Laserfiche WebLink
APPLICATIONFOR CONSTRUCT& PERMIT <br />CITY OF EVERETT E BUILDING DIVISION <br />3200 CEDAR STREET E EVERETT, WA 98201 • (425) 257-8810 <br />43 DEMOLITION ❑ COMBINATION, I O/ MLD/MO ❑ MECHANICAL ❑ PLUMBMfO ❑ BNW <br />PROJECT ADDRESS: 2/oz I fII ll say P N <br />D C 00N <br />ORIIER YYtM ss flit m VI.}! <br />scs*4 <br />TEN., YYt AXW&S UT' m vlgnt <br />♦RCI.tf Cr OR DESgNEn yut Md1E55 <br />CFNERAC CONTRAtIm t YYI YY.IRF55 CRY l.r RgNE SIIIIE IICYYIF• I <br />�as4e G? NR6•, ?Q9Z-2223 S�E.,4 4 21Z 3Go•h52zrzr NevsE-N�tnaiTj <br />MCNANKAL CONTRACTOR MAR. WLVIFss Pry m INAW ST.TELI w. <br />PI LIIIF.+GCdTRY:1CR Y.I. ss an m PNONF STATE LICFMSE. <br />coNrllAcl rRICY a TQ1Y <br />or)o <br />NEATMO SYSTEM: &6AS ❑ ELECTRIC ❑ <br />CfSCM1IE M}YI AW SQIAW FDOTAM MYD[VFD <br />CPItY:T RIISOR MO ry1ryR ND <br />Rlwc-E. <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 />WORK WILL BE COMPLIED W'TH 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 LOCK LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE VKNAK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 10 27 RCW AND t9 .YOLI WAC. <br />X����/ 2-3` <br />RRorosro usE DF FUR. <br />�) <br />tFa.l oEscl«ollwaTAooRERir 141JEA1 FFLUNWATM:N TwocmlESl <br />LDT MDCR. a <br />F tL TAA I D T/ 79-(o/ _ ay -0 <br />CDNSTAhXT 4 LOAN kFFAIVIR A 55 iE LEERIDNF/MIMIFR <br />M DATE <br />OtV SAXN ES5 EKENSE NO <br />PLIIITBIITG <br />MECXAMCAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EOIIRf ma <br />FEE <br />=, <br />WATER CLOSET (TOILET) <br />A/C -0V NDLG UNITS <br />BATHTUB I <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE {WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNMKU <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />_ <br />SINK(SERVICE - BAR. ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL f <br />SUB TOTAL f <br />PERMIT f <br />PERMIT f <br />TOTALFEE f <br />TOTALFEE S <br />FOR OFFICE USE ONLY: k S2I.O(e ,nVdJ-t. /(<7? 94 ) <br />1RM'I KTRhCA ! <br />!rS <br />NYISFTwA I TAT- <br />ZS �L. <br />s SIITw. <br />%J' d / <br />1 %w CICCR MItF <br />rFF _ <br />,Ga <br />RF. 1NO <br />RISE lONF -� <br />IKIGNT IIVIIAIpV <br />ZQ <br />IOI AMA <br />WANT WE <br />G VFS Dlq <br />FEES <br />VALUATION <br />FED_ <br />RUIM+1, <br />ILA e' <br />NO DT I1Wfl11NG <br />IIN�Ii � <br />jE Qf YOG'4A`. �1�Ijr <br />/ryA C M'V O�r111N11VC <br />C'InAW.Y <br />AO N II n.lS <br />IX.CW-.11D.R .AYD `S <br />N,,"ANWAt <br />Am11.wY nwnEcll <br />un[svmnnUP n[oo <br />- <br />TMASON <br />OTNFR <br />FIPC AUPP PEOO <br />RF ACOV <br />4IA111111LD•Nf $IIRDIMMiE <br />— <br />^ <br />—4 <br />nrlMrM+�T <br />.�/. <br />V 'I� <br />MAN, ArrnnvrDRr <br />uAIE 5 4 iC <br />CRY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS ]1os <br />nIMm A <br />1 <br />-- <br />TOTAL <br />- <br />