Laserfiche WebLink
APPLICATIA FOR CONSTRUC&N PERMIT <br />CITY OF EVERETT x BUILDII IG DIVISION <br />3200 CEDAR STRELT • EVERETT. WA 98201 • 259 B81G <br />I I DEMOLITION O COMBINATION ❑ BUILDING lj MECHANICAL iJ PLUMBING ❑ SIGN <br />PROJECT ADDRESS:_03 WEST vif- DRIVE <br />0M 1. YMxD0 m OM1 <br />AIEJ-MU IGEL O%q 4r-o's WEST Eby DK PVT <br />lAlp <br />ggZp3 <br />rzwNt uM Amrxs n ITT, <br />/,wnrrCl DnaWiMn uM µIdM55 pry 11r <br />mart <br />----- <br />.�I <br />owy <br />_ <br />DIMn4 fANIMCidr YM ISd1ER5 all ill <br />ngrR <br />RIMCIICENSF• <br />OwA1%K <br />Y[CUµxCµ CDNIFTACIFR YIL.ODn[5$ dT' lip <br />nqr[ <br />t1µL11C[N$[• <br />►J /A <br />n UYRMG La11P4.1OP 4M MMLRS-----""-"'-- <br />CIIY lIP <br />19KM <br />SMIL ICrMN• <br />TwNln.c pncf a wDllx <br />mpl-�. oob 7�1J2 <br />HEATING SYSTEM: El GAS ELECTRIC ❑ <br />aYMRF WpnR SaMPE 10]IAOE MVa V1R <br />NEw TILLrSs�r oA/KI&Lo1 <br />6 io6 ct e-i�i <br />a1rlIACr ITnSRN AM1i'rgNE ND <br />,1 353-3611 <br />AAOD <br />2 L X Z r �,y IlfL4E r oZ S F. <br />READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE E SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BEGRANTING UME COMPLIED WITH WHETHER S NOT PR SU HEREIN OR <br />NOT T14TO <br />AUTHORITY TO VIOLAATEAon CANCEL PERMIT DOETHEPROVISION OF AGIVE <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 IA 21 CW AND 296200 WAC <br />x <br />nrp1V SEOUSE a Mara <br />SIF.K. <br />[[cu ascaprxnla l9namr1511DWN xlavwADACN iMOLDR[51 - <br />LDI 3 1 RIN a ACASS <br />elm"NY <br />-No. 2 <br />rARc[uMIp NIMB[n <br />CONSIRUCIKINL FNCER. ACUnF55.IHfngrIF NUYMR <br />nME <br />O6 pD4NC551t[NSr. lq <br />PLUMBING <br />MECHANICAL <br />_ NO. <br />TYPE OF RKTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />NC- AMNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />NEAT 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 />-i- <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE MOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE -BAH, ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />{ <br />SUBTOTAL S <br />SUBTOTAL f <br />PERMIT f <br />PERMIT S <br />TOTAL FEE f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />I P(MI VT / <br />nrxn CFl <br />smsrIRALr1 / <br />ryrJla[CItMMRn <br />r[r /^ <br />aL:rN•I NO <br />S <br />Ps[ raNr- <br />rA ANI VIF <br />FEES <br />VALUATION <br />FEE <br />❑Y[s Ow <br />MRa A <br />25259 <br />�i — <br />N[M.InIwn410N <br />Np aMR0.MG <br />WTI <br />WF a RlLVR1 <br />nlMlnxl <br />4<L <br />CLAL'Ip.MLY Md911y5 <br />ULaIP.NT IDAD <br />BANYTNI <br />Wa1Mf.4 <br />I <br />U'I r <br />❑.rs LYRD/ <br />rFR SA1MY.LEA FIVOV <br />aACDN <br />4KI11MINAI M.CIRC. <br />DN II <br />rllrc uAlALaoD <br />s1A1r RIM MIT A NIr:,.MF <br />TYPFaI'ON51 <br />nANt AMY1fIVln Rv CITY OF EVERETT <br />nmrrxnxs <br />�[(� <br />--�� <br />LOCAL SALES <br />' <br />TOTAL <br />--_— <br />`) <br />_/J <br />u. k TAX CODE IS 3105 <br />