Laserfiche WebLink
APPLICATI4N FOR CONSTRUC'i .ON PERMIT <br /> CITY CF 1�VER[TT•BUILDING DIVISION <br /> 3200 CEDAR :iTREET• EVERETT, WA 98201 • 259-8810 <br /> f 1 DEMOLITION f I COMBINATION � � BUILDIR�, ' i MECHANICAL PLUMBING � � SIGN <br /> PROJECT ADDRESS � C, L� �� � n , d� <br /> � <br /> o n rnnu�onnres ��i�, n� ��+7 �u.•a <br /> � � ll� l�� ��C..J Cc/J� ll�i �' ,� "', � <br /> 1 �N7 � M�I� II�D04lLS5 � ...��-�Iliv �._�—.— ��IIt1N�� � �_�I <br /> � � C��_��t�-��� <br /> � c r. rontMscNrn M�u nunrss J.�.._ n r nr rHovF <br /> i �z �� - �l ��-�.��--�f�.1,vc� <br /> ce en� coNme. M n .nnnrss �nr nr rimvr surei¢eNse. <br /> ♦ <br /> y �✓s?� .Si 2utzE.S <br /> M N�41CA1 ONTRI1Ci011 MML�OD�FSS �:IiV i� �IIONf �Q �S�TQF LICFNSF 1 <br /> �� •-^ � 1 n �I�� N �----------�----/1[1--0"�-.i-. <br /> PLUMBIN3LONLR�QOf1 �1�55 � ����Y t�t� ���<�"' <br /> E 5��''�c a'�-�� <br /> 2�oa �2 �1—���_1 L�.�_ <br /> coNtnect rnicF �wunK � <br /> HEATING SYSTEM: I I (3AS f I ELECTRIC f l_ <br /> DESCRIBE WOR NO SOU�RE i00 .[INVOLVEO f.ONL�CI PFRSON RN�PIIONF NO <br /> I HFREBV CF.RTIFV THAT I HAVE READ AND E%AMINF.D THIS <br /> APPLICATION AND KNOW THE SAME TO BE TFUE AND CONRECT.ALL <br /> PROPOSED USE OF pUII�INa PROVISIONS OF IAWS AND ORDINANCES aOVERNING THIS TVPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> LE�Q�ESCNPLIONOFVROPERLYISNOWNBEIONOR�Ti�CNTWOCOP'E5) NOL THE ORANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br /> ipt_ ptcr.K or AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF 4NY <br /> OTHER STATE OR LOCAL LAW REQULATIN4 CONSTRUCTION OR THE <br /> PERFOFMANCE OF CONSTR TION.TNAT I AM AUTHORIZED BY'fHE <br /> OWNER OF THIS PROPER TO PERFORM THE WORK FOR WHICH <br /> APPLI:ATION IS MAD AND I COMPLV WITH THE STATE <br /> P�RCFLT�%IDNVMBER CONTRACTO W1 RCWAND296200WAC. <br /> T� <br /> CONSIRUC110NL011NlENOCR.�OORE55.TF.LEPIIONENIIIAPER x � � <br /> SIOFAIURE O�IF <br /> QTV pUtiME55 UGFNSF HO <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FURURE OF ITEM FEE NO. TYi'E OF FIXTURE OR ITEM FEE <br /> WATER CLOSET(TOILET) � A/C—AMNDI fi UNITS—H.P � <br /> —� — — — <br /> BATHTUB i FORCEDAIRSVSTEMS—B.1.U. M E.A. ' <br /> �_ LAVATORV(WASH BASIN) � HEA1 PUMP i _ <br /> SHOWER � UNITHEAiERS—A.T.U. M _ ' <br /> KITCHEIJ SINK d DISP i CLOTHES OFlYERS _ _�_ <br /> DISHWASHER � VENTILATION FAN ' <br /> LAUNORV�fRAV � RANCIE HOOD _�_ <br /> CLOTHES WASHER WATER HEATLR � <br /> UFINAI WOOU STOVE ' <br /> � DRINKINf�FOUNTAIN i METAI.FIREPLACE (WOOD BURNING) � <br /> FLOOR DRAIN WwtYZ � FIREPLACE INSERT(WOOD BURNIN4� ; <br /> BACKFLOW PREVENTERS � GASFIREPLACF i <br /> —�— <br /> SINK(SERVICE—BAR,ETC.) � OAS RANOE ! <br /> — � OAS PIPINQ � <br /> � E%HAUiTFAN � <br /> � <br /> � _' <br /> — <br /> _-- i_ <br /> _ <br /> � -T <br /> i.� <br /> SUB TOTAL E � SUB�f01AL E _'�_ <br /> PERMIt S (l� _ PERMIT S � _ <br /> TOTAL FEE E TOTAL FEE E ' <br /> FOR OFFICE USE ONLY: <br /> fRONTSPTflQK RfMSF�O�CM S�f1E5ETfl�CN PI�NG�FC NUMPiR � f[E R'CFPTNO <br /> LI <br /> use zor+e ior anFn ver.em<nr FEE VAIUATION _ FE� <br /> ��vFs �� No Buu o�Na <br /> MEIONT UMIt�1IDN NO Of t�WF.L116'G SilE Of PlIXlrtl -- � <br /> UNILS PI IIA�OMC � <br /> _ � <br /> OCWP�N:'! IIO pi S10RiE5 IX:CIIPANI IO�U P�`FMtNI MECH�YICAI �_ <br /> r,noim <br /> IlYE5 II YO I <br /> FIRE�LARM�EUO RFRS(NJ �OOIIION�LPI�NCIIECK — — <br /> unna I � �— <br /> — — --'�-- <br /> fIf1F�PRINNLFRRFO❑ RF�SON —� <br /> ST��E HUILOINO SUfIC1UR0E <br /> FvrForr,or+sr rinNs�rrnovennr CITYOFEVERETT �'unncwonKs j <br /> LOCALSALES — —� ' <br /> __ i,�,F_ __ TAX CODE IS 3105�TOTAL __1___ <br />