Laserfiche WebLink
APPLICATIA FOR CONSTRUCTAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET E EVERETT, WA 98201 • (425) 257-8810 09;117 <br />❑ DEMOLITION ❑// COMBINATION <br />❑ BUILDING N MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: L-bL! I ADC <br />l""F <br />NPLIYi[CT M Of SIGNCP AlAft DIMf55 CITY I., <br />mum.000N1P1111W WN 4%YRSS C.Tv jln l`pF STATE ICENSF- <br />Cp11nNC1 MEKf °E MOnx <br />— <br />HEATING SYSTEM. JKI GAS ❑ELECTRIC ❑ <br />SCIFB1E MO/n�M f4(1 SQIx t f Ig1NGf MVIXVFO <br />CONixCI ARSON ANO E'L'ONE NO <br />ii/i_d l2f—� CLML��1 i <br />I HEREBY CERTIFY THAT : 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 WILL 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 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 IB 27 ROW AND 296.200 WAC. <br />1./_ <br />X { _ rnJL, <br />INgT41sF ousE Or MONO <br />V <br />LEGAL O[SCA'NONA rIIOMPIY ISILoxN xLowdAnACN TY.o coM[sl <br />LOT DLOCA OF <br />wPcrL w 10 mELLPEn <br />C(NS1mrCIMIN LOAN 1[MIFR.NUPCS5.1[IEAgNE MMPEn <br />$KNAIIXE <br />!l'� <br />_ <br />CITY M@EESS LCENSL NO <br />PLUMBING <br />MECHANICAL _ <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EOUPMENT <br />FEE <br />WATER CLOSET (TOILET( <br />IVC—AWNDLG UNITS <br />BATHTUB <br />_ <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN( <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD _ <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />'WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />_ <br />13ACKFLOW PREVENTERS <br />GAS RANGE <br />—r <br />SINK (SERVILE —BAR, ETC.) <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOALS <br />SUD TOTAL S <br />' <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE S <br />IS ' <br />FOR OFFICE USE ONLY: <br />FIIMi V1PPLxI PFAP SFTBACR I S'm SEEBAC, MANCN[CPNxMIFn TLF nECFIPF NO <br />IRE IONF <br />IMAM. <br />NACANI Sill <br />DYES 0 NO <br />POn Am: <br />ICIONT.... IAlp4 <br />NO Ol MILLING <br />SIjE OF EIOGPI <br />IIMI$ <br />AUMPMO <br />OCC !VCv <br />1q A51(MRS <br />IX.CIMANI LOAD <br />PASFME41 <br />WCNANCAI <br />DYES DNO <br />— <br />FIHfSPPINxIEPPFOD <br />PFASO4 <br />ADAIMNAI. MM MCK <br />OTNER <br />FIREAU MPEOD <br />PFASO4 <br />5m[ OIm DMO SUXNA C{ <br />I YPEOf coast <br />AANSAEA Vr°PY <br />CITY OF EVERETT <br />MInI r. L40PxS <br />LOCALSALES <br />..... <br />TAX CODE IS 3105 <br />TOTAL <br />