Laserfiche WebLink
APPLICATIOWOOR CONSTRUCTIIA PERMIT <br />CITY OF EVERETT X BUILDING DIVISION <br />3200 CEDAR STREET X EVERETT, WA 98201 X259-BP 10 <br />rl DEMOLITION Cl COMBINATION Cl BUILDING O MECHANICAL ❑ PLUM13 NO O SIGN <br />1Ex.Nt YMNx MSs nlY m m' <br />I1ry'Inttl pl YESMr?n Y1X YXnE55 Cltr IS, nIpF-- <br />IIEAFING SYSTEM: ❑ GAS E'ELECTRIC CI <br />nrarrXee rlwX, ANo SrnYnf rW lwf E.rnlvf0 <br />cwlwl rcnsw ANR 1'MJNE Nu <br />__ ���tUCj_SFfI iDltillM IZ83� <br />C -I <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 GOVERNING TINS TYPE OF <br />ImOros[O USE a t11Au+•n <br />n <br />FfZ <br />WORK WILL DE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />lE0AL0E5C111PIgNfII A Rr1151Ip1MI KLM d1 AIMM rvq C01'IESk <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />(p III IUI ID <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />(OIS oFIrh5rf7eLocR ur�[Y <br />OTHER STATE on LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOW( FOR WHICH <br />ILI <br />APPLICATION IS MADE AND I COMPLY VATH THE STATE <br />L ^ <br />CONTRACTORS 1 AW V127 RCW AND M.200 WAC <br />rNICfl1M 10 MAM[R ,�'N(/)7,'J <br />/L iS.I <br />//,�� (� ///• Y <br />�� / /�/y1w t/"; ` 94 <br />IrMA nl <br />rIgI IA�MeCR <br />CdISIR1ICIXJN tOYI <br />X <br />sXWA11111E UAIE <br />nlr�[r Ilo <br />MECHAMCAL <br />NO. TYPE OF EQUWMW <br />FEE <br />_PLUMBING <br />NO. <br />TYPE OFRXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />NC -AA LG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />- <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />�. <br />UNITHEATEBS <br />KIICIIEN SINK A DISP <br />J_ <br />S DRYERS <br />I <br />DISHWASHER <br />H"JO <br />' <br />_L <br />LAUNDRY TRAY <br />OWATERHIAIER <br />CLOTHESWASHERUNIIAL <br />IREPLACE (1'0(A. xURNING) <br />' <br />DRINKING FOUNTAIN <br />FIREPU FE INSERT (WOOD BURNING) <br />I <br />GAS FIRC"U10E <br />' <br />_ <br />FLWR DRAIN <br />_ <br />BACKFLOW PREVENTERS <br />OhS f1AMCE <br />' <br />SINK (SERVICE - BAR, ETC.) <br />r— <br />GAS PIPINLI <br />' <br />EXHAUST FA, I <br />I <br />TO SUB TO f <br />ST <br />SU <br />SUB TOTAL f <br />PERMIT <br />PERMIT f <br />IOTALFEE f <br />TOTAL FEE f <br />CE USE ONLY. <br />rvn OFF. <br />IIIOxt AIRS <br />USE I.Ir <br />`- Li <br />n1.R [tte.f.X <br />ION wrA <br />[Xx sFterCx <br />wrwl vtt <br />❑Yfs G Iq <br />tt.W CIn CA M)"r. rft <br />-- FEES <br />FEES <br />UA <br />VALT�I/ON <br />RtflRt lq <br />FEE <br />XMRnn � <br />� � /�i <br />� ✓ <br />IR,all, I M AIS)" <br />IW R 0,,,n MR <br />Irnl. <br />SIZE m eI 1 <br />n"w,I R <br />Ixcur.•ICr wIS slln[E <br />rx'UPANIw.O <br />e.sF xl <br />_ <br />WC14A 'IL <br />qnam 2 <br />iJ- <br />Orr[_ Nn <br />AIXAl10NA11[AN CIx LX <br />- <br />_ <br />MIS"'Mltn0E0U <br />nEA5l1N <br />omm <br />IXIE."I.K00 <br />WAS. <br />$CIE eUl0iN0 SIXILIIAII(tI <br />4. <br />1rrEa culsl <br />MAMA APPro Der I <br />CITY OF EVERETT2O-I— <br />-hI <br />Iji <br />VAtf 9!g <br />LOCALSALES <br />TAX CODE IS 3105 <br />TOTAL <br />- <br />