Laserfiche WebLink
APPLICATION FOR CONSTRUCTAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 B (425) 257-8310 <br />Cl DEMOLITION ❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDI <br />f;E yj JARMA-1 <br />2122� tlafT <br />A'° Eves <br />vz6 259-1i/37 <br />i[xANI <br />upl ATgxss <br />ary <br />to 1+TONE <br />♦pLl(RCI F%mSWNER <br />u.W ARp tss <br />an <br />AI` AEONF <br />4FN(MlCllNlpKlal <br />Y4l AGGRESS <br />alt <br />t? P"E STAI(LKEMiEI <br />ca+IRACT rracEawOw ys ,ay <br />HEATING SYSTEM: 4AS ❑ ELECTRIC ❑ — <br />OFSCMBE KAxD 50UAnE iDOIAOE MYCIYFO <br />Cal1IC1ITnSONI.M1'~w -7y6 -6i9b <br />o U <br />.tJ6L1 ('REm .s&[1FIG -TD &ft tWAi <br />+Nor wA�2 <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 THIS TYPE OF <br />PIIOPOVO USE OF mAaxo <br />I.7G LF fAMI4� <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />l,,4 oEsc.'Tq"aINK1PERry ILVYAI BELOW On ATTIC"M C0AEs1 <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />toy BLOCK ;:i <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT 1 AM AUTHOHIIED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18 27 RCW AND 296 200 WAC. <br />MRCELvx ID MARIEn <br />M1 ��///���I L' <br />�//� /!Trt-�l II'" � �7 <br />CplS1RDCIgNI a.IENCER M[K1V55.RlER1a1E MHMp <br />X <br />sKUlAlupE oA1L <br />all BUSRSSS LCENSE M <br />PLUMBING <br />MECHANICAL <br />FEE <br />NO. TYPE OF FIXTURE OR REM <br />FEE <br />N0. TYPE OF EQUIPMENT <br />WATER CLOSET (TOILET) <br />AC—AMNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A OISP <br />CLOTHES DRYERS <br />RANGE HOOD <br />DISHWASHER <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNINGI <br />URINAL <br />FIREPLACE INSERT (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKF.OW PREVENTERS <br />GASRANGE <br />SINK(SERVICE — BAR. ETC.) <br />I <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />SUBTOTAL f <br />PERMIT S <br />PERMIT f <br />TOTALFEE S <br />S}� <br />TOTALFEE S <br />FUN u"lut; UOa vRla: <br />I110x1 VTEA <br />usF 1pli <br />ACK <br />SICf SFTBKK <br />,,CANT ult <br />RIAN CHECK WU s FFF <br />FEEES <br />VALUATION <br />nFf.FK'iM <br />FEE <br />R4HKM <br />DIES DM <br />;101�A <br />UM <br />sltEMBLOWIhIC. <br />6W., <br />RFCPAN a <br />w, S11-Is <br />IOAO <br />BAV4ER1 <br />POV> <br />OBEs OM <br />A0a1M"IAaAAN� <br />I <br />EMfiNtlIXpEPPEO'O <br />FIE A.a <br />OIRFA <br />-------------- <br />F WE AlAAM 11!00 <br />AFACOY <br />MME MROHO4ACIMMF <br />_�� <br />n1P1r.v g <br />tin Or r.mv <br />it"SArmmoeY <br />CRY OF EVERETT <br />LOCAL SALES <br />— <br />1 <br />DATE <br />TAX CODE IS 3105 <br />TOTAL <br />