Laserfiche WebLink
APPLICATION FOR CONSTRUCTON PERMIT-. <br />ff <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET L EVERETT, WA 98201 N257.8810 <br />(l DEMOLITION COMBINATION )( BUILDING MECHANICAL PLUMBING Fl SIGN <br />PROJECTADDRESS a4jo Fkaxr�!5,O {AT•-, E\)e[-c1! wA 9$aoI <br />pmKp MAM1A vls CIIY lr' AICIIt ^� <br />ICh[s * TEYh Pcilc�F 941a Vic rrIt Ison ENerttt W'YSdUI 'W'a -u 01 - lama I <br />t[NANI MAn AD LSS CITY TV C'"L <br />AlIL111EL1 pI pE$GMn <br />�bS A[Y♦, <br />MAn ADDRESS <br />;'4 NE <br />7q'" 1 S+ RedrLORp <br />1 ' <br />lebgA 4A5 SLq - 1081 <br />O[NEIUI('9N1R4:Ip1 <br />MALADMR35 <br />Clir <br />!n IMM STATE HCEW <br />Selo <br />MECIIANICAl CON1MC1011 <br />MA0. AIXNKSS <br />CITY <br />Tr' IYgIK S1MC lCUDC• <br />SeAF <br />— <br />RUMNngCplil4Clpl <br />MAItAMILSS <br />CITY <br />tr• MnNL. STATE LICLI6[A <br />f C. <br />cOInuACt MILE Dr w R P <br />NA E)O I r/�e_.D <br />HEATING SYSTEM: GAS ((ELECTRIC I <br />mVSAM[nGV[n <br />CC/� ,ALsE¢d= <br />CONTACT 10ulDMMDIr <br />Q!¢Q1 Sly s�Ft <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />CERTIFYTHAT <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 WITH WHETHER SPECIFIED HEREIN OR <br />NOT TIIE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE On 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 />CONTRACTORS LAW IS 27 RCW AND 2962W WAC. <br />,�''kOI +1( U DI <br />x I IVY(/�,VLIIL <br />Mroros[nus[a Duxnnq �LO[� <br />=�— <br />L[nAL o[scnlrtgrl Ur rrK+r[nIr ISlxTvrmuOw aun+ol VAOCOr L9 <br />Lot SLL22_o[oce 534 Gr Ai ii ChlU AEe[A OAA�, <br />r_ „0 j v �',+ IS{ Add [ �. .b 6 <br />rM¢¢ TAx m rnlMn[n <br />Br 516i)53 o1RGo6s+ z116d534O OPLC <br />cDrISNILKtgNLMuurnMn. nUlNltsS.TUN'1hNK rgYnut <br />sA[MT nME <br />CITY oVSDASS LICEW Iq <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />TiF <br />WATER CLOSET (TOILET) '/ <br />A/C —AHNDLG UNITS <br />BATHTUB // <br />1 <br />FORCED AIR SYSTEMS <br />! <br />—�— <br />__ <br />I <br />LAVATORY (WASH BASIN) <br />SHOWER <br />! <br />G <br />HEAT PUMP <br />UNIT HEATERS <br />1 <br />KITCHEN SINK A OISP <br />CLOTHES DRYERS <br />_ <br />1 <br />DISHWASHER <br />l <br />RANGE HOOD <br />Q <br />LAUNDRYTRAY <br />WATER HEATER <br />I <br />CLOTHES WASHER <br />i <br />Q <br />WOOD STOVE <br />O <br />URINAL <br />! <br />0 <br />METAL FIREPLACE (WOOD BURNING) <br />O <br />DRINKING FOUNTAIN <br />! <br />O <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />I <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />I <br />O <br />GAS RANGE <br />SINK (SERVICE — BAR, ETCJ <br />GAS PIPING <br />EXHAUST FAN <br />i <br />i <br />i <br />i <br />— <br />I <br />! <br />I <br />1 <br />( <br />_ <br />SUBTOTAL S <br />SUBTOTAL S <br />! <br />PERMIT $ <br />PERMIT 5 <br />! <br />TOTAL FEE S <br />TOTALFEE S <br />! <br />FOR OFFICE USE ONLY' <br />rn011r SEIN+ f <br />nun s[tDACM _/ <br />7 <br />,ro[sr16ACn / <br />cN�x� <br />F[ j'q <br />n[cElni rq <br />USE ZONE it <br />x- ` <br />LOI AnEA <br />VACMIT SITE <br />I 111ES 11Iq <br />FEESFEE <br />VALUATION <br />FEE <br />W&C"N6 <br />L� <br />1@GPTUMnAtp11 <br />ze / <br />Iq of mum <br />INns <br />STEOr DIDG71 <br />b75 S55 t, f. <br />PI <br />rt— <br />occmMKr Ito V SWLS <br />GIIOIIP <br />3 5-I 7- <br />DCCIIrANTLOMI <br />SASLWNT <br />nxs 1. <br />M[CIIIwa <br />ACIXtgNM MAN UI[C% <br />i <br />FRE SMNNALEn SEC D <br />PCAspI <br />OIEEn <br />I P[AUIIM nCOD <br />nEA" <br />$IA.EBIILPMTSUn f4AIloE <br />Trl+EacDxsr <br />f-linArt3 <br />nANS Arrlgv[n Br <br />Zo <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />MMICN KS <br />TOTAL <br />..1� I?g <br />aL <br />