Laserfiche WebLink
APPLICATI01 FOR CONSTRUCTION PERMIT <br />CITY OI: EVLRETT • BUILDING DMSION <br />3200 CEDAR STREET • EVERETT, WA 98201 a (425) 257-8810 <br />Cl DEMOLITION ❑ COMBINATION (Lfi BUILDING 1' MECHANICAL ryzS►JLUMzB>ING -J60 <br />ySIGN <br />PROJECT <br />GN <br />PROJECT ADDRESS: Scro If U, r t 4— <br />_C716 u vr40 <br />OWxrR n. Ix' M'pR <br />1[N.xl <br />Y4 A'A"A' 5 <br />Gt, <br />if nKw[ <br />� <br />Q�(fG� - i�U �l !A/ <br />--�%C <br />AA <br />ra <br />•Rn .T r Lf P <br />MN .Mnf 55 <br />IIY <br />G(Mn4 Cw MCiw <br />� ul •IXx,F55 <br />OI <br />Af P�Y1xF <br />[t•t( lK[NSF . <br />.4// rr� <br />r �•, S <br />M[CnWOtCwix.Clpn <br />4n1 .'Knr55 <br />nM1 <br />M4: <br />)tR [ <br />ci.if'.K[u5[• <br />/� <br />MIR.eM Cw1Pu;1CP <br />uul AlMss <br />c", <br />PP MKINF <br />St.1FIct.9• <br />CwtP1L1 MCF Or NO1R <br />/Cr / SG % <br />HEATING SYSTEM: GAS El ELECTRIC ClOF—sCM1M <br />WOn•.xnsw•nF rpOlbf NVIXVFO <br />cwt.ci<MS AlAl1'1.}F <br />/J� r <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 COMPLIFD WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEMMT DOES NOT PRESUME TO OF <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCK 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 IS 27 RCW AND D 2,9 "¢II WAC. <br />"X''��33''�A lJ/Yr <br />SwYull7 WE 'T— <br />vrKr'osro lrURMc: <br />to, orulRn/rroxa MgnnM1 lsxor.N MrON ag •n.cnrw a+csl r <br />rot <br />9� 0 K �_- g <br />—F- <br />wKCD w t n xuuRFn <br />COx[rM cl. I NM r FMiP AFVM1 s R r rfMrylr MlxRFn <br />F <br />_ <br />OtY KF!MrSS ICIA,L Ao <br />PLUUS046 <br />MECNAWCAL <br />NO. <br />TYPE Or F1XTVRE OR ITEM <br />FEE <br />NO. <br />TYPE OF ECUMFEM <br />FEE <br />WATER CLOSET (TOILET) <br />AID -A4NIOLO UNITS _ <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />/ <br />SHOWER <br />UNIT HEATERS <br />---. / <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />-� <br />DISHWASHER <br />LAUNDRY TRAY <br />RANGE HOOD <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <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 />GASRANGE <br />SINK )SERVICE - BAR. ETC) <br />GAS PIPING <br />EXHAUST FAN <br />SL'DTOTAL f <br />SUBTOTAL S <br />' <br />�— <br />MIt <br />PERf <br />PERMIT I <br />TOIALFEF f <br />I <br />TOTALFFE f <br />FOR OFFICE USE ONLY: <br />rrcMl vrn.c. <br />rc.n Act <br />stor k <br />nwnl[c"_7 O <br />rr n f <br />OJY <br />I,rrrKiro -_ <br />Vu 7OxF <br />101 Alm AA <br />vACAAI stir <br />FEES <br />LUATION <br />__ FEE <br />NMIxMM1 <br />_ <br />ow <br />1(p11l I�.x1A1' / <br />MtIa uMSl1M <br />elh Or ROlnl <br />4L9 7(.3 SF. <br />nIA1eMR <br />_ <br />�-7� � <br />- - <br />d <br />oawlAmxcr �o nslrals <br />. y �! <br />rt& A1Ex r1Ea11 <br />a:nn'•xilo•o eA. rKxl <br />Il/F�ew <br />xrcxAx,c;u <br />AMI RM.I. n A. Cltf < <br />olx[n <br />� <br />y�ji r u D <br />FwR ARM Moo <br />WAS" <br />Au1f RIq Q'>t SIIFKxAT.E <br />— <br />'�j7 <br />I'm Mralst <br />nA+<u. iN9R. <br />CRY OF EVERETT <br />MTI Ir VRxxR <br />2t71 ov <br />-/.� <br />oAIE Z l y <br />LOCALSALES <br />TAX CODE IS 3105 <br />TOTAL <br />