Laserfiche WebLink
APPLICAT&I FOR CONSTRUCOON PERMIT <br />CITY OF EVERETT •BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425)257-8810 <br />❑ DEMOLITION ❑ COMBINATION 6p BUILDING O MECHANICAL ❑ PLUMBING 0 SIGN <br />PROJECTADDRESS: 4066 DCEAAI AVE <br />rrwNl V.A AIfO1K55 <br />orr <br />Iv h1011( <br />iFDICA _�FF�S/OUAFL <br />t)ES/6+�EP.S <br />ZSI /S USE <br />SilckgiWA YAMS <br />f11L.700,n,,M`51ONIn I.MM{55 <br />all <br />)Ir M1I(y{ <br />�bL <br />L(NIPM CO4IP.C.1(fl VUI MH1nf 5$ <br />C111 <br />_ <br />/Ir M1MY1[ <br />51.II I,CrV41 <br />O LQ Ai gxL <br />u O1.wC.l CO41r.rll n vu1 WM s$ <br />dh <br />Ilr MK AF <br />".IF IKFNSf • <br />6wt3EP <br />--a <br />NnwA CONIr1.11M1 VYI.MMKSS <br />Tv <br />rNON{ <br />SLIr IK[45e• <br />co4m.C1 MITI (N wrn,1 <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />Ixs.:Mef wOnN.NO co4._rl—IaDl.Or vva�l <br />22 �.�4 �vAfiAC7t 7 '-f� cc. <br />cwr.cr r1115rn. .Ml w <br />ZS-�7-Z1,93_ <br />��-294.4s34 <br />1 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 15 MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS I AN'IB 2l RCW AND 229620O WAC <br />"fNA1 111 rlAll <br />- <br />I41MDs{D usf or ePl&l <br />I COAL D[$ IAFMN a FnaIERTY 15110WN efLOW WAnACN FAD COPS, <br />Cal rKmA or <br />— <br />PUft IA. Ing—., R��`�y/'I ��/ -- <br />'1.' <br />Ca451MK7/ I aAN I r M1FN AMMf 54 tf IrAgNr N14Rf N <br />0Tv vuM,,%s LKf Nt( NO <br />MECHANICAL <br />PLUMBIMO <br />NIM <br />TYPE OF FIXTURE OR REM _ <br />FEE <br />NO. <br />TYPE OF EgI1rMENT <br />FEE <br />WATER CLOSET (TOILET) <br />NC —VH/ DLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASHBASIN) <br />_ <br />NEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A OISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />T— <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN __ <br />FIREPLACE INSERT (WOOD BURNING) <br />_ <br />FL OOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK(SERVICE — BAR, ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />i <br />SUB TOTAL S <br />SUB TOTAL S <br />_ <br />PERMIT S <br />PERMIT S <br />�— <br />TOTALFEE S <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />{IH14t VPA[�A <br />Pr An Sr to .Ij-//tl <br />LM Sf1e.L� <br />nAN,t M14R/rP� <br />rrr 7/) <br />Mr[mr NO <br />051 I04f <br />RS <br />IOLM. <br />N.cANI SIN <br />OYfs Yw <br />FEES <br />VALUATION <br />FEE <br />PIR1fnMt _ <br />1 <br />l6 <br />�— <br />) <br />, <br />NFICNIHVIIAIpy <br />NO MnNf1114G <br />s¢Iaekm <br />aCL1TA4CY <br />fnplp <br />W n A1w15 <br />{KCUPANI IO.a <br />R.s{4L 41 <br />411 M.NF:.1 <br />.Oa11a4q ryA4 C11fC. <br />fINISrRPMI[PP[OD <br />FIT A." <br />OII P <br />rWE AUPM PLOD <br />gASOy <br />c1A11R1111aMns1KKN.RCF <br />�y— <br />I'm Of C0451 <br />/ <br />h[' <br />M.M51rMOVrDRv <br />Dae Z7 <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />N.w wYxsA <br />-- <br />TOTAL <br />— <br />