Laserfiche WebLink
APPLICA7�N FOR CONSTRU�ION PERMIT� <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVEflETT,WA 98201•257•8810 <br /> ❑ DEMOL�TION COMBINATICN ❑ BUILDINO ❑ MECHANICAL ❑ PLUMBIN6 ❑ SIGN <br /> PROJECT ADDRESS <br /> �� - <br /> owxcn wu�oouss cm zo no< <br /> Fiec-� +4b.w� `�rr..�- ie� MoaF X cWeees-r �1kdd l '15 a o>g� <br /> rcrur�r wa�ss cm zr warrt <br /> MLNITELiOFpESGMR WILMME55 ��N lP � <br /> GE MLCONIMCTON YIAMdiE55 CT' IP P110NE SiAiFI�LEIttE� <br /> �•�:.^ � i2-�e a.7k��7 7v"air-AY.I 8nwwxc� -�tBaG�- ''LDGa7d.r�bk �a,ose oa5b <br /> MCCN�NCKCOMMLfOR WRI11MEi5 CffY 1P RqNE SiAtEIILENSE� <br /> RUNBwpCdltPIC1G1 MA4MIX1E55 LILY 2P RpNE Si�TELICENSE� <br /> tonrruci vnc¢or xp+K <br /> HEATING SYSTEM: ❑GAS �ELECTRIC ❑ <br /> DESCP�BC WORK�NO SOUYIE[OOtAGE IINQYED LONi/.Ct PEPSON NID%qNE Hp. <br /> n c� 6 <br /> . I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> MPLICAT70N AND KNOW THE SMIE TO BE TRUE AND CORRECT.ALL <br /> rr�oroscouse or auno�w PROVISIONS OF LAWS AND ORDINMICES GOVERNIN�TMIS NPE Oi' <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> lEO/lOESCRWIKK10iPf10PER�YIS��tlEiOWOMATiN]IIWOLOPIES� NOL 7HE GRANTIN6 OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ior �aK � AUTMORITY TO VIOUTE OR CANCEL THE PROVISION OF ANY <br /> 07HEH STATE OR LOCAL UW REGULATING CONSTRUCTON OR TME <br /> PEPFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THI PRp RTY TO PERFORM THE WORN FOR WMICM <br /> APPLICATION S R�E ID I COMPLY WITH THE STATE <br /> vu¢[� u�iowueen CON7PAC I �27 CWAND296200WAC. <br /> 7 � iy '� <br /> CWSiRULiqxlO�NlE1AER.�ppiES&iFIERqNEMIYBER z <br /> $pry� OAiE <br /> CrtYlUSY1ESSliCEN Iq. <br /> PLUMBINO MECNIINICAL <br /> NO. TYPE OF Fl%TURE Ofl ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—M1NDL�UNITS <br /> BATNTUB i FORCEDAIRSYSTEMS ! <br /> LAVATORY(WASH BASIN� I HEAT WMP i <br /> SHOWER I UNITHEATERS j <br /> KITCHEN SINK 8 OISP CLOTHES DRYERS <br /> OISHWASHER RANGE HOOD <br /> LAUN�RYTRAY i WATERHEATER <br /> CLOTMES\VASHER WOOOSTOYE i <br /> URINAL I METAL FIREPLACE ryJOOD BURNING) <br /> ORINKINC�FOUNTAIN � FIREPUCE INSERT ry100�BUFNING) <br /> FLOOR DRAIN GAS FIREPLACE <br /> BACKFIOW PREVENTERS I GAS RANGE <br /> SINK(SERVICE—BAR,ETC.) GAS PIPING <br /> i E%HAUSTFAN i <br /> i <br /> i <br /> s <br /> SUBTOTAL f i SUBTOTAL 5 � <br /> PERMIT S PERMIT S <br /> _ TOTALFEE S : TOTALPEE S I <br /> FOR OFFICE USE ONLY: I <br /> iRWTSEIB�[It PE�115Fi8.1LY, SCEYT6.�CN �WCI�ECKMNB[R a' fEE �ECE�PinO. <br /> O�L� � <br /> usezorve lOiAPEA vnu++rsitE FEES VALURTION FEE <br /> ❑res a ra �t� <br /> IIFIGIIiIIuli�ipN NOOFOHFLLIII� SISEC�BlC6'fl � <br /> UN�tS RUMBM3 <br /> OCCUv�xLY IqR5tWE2 OCCW�NfIOM B�SFUEM MECW�t�CK <br /> G11q)P <br /> OYES Olq <br /> iM1ESP11iMLLCqpE00 PEASON ����>��EG: <br /> OMER <br /> LFEMAPYqEOD PE�SCN <br /> Si�IE WlDNO SURCNM6E <br /> tmecrca+sr. au.s�rriwvEoer CITYOFEVEREI'T weicwow�s <br /> LOCALSALES <br /> o�� � TAX CODE IS 3105 TOT�L <br />