Laserfiche WebLink
APPLICATIO19FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT a BUILDING DMSION <br />3200 CEDAR STREET a EVERETT, WA 98201 a (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING MECHANICAL ❑ PLUMBN G ❑ SIGN <br />PROJECT ADDRESS: I D'ao N or Lb r'��k _ �%� <br />ANLMncI pR fRSGMn YUI MnnF55 C,ry nr P~ <br />aENLnu ro,.m.clM u.R ADonESs crtr nr ••-• _._.-..-. __. <br />....— __•--- .- 1.7 r^ <br />rinYONGCCATRACIM I..'L W 55 Cnr I,rY�C *STATFLICENSF- <br />cmti l MCF a NbIA <br />HEATING SYSTEM: GAS ❑ ELECTRIC ❑ <br />GEstwe vG n r + G <br />ca.+ACT rrnsGN ANG r,.:wl No <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 />SFG rs !'DLD. <br />eWORK <br />WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />LFGAL MSCMPT" NgrERry lsNarm eaa MAnu;R TNO CMES) <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />IGI elocD M <br />OTHER STATE OR LOCAL LAW REGLAATLNG 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 18 27 RCW AND 2" 200 WAC. <br />////��// <br />eNICEl 1/,110 MINDER <br />CONSIRIICM}I:(YNlFM1FR./ ESS.nNAAYIEMNIIfP <br />X <br />S. <br />CSZ-L4+ I..AE•A !Y <br />CITY WSNESS LICENSE NG <br />PLUMNNO <br />MECHANICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />NO. TYPE OF EOUIPMMT FEE <br />WATER CLOSET (TOILET) <br />NC — AMNC .G UNITS <br />BATHTUB <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 />_ <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNING) <br />URINAL <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTEPS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />T <br />SUB TOTAL f <br />I <br />SUB TOTAL S <br />PERMIT f <br />PERMIT I <br />�- <br />TOTALFEE S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />InM1iFiP1fN of An SfleACt SUE eF1eACA ryANCR[!FF InFCF,ri NO <br />tSE Zr <br />news <br />^• • <br />❑rr5 ❑ M1 <br />R,AINW.. <br />IK,ONI I..IAIION <br />1N0+01 PM 111M: <br />SIZE D MDin, <br />rIR.WING <br />_�_.__ <br />GCCMANr ,Al p$IfNn6 <br />VCrnwN+lo.n <br />nASr Yf NI <br />vro,ANN-u <br />G,gID <br />O"S ❑!M <br />AnDININ.I.IY W C,MCV <br />HnE 51T11KKLCP n[oD <br />nf.tM <br />O11IEP <br />IIPUTAHM PCo'0 <br />MA111 <br />SIAIC D,IIIDNG SI,IICUAniI <br />nxum.m„AS <br />+rrtDfMST <br />rI AVS.rrnovrn Dr <br />CRY OF EVERETT <br />LOCAL SALES <br />-- <br />TAW CODE IS 3105 <br />. TOTAL <br />