Laserfiche WebLink
APPLICATA FOR CONSTRUC410N PERMIT <br />�* <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98201 • (425) 257-8810 <br />C DEMOLITION ❑ COMBINATION 19 BUILDINIO fR MECHANICAL ® PLUMBMG ❑ BION <br />PROJECT ADDRESS: <br />IMpI uui A v aS <br />Iln <br />!m Coln, <br />I•MIwF35 <br />l <br />� rM'M1I <br />DRLMtFLrLMaVann <br />RC�tlffi!'iJLniisYv,Ti Jo_y��.----f!%..3y/7d <br />6rM^[11nl Cl`MIII.(.1(}I INMi55 <br />(il. <br />!�F �v /p/Dy <br />`N iIn111KrY4. <br />.+ mm.l SInf IKFYSfr <br />y{auV¢n flWrnnrttM u114 •(MESS <br />fPr <br />h 111TMG CONIP.L1f%I w1 •fMln[li Lily lr rWJV Sf•IF IKFNVr <br />COMING( AFC[lN Wale • <br />HEATING SYSTEM: ❑GAS 9 ELECTRIC ❑ <br />IIFSC 11F W]11111V1151TI• 1p01•GI NNJ1VFl(/� O/9rTT� <br />LpH11CI nllSalnYll r�llM Vp <br />yAr <br />/�sz2 Dsw,ilrIy-a9s <br />1 HEREBY CERTIFY THAT 1 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 CONSTRUCTC N 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 18 21 RCW AND 296 2W WAC <br />_ <br />1KK Do3L a lnmaYn <br />LFmrmF�aSCWTIMIN I+IOrtnn�rvw6ylsrO��Wn,�,,n�M1lOwwrppn¢Il rwo ca+ls <br />He plr MOCe N((L�'Y a D11ii'.f.Q <br />MCI— JN 42e <br />ruKD lu l ss,, ��n.""wn <br />r! ?—doO—DDaA"Hi <br />CONSIMKrgV IO.M IL VIIFR. NIM[33 1HFngYi MAMf P <br />ayA• U•R <br />L�IY W4MSSIKf Y•f V(1 <br />_— <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYFE OF EOUIPIAlTIT <br />FEE <br />WATER CLOSET (TOILET( <br />NC--AMNOLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />•".TORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCNEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD _ <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />_ <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.I <br />GAS PIPING <br />EXHAUSTFAN <br />y <br />SUBTOTAL f <br />SUBTOTAL f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE S <br />TOTAL FEE f <br />nn OFFICE uee OML N <br />I llllVl aln•rM _ -nr.n <br />20 <br />osr r( <br />_ <br />3nFK.. <br />za <br />ml •Irt <br />SIM SE111•Cj <br />S <br />v¢AYI yR <br />Orrs Yu <br />NA. Ern CA n/J rrr^^�O <br />6 <br />FEES <br />N(/ <br />VALUATION <br />mn.'l lq <br />FEE <br />nalaYr. <br />IrtK:m I�wl.ro <br />+a alWawYc <br />IIMIS---=—�+-- <br />sn aelwTl <br />-- <br />oc�.M> wn.vnls <br />u:clm.w lo.n n•srMYl ♦r <br />wrY.vKa <br />Ovls ff Mt <br />_—__ <br />ren smnmunrKon-- <br />a•sw <br />.pa1TV.l n•Y erte. <br />____ <br />OPKn <br />fPFAuw PFpn - <br />Wr.sm <br />tl•II IIIm IMNI[SIKKM•na <br />�� <br />llL—� <br />rvlrtalprcl <br />nAYs.rmovrn n. <br />CRY OF EVERETT <br />nmuc waWs <br />CODEAL ES <br />FAIL <br />IS 31 <br />TAX CODE IS <br />X <br />TOTAL <br />