC� /!6 � /�✓5�!_ f��TE ZOZ i3.'GGSvv: y�0� Y� /9`U <br /> �1�00� CiIY flr iq�E / . <br /> COl�rogiA ��'N)n� /�io2S SIYr�QM�n/�?nn/i2onv i�nv.RJon1 OiP J�Do.i .So3 !�4•61f4� <br /> 14NNI /� NNL�(O�[fS Gtv 7ie rI�OMf <br /> !)OUl� /���S13Y 532� n/"ST /hF/1CFrE 1VAY M:/ll�'.Q /.iLANO y'o°O�j ZVEZ32' +�ZSI <br /> r�nCMR[CtO�oct�6Mtn Mu�I�WnE55 . I:u�r nr rNavi <br /> /1G,7�P�G�V v �SSuGiA�:-S �'/U 2�:ro ST SE'-- �30%�.LL f°U2i ALAr2 SA 2rYL �U <br /> 0lMMlCONIMCtOR uul�DORGii tdr nr Vu6vc tf�l6uCENTf� i <br /> MECUMWICONTMCT011 �wl�O�N��7 CIfY 2�P GMON( SIAfl11CCNSL� � <br /> KUWMOCONINNAC�ON MuI�ODRES! Gn' 7�P PHONE 51ATflC[MLC� I <br /> CpN1"'���"'�0/N�O"" HEATING SYSTEM: O OA6 CJ ELECTRIC O_ <br /> q�(�ypM�ND LOUAIIElOOTh6i MVOLVEC COMI�CT PfR{OH AND%10Ni Np. <br /> EMOVC �XiS "iNti /�f2UV� FN? _— <br /> ON A2T'r/�L %7fr� �G2 h' <br /> ��2:=/�/1/J� Ft�.Q N=!n/ T � HCREBY CERTIFY THAT I NAVE READ AND EI(AMINEO TNIS <br /> APPLICATION AND NNOW 7HE SA1AE TO BE TRUi ANO CORRECT ALL <br /> MqMlEO Vif OFlUNDn+a PhOVISIONS OF LAWS ANO ORDiNANCE6 GOVEIiNING THIS TYPE OF <br /> �EN R'/1L S V/T .�. WOf1H WILL BE COMPLIED WITH WHETNEH SPECiFIEO MEREIN OH <br /> uoKoercn�orro�orrnovcnnis�awxee�owa""rt�cefwoca��s� NOT. THE CAANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br /> n <br /> `pT e1aK a AUT��oRITY 7o vtOL�TE OR CANCEL TNE PROVISION OF ANV <br /> OTHER STATE OR IOCAL LAW REGULATIN6 CONSTRUCTION OR TME <br /> ,SJZ2 - UZ�0 - OZ VO ' D S PEPFORMANCE OF CON3TRUCTION.TNAT I AM AUTHORI2ED BY iHE <br /> ON'NER OF TMI9 PROPERTY TO PERFORM THE WORK fOR WHICH , <br /> �0 �v ' �3 O • 2 / d O '(�8 APPLICATION IS MAOE AND I COMPLY WITH THE STATE � <br />��� rMc[�r�w i.o,ru4et� � CONTpACTORS l�W 18.27 RCW AND YD8200 WAC. <br /> I �ip� ,3 • Dv30 � 22Do • U ,� . ,' _��,_ ;,, <br /> COMt�IM�C1qNlWw1[Mo[n.Aoo�ur.fEl[naM4uvue�n % � 0^'f <br /> SqNMU11C <br /> CIIY EWiMf55lICLNSE NO <br /> ►LUM�INO MECNANICAL <br /> N0� iYPF OF FU(TURE OR ITEM iEE N0. 1YPE OF EQUIPMENT FEE <br /> WATERCLOSET TOILET � NC—Ib'MNOLOUNRS ' <br /> BATHTUB ; FORCEO AIR SYSTEAIS ' <br /> IAVATORY(WASFI OASIN) � HEAT PUMP � <br /> 6NOWER UNIT HEATEpS ~�— <br /> KITCHEN SINK�DISP �—i CLOTHES DRYERS �_ <br /> OISHWA9NEH ~— RANGE HOOb <br /> LAVNORYTRAV ' WATER HEATER i , <br /> CLOTHES WASHER � WOOD6TOVE � <br /> URWAL � METALFIREPUCE(WOOb�URNING) � <br /> DRINKINO FOUNTAIN FIREPUCE IN&ERT(WOOD OURNINO) � <br /> FLOOR ORAIN � 6AS FIREPUCE � _ � <br /> BACKFLOW PREVENTERS ; GAS MNGE � <br /> SINK(SERVICE—BAR,ETC.) � ��p�P�Np � <br /> � EXHAUSTFAN ' <br /> i <br /> i <br /> � � <br /> , ..�__ <br /> ' � <br /> � _ <br /> SUB TOTAL S � SUB TOTAL i � _ <br /> PERMIT f� ' � - ' __ PERMIT S � <br /> TOTA4fEE � S ' � TOTALFEE f '' . I <br /> FOR OFFICE USE ONLY: ' � <br /> IMNTlE1�npI RGNILF.7EACK i��E�Ft��tS �l/�Nf.�RC�lM7��p� �FF a[GEi�tlq <br /> J / <br /> {HClOM( . lO1�RG v�ow�dte �EE VALUATION [! <br /> "' � DYU ❑NO �UlU�HO <br /> N[IOHi UM1AT10N N0.o�OWftlllq PIE d/l00/I.1 . � ' <br /> . . VNI�{ �l1MpM� •� <br /> pLLlJMNCY IqdIION[{ OCWMNIl0A0 I�SiMLNi M(CIIAMIf.el <br /> Op{R •�•: <br /> pres o�+o <br /> qIt�KMNIfL(IIMO9 REALON ADUIbONA1.RI.NGILCM � � <br /> . . . �J. <br /> QIN�II � <br /> "IIIEIItA1MiPC0'0 �. REA�ON � `�,.� <br /> . � �:'V.� � tt��[eWIPiMOSunC11eq0! �. <br /> �Y./ <br /> ..�. �— <br /> �rvcasroNs� ��nvSM�nov[ppr CITY OF EVERETT rumr.woa�x ' <br /> ' ` ' ' `� LOCAL SALES "�` <br /> TAX CODE I!��105 TOT�I � � � <br /> UnTf _ .._�_.._... ......... i.__ <br />