Laserfiche WebLink
APPLICAndh FOR CONSTRUCII%N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET N EVERETT, WA BB20I R P5Y-8510 <br />e <br />❑ DEMOLITION ❑ COMBINATION ❑ WILDING ❑ MECIIANICAL R'M/NIO ❑ BION <br />PROJECT ADDRESS( (/ _ <br />IfNANI NAN Afmn ini no-- noNf <br />an --- runut <br />rc <br />nn <br />callwc I RNcf a YNYN <br />IIEATINO SYSTEM: ❑ OAS ❑ ELECTRIC ❑ <br />n(DCIWf Vp lM lllllW IfInllnl hYDlVFn <br />fINl4'.I hllSnll Yfl M1InIM NU <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW TI/E SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GnANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE. ON LOCAL LAW RFGULATNO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRICTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF 708 PROPERTY TO PERFORM THE WORM FOR WHICH <br />APPLICATION 1S MADE AND 1 COMPLY WITH TINE STATE <br />CONTHAC TOLLS IAW 11127 RCW AND YES 200 WAC. <br />E <br />NR00NDUM n YN n1Iu -- ------ <br />l[nM dlCWIOI CIIMSPM1 Il1[hMI MI0W 01AilY.N IM9COM[SI <br />,of _ _ NOON a <br />NNC[f w ILA INNrER <br />CdIIIILCIpX1nM1l[N11fn y1nlYll II IFhgIt MA!(R <br />W W4uRF mil <br />UIl elllN[!! ICRMS[ Mn <br />FLUIIEING <br />MECIIAMCAI. --- <br />MO. <br />TYPE OF FIETINIE OR ITEM <br />FEE <br />NO. <br />IYFE OF KOLWmmEY <br />FEE <br />WATER CI OSET(TOILET) _ <br />_ <br />AC—NHNOLO UNITS <br />BATHTUB <br />LAVATORY RVASI/ BASIN( <br />FUDGED AIR SYSTEMS <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOT14ES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WAFER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />L <br />URINAL <br />_ <br />METAL FIREPLACE WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GA9 FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RAME <br />SINK ISERVICE — BAR. ETC.) <br />OAS PIPING <br />EXHAUST FAN <br />SUB TOTAL 1 <br />SUB TOTAL 1 <br />PERMIT f <br />PERMIT { <br />TOTAL FEE f <br />ID <br />TOTAL FEE { <br />FOR OFFICE USE ONLY: <br />IMMIVIN.Ia1 <br />Rf YIvlw. <br />NIIR UIIY• <br />n.WCIKf.m." <br />fIF <br />mcrofw <br />SS /`1n <br />ME rail <br />_ <br />IIIININA <br />_ <br />r.cANl s,Ir <br />FlEs <br />_ <br />FEE <br />NNIwi <br />_VALUATION <br />1]rf] G w <br />IIFIONI IIMIAIpM <br />w !l INYllllw <br />NIf a NIYVII <br />�1� <br />INIIN <br />nlWlll <br />C <br />nnOUN lll:r IOa11MIR <br />OCCINANI IUAD <br />eAVWNI <br />WaIWCM <br />❑If! ❑w <br />IiaNIY1N4 nW1AlI CN <br />FNFI IIAWOp <br />1M.N1d <br />OIWR <br />FIR{ NAIW NfOD <br />RFNIpN <br />NNR NN Wn L1Y.IwN <br />)— <br />Irvlaralsf <br />M1AM ANrnDrfner <br />CRY :EVERETT <br />nIN r. RFKNa <br />LOCAL SALES <br />--- <br />TOTAL <br />--- <br />�� <br />wft <br />TA%LOBE 15 3105 <br />