Laserfiche WebLink
APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET• EVERETT, VIA 98201. 257 8810 <br />C DEMOLITION COMBINATION BUILDING MECHANICAL PLHMRIMG e.M:u <br />nW wi1 -"MIwiK YN. YAR S] C1„ Iw nVlt {....... .IS,• <br />CW,11K1 /TCC p! Yq <br />Czr2 00 <br />HEATING SYSTEM: GAS -'ELECTRIC <br />Duf�fYF"Two]w DD,. C� <br />wK,IM1�Y+'1,y..�W ti= <br />I Z ' <br />UDa MK.11"Wl .Il nno\w AUM cx,01" two c 1, <br />LD, h(Y. ,x <br />A I I _I. ( <br />_�11o1(s'sCd� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEM04G THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREINOR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO OWE <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 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR MICH <br />APPLICATI 9N IS MADE AND 1 COMPLY WITH THE STATE <br />GGNTR T R„j LAW 10])RDW 0M200 WAD <br />L, •�/1 <br />al] hISII{s/I\/J.—iHN xo <br />I'.I K.[L M.IO MNMP <br />Q7 06 GYXXX7 O <br />.. „Tl— 1KNLO.NLTMIIx WLYASS TUL, "M fl <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />I FEE <br />'i <br />WATER CLOSET (TOILET, <br />AC—AHNDLO UNITS <br />I <br />BATHTUB fFORCED <br />AIR SYSTEMS <br />_ <br />LAVATORY (WASH BASIN) <br />i <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP / <br />i <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 W000 BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT RYDOD BURMNGI <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENtERS <br />OAS RANGE <br />SINK (SERVICE — BAR. ETC I <br />GAS PIPING <br />EXHAUSTFAN Itl <br />.r <br />SUBTOTAL S <br />SUBTOTAL S <br />PERMIT s <br />PERMIT s <br />ToiAI FEE s <br />TOTAL FEE s <br />FOR OFFICE USE ONLY: ilia.) ✓ Lii7. <br />,m,%%N:., <br />�') <br />h•na_,�L <br />%C) <br />w uum. f <br />nyLOXw • <br />(� GiO-�} <br />m <br />wmn w <br />to, x <br />rKwt urt <br />FEES <br />VALUATIONN1 <br />FEE <br />Ifl 13NI1Nil <br />M M/[\\Ml <br />WTI <br />y\I1p FLbOl1 <br />••V{0fw`P <br />IKCV'1NC• YJ (]Splgb <br />y <br />tKCV'.x1 LOW <br />rnls <br />SECHWSAI <br />1.1 w,EOO <br />WA. <br />WOh7aY Rw MC. <br />2� <br />`•J`� <br />OME <br />, wCLLMI WOD <br />W.iQI <br />{l.R F11lCMi SWIMgIF <br />I.nncswst <br />nws.nxq.Tn] CITYOFEVERETT <br />n LOCAL SALES <br />lu.r8 TAX CODE IS 3103 <br />nrewo,ws <br />TOTAL <br />