Laserfiche WebLink
APPLICATIOR FOR CONSTRUCT18111 PERMIT <br />CITY OF EVERETT • BUX.DING DMSION <br />3200 CEDAR STREET • EVERETT. WA 98201 • (425) 257-8810 <br />❑ DEMOLITION U CMM WTION ❑ NMLOMG ❑ MECHANICAL ❑ PLumam ❑ am <br />PROJECT ADDRESS: / %6-5 )D4' V f- - <br />. , ✓T, 0-cam /.•Fir'LG Pd*Ael& \J 3LJ0. -v Ar <br />+IL PwmdNnlC, j?_n j ,r (�> i� TT,fTee,_s�W S&�e/ 31S 17TS <br />RI�M�Y IP.rlp1 mft 6 Ss an pp STAR LKINS11 <br />CwT u j R t T)f W09K <br />HEATWO SYSTEM: GAS ❑ ELECTRIC ❑ <br />a SGPIIf Milff AW saI.R Faoi.6f NVOlVIo <br />CdI.Cl R1yON/.IO n101t �' fiS <br />f CQFm <br />c <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMR&O THUS <br />\ ass <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />T"RDF DM o PIIPDPAl <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />EFG. (XWPIPT"MRIIDFERtt IIIDFAT fETDw w.nAKP llq[OF[R <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />-%-- <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />lot YOrs—a <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THA. I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WINCH <br />APPLICATION IMDE AND 1 COMPLY WITH 1HE STATE <br />CTo 1S2T RCW AND 2BI.200 WAC. <br />/F <br />�jY // <br />PMSFI lY 10 MIT�FR <br />CbKT1rtKIgNIGW IFN]FP..Palf55. 1[If RIGM1FNM!R <br />X p.l[ <br />l..YnwEL�To AITro <br />-T ` <br />an FuslEss ECFNSL NO <br />PLUMBING <br />NO. TYPE OF FTXTIHM OII REM FEE <br />MECNIIMCM <br />Iq. TYM OF BIIIIRfLBfF FEE <br />WATER CLOBET (TOILET) <br />MC —AANpA III1S <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />J <br />KITCHEN SINK f DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />1 <br />RANGE H000 <br />HEATER <br />LAUNDRY TRAY <br />WATER <br />CLOTHES WASHER <br />WOOD STOVE <br />FIREPLACE (WOOD BURNING) <br />URINALMETAL <br />FIREPLACE INSERT (WOOD BURNING) <br />DPINKI/G FOUNTAIN <br />FLOOR DRAIN) <br />GAS FIREPLACE <br />GAS RANGE <br />BACNFLOW PREVENTERS <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAVST FAN <br />+_ <br />SUB TOTAL f <br />SUB TOTqES <br />PERMIT f <br />PERMIT <br />TOTAL FEE f <br />TOTAL FE <br />FOR OFFILJC Mac vnu: <br />I MrNi tr)iP.C� <br />"a <br />Irsr tour <br />2_l <br />Pr.P Srin.Cl <br />2"01 <br />ITTIAI <br />szzsDICEs <br />SIDE Sf IS.C4 <br />/ <br />v.C.vl ylF <br />O D <br />r1.N C�K�MIWN rFf <br />FEES <br />eo <br />VALUATION <br />14CWTM <br />fEE <br />ids <br />rrf wrri L�V11.iKNl <br />MIO IMt�IMG <br />SIDE G�OTT"', /. <br />!' <br />Lin(Ges3� <br />a11YI1M <br />Wl.A'xA. <br />_ <br />- <br />pC mAa:. <br />N ✓'J <br />v..n/a1.mT> <br />4 <br />accor.Nuo.o <br />«i <br />alls 04n <br />DTKR <br />{HIEa YREUD <br />IACDr <br />51AI 11.IDNrr VWl" Gr <br />/} <br />_�Ou <br />?�iD <br />n'lu K+AxN« <br />I.rlrncovsl <br />rl Avs.rrunvlDer <br />CRYDF EVERETT <br />_�,/ <br />DAIL <br />LOCAL SALES <br />TAX CODE IS f105 <br />�— <br />TOTAL <br />