Laserfiche WebLink
APPLICATI01 FOR CONSTRUCTI1N PERMIT <br />CITY OF EVERETT •BUILDING DNI310N <br />3200 CEDAR CTREET • EVERETT, WA 98201 • (425) 257-BB10 <br />Cl DEMOLITION ❑ COMBINATION P BUILDING VMECj1ANICAL PLUVaINO ❑ SIGN <br />ROn mrr Annucce• v9/2 --A�vre,. W�vh. LO / L.... <br />-7v/7 L <br />caNln•cl rnlcF Or vonx <br />HEATING SYSTEM; GAS ❑ ELECTRIC ❑ <br />O[scalAF M(]aF •NOSWxnr rL01•G�NVIXVEU / can•Cr rraSON xro r1A'Mf NO <br />LTY.�INCn L,� /J/,yYcY .eCS/D.TA/C.�' • <br />�V S <br />r1g1'OSFBUSE or <br />_�N6F-Gr / J¢fl�c;'/Cr.`SYDCKG[' <br />(FOAL DCSCPI" Or FflFnFY IYIJNII BEIOW OR AT•CH TWO COqFT"p�/ <br />LOF <br />eIOC/x Or �' • o "1 "/ / <br />'7>r.S�• %i]/O$ /dI. ✓rZ'.r-�' <br />///��JL✓(J. l An Id -7 <br />M [L IA.lO MMBFn <br />.5939 w? o/z coo/ <br />CONSinIK11CV lOw1[NCFn •LMIE55 IFImONErMIBFa Cam. <br />�)NNAxrJD/GIa.2J` ,E.0 <br />C <br />dl � )q/3 111,4.( <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GIJVERNIIIG THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING 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 />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRA PRS LAW IR.27 RCW AND 296200 WAC. <br />sqN• Du[ <br />GIY W9WSS ICFNSE ro <br />uneNANEcu <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />—� <br />WATER CLOSET (TOILET) / / <br />NC—ARINDLO UNITS <br />2 <br />BATHTUB <br />FORCED AIR SYSTEMS <br />? <br />LAVATORY (WASH BASIN( % <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />IF <br />KITCHEN SINK X OISP <br />CLOTHES ORYERS <br />/ <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />T <br />CLOTHES WASHER <br />WOOD STOVE <br />_/ <br />UTBNAL <br />METAL FIREPLACE (WOOD BURNING) <br />ONNKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />_ <br />FLOOR DHAIry <br />IF <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />( <br />GASPANGE <br />1 <br />T <br />SINK (SERVICE —BAR. ETC) <br />,)(" <br />GAS PI^LNG <br />----- <br />EXHAUSTFAN <br />SUB TOTAL 3 <br />SUB TOTAL 3 <br />PERMIT 3 <br />PERMIT f <br />TOTAL FEE 3 <br />TOTALFEE f <br />Una ncclrc IMP nNI V. RO 0v <br />MALT 4OACA <br />2c� <br />Or An S. DeACx <br />70 <br />SIX SFIBAC• <br />rIF <br />s <br />nFCnrr Np <br />vs[r(Of�yr <br />101 AREA <br />vC�.N'91C <br />9^FS ❑ NU <br />VALUATION <br />FET <br />GN <br />LLJJII:IXIUPAMY <br />i 7 <br />IIHf,R IINIAIUN <br />O Or UW[IIING <br />SIZE Or ILOG41 <br />!8.1DW. <br />DIIU�us <br />MI NEIIN IS <br />MCUPANI LOAD <br />B•VU[NI <br />Onfn <br />rm[AIAnN PLOP. <br />DF•1011 <br />' <br />IDIF RO,"O SIAMOAD(it <br />nr, <br />FANS Arlmmrn a,- <br />Cr,Y OF EVERETT <br />n1-1 nlxs <br />- <br />-F'j' <br />LOCAL SALESOJ— <br />,JL -IJ <br />u,n Q <br />TAX CODE IS 3105 <br />TOTAL <br />