Laserfiche WebLink
APPLICATIA FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT •BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 IF (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION Wr BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS:_E�02 so EYne= pAL�l=& wky_ <br />w/MFP NAIL ApwFFS 'a I, Af <br />PulvKE 5NOP,)w, Xko 4wLyw PNTndlly e)kA by BC dM #" VW 3 GD4 9is 1403 <br />iE4WF YYI AIg11E55 qry � NIWF <br />AIy:NFFf:I w1 PE WJ1111 4NI NIMIFSS f.IIY �/H• IYY:M' '� <br />Mu6VAN�JY FWfj 29W IJWD IJLC:H fl wayl QeLIgVIAB q&ny .gip; oqq� <br />GFNEnAI C(Ix IPAfFwi AIM AdgISS Ilb )R npN iNII ICEx4• <br />SHrAcoNSTa=noL4pz �I eu;Ha�a5PD11ANEtak 99?It ws4 5Dq•5341030 5►}TAr",SFA45PF AFFCNANCAIC.EWFnACINP NAI{AIRNIFSS d1Y )Y• plRblr SIAtf IICENSF• <br />�n C`w w1 wnAl%MEss CITY tIP PIIbIF eu.e..ee. <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />.KA,,EO <br />BYQg3A).Op <br />AIFSE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />PPOM nr PII.mNn <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />Esl <br />EFCAL n[scmnnoxwlvronERrylswPvl SFIpwOP An.cx nvO EonNOT <br />WORK WIT BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THEGRANTING PRESUME TO <br />ar Him.w <br />AUTHORITY TO VIOLATEAOR CANCELPERMITS THE PROVISION OF AINY <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 />_ <br />•MCEl TAS O) NmRET" 10 NmPFR <br />APPLICATION 15 MADE AND I COMPLY WITH THE STATE <br />coNT A TOR$ LAW RCW AND 296,200 WA(EC. <br />:IWAIPIILtI(INIILNI[MIrn, Apry1E55, lFLEPIIOIIE MNBEn <br />/I�627 <br />X_X ^ A '. A.ir iL%R-mA <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE .NO. <br />V TYPE OF EOUIRMENT <br />WATER CLOSET (TOILET) <br />A/C —AMNDLG UNITS <br />FEE <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />NITCHEN SINK d DISP <br />CLOTHES ORYERSS <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 />DRINK ING FOUNTAIN <br />FIREPLACE INSERT(WOOC BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />i <br />SINK (SERVICE — BAR, ETC.) <br />GAS PIPING <br />_ <br />EXHAUSTFAN <br />SUBTOTAL S I <br />SUBTOTAL S <br />PERMIT S <br />PERMIT S <br />- - TOTAL FEE Sl <br />TOTAL FEE S I1 <br />ynr.n <br />rlM4rvm.rR <br />5r1PA(:. <br />IIi1 fOHr <br />IUTAPIA <br />1111fJ 111 mI1Al (IN <br />xU 1} IMY 111NN <br />HI 1\ <br />wAlln.4 Y <br />4` <br />I.:I IM'ANI IOW <br />r.NpN <br />J/ <br />G <br />FIRES SJ/%MPIrN <br />P[7 (1 <br />w.\M <br />Yz---!� <br />{IRI4 <br />E AIA1111)n <br />NAA l <br />O <br />YY loos S� <br />70 <br />SIM SLIPACR ryAxfIIIIIF <br />vcAxl svF <br />FEESS. <br />nvrP <br />_ _. <br />IIIYJA.F. <br />_ <br />RO <br />T/"Qp' <br />M1 IINPMf <br />P GI W 41 <br />NII.IF. Al <br />ACQIII(INAI IY A41:1Yfl <br />H.h <br />$NII PINONb 4114:I1A1Y:[ _— <br />CITY OF EVERETT <br />LOCA <br />L SALES I .---- --- _. <br />TAX CODE IS 3105 TOTAL I (-..T <br />