Laserfiche WebLink
APPLICAT& FOR CONSTRUC-ON PERMIT <br />CITY OF EVERETT •BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8810 <br />L DEMOLITION El COMBINATION ® BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS: <br />Rlcl}99D SuwDBrQlr Srlbs /�S'z ��C�_���,IsN 98�90 �/ZS �s9 1sd7 <br />OWYEn VVI•IILInE ss pll PpnL <br />MAR <br />pp <br />11".I <br />WCHAVCALCONIRACIOR MAR ADORES$ rX tip P11Md StATF ULENSE• <br />PI 78tND CONIPAflpl MAIL ADDRESS CITY IIP Pp`IF a Ve) pX _ SIAtE1K[RSF <br />cONtn•cl MqE OF wORK <br />/ <br />— <br />HEATING SYSTEM:gtI GAS ❑ ELECTRIC Cl <br />DFXpPF KANp SOUAPE [DOTAGE WvpY[0 <br />CWI�Cl vfRSCMAgr1gNE NO <br />InprOV 0 a.E pr emmq <br />G GL' <br />t EDAL MSCIAPR Np'rnprERlY lslax+lauow OR AMACN RACCORESI <br />LOT PLOCK a <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 WIIL BE COMPLIED WITH 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 LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT 1 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 296 200 WAC <br />_ �/.� O�z�� <br />S ATMRE LTA [I•Il <br />P.I¢rL VA. 0 MIMRER <br />CWSIpK:NON LOAN I[gFn. •pllnEss Ifl[h10NF NUVPFR <br />CITY 004NESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />O. <br />TYPE OF EQUIPMENT <br />FEE <br />TER CLOSET ITOILET) <br />A/C — AMNDLG UNITS <br />BAPNTUB <br />FORCED AIR SYSTEMS <br />LAVAT Y (WASH BASIN) <br />NfAT PUMP <br />SHOWER <br />UNR HEATERS <br />KITCHEN SIN DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE AQO0 <br />LAUNDRY TRAY <br />WATER <br />CLOTHES WASHER <br />\Y <br />URINAL <br />M(WOODBURNING) <br />_ <br />CRI!:%:NG FOUNTAIN <br />FIT ODD BURNING) <br />_ <br />FLOOR DRAIN <br />G <br />BACKFLOW FREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />' <br />SUB TOTAL S <br />SUB TOTAL S <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />TWINY VIP•fr <br />2-0 'O' <br />PFMSIB•CR <br />VDE SF <br />C <br />MDCT-RoaS <br />Ta?, [% <br />RF[ImI NO <br />LISE lOND <br />tV�Y/� <br />IOIAPEA <br />VACANT 511E <br />OYES q <br />FEES <br />VALUATION <br />FEE <br />Rw I1Wf. —,� <br />MIIVRrK: <br />yff.N•N1CM <br />�•�.�J <br />'1 (_JI''S(`�CJ <br />_�— <br />. <br />T <br />IIEICrITDRIAIION <br />Inla DwEWNO LIEOFRLppll <br />�O ` <br />J <br />OCCIA'ANCY <br />gM1SiM13 <br />p[yPAxl LOAD e•SFMEMI w// <br />11FAACN <br />ADDIIKIMAI. MANCIAICK <br />iPVf C_grolMllfl MOD �— <br />ObKR <br />FARE AIARM PLOD <br />RE•SON <br />s1Alf B1RLO $IIPCIIAM! <br />IYPi Cr E:aIcr <br />MANS •rrPovioe <br />n 017 Lv I/ <br />CITYOF EVERETT <br />LOCAL SALES <br />TAX CODE IS J1OS <br />nIaI K: xOnRs <br />TOTAL <br />