Laserfiche WebLink
APPLICATI00FOR CONSTRUCT& PERMIT <br />CITY OF EVERETT • BUILDING OMSION <br />3200 CEDAR STREET E EVERETT, WA e201 a2"10 <br />❑ DEMOLMON ❑ Comm"TION ® EIALDE6 ❑ MECMWAL O PLUEem ❑SHIN <br />PROJECT ADDRESS: <br />SATC <br />1[NWI MES MOYSf PA' l� AIDLIE <br />SAM a <br />•'IP nclmDESa1RR Y O ss PM1 m EVllllf <br />MWl CPlTn JM Yy.palE{S CITv m MOMS SINE ICLMNE <br />MECMYfYCfHinLC MLLKt.IEff an m M4[ {TNELI . <br />MULAYEG CP1in11:iDn NMLS n an m APE fiSN IIC[YM• <br />CPIIMGi MEtE To <br />.• <br />p <br />NEATRIO SYSTEM: ❑OAS W ELECTMC ❑ <br />OEaabF wU1M M119O1M1E EDOTWi MILl1ED <br />AAd 0na wni m1aEAA I�fLI <br />4,4,1 <br />COMKi EFnE01E MO 10 <br />+ 334- 42 O <br />TaJrum <br />T <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRITE AND CORRECT ALL <br />PROVISIONS OF VANS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMT DOES NOT PRIESIME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCK LAN REGULATING OONSTMJCION OR THE <br />PEMOWNRO �oFP�� 1 THAT RI THEWO FORSD MR� <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 10.27 RW CAM M20D WAC. <br />L . L-� / ! �r� lr <br />nwEDlnE a Nnm <br />A <br />l[AEI DFfa�IIDwRTEKI1EwTT aIaIMLELOw RDA nAKn TwpalTER <br />LOT S7 NOat 5 Yi of sLahv MILO <br />tit PYD 1 YYlApIt la ,. <br />iu 1 O. HE111fEA <br />&,7A N 5OSI 0-0 OS3 oio <br />Cab—IIIICIa}I l 11 IEnRT1..m4Y rtIFRgI. MAEII <br />Nvnt <br />No1N � IYN <br />an flllEM LK[EAF Tq <br />PLLReNO <br />MECHANICAL _ <br />NO. <br />TYPS OF FIXTURE OR REM <br />FEE <br />NO. <br />TVIEOF BSIIMSeR <br />FEE <br />WATER CLOSET RTOLET) <br />AC—AABGLG LOM <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />NEAT PUMP <br />SHOWER <br />LWIT HEATERS <br />KITCHEN SINK A DSP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LALNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URNLL <br />MET. FIREPLACE WOOD ELIRN*q <br />DRINKING FOUNTAIN <br />F1EPlACE N9ERT (WOOD BILSMKR <br />FLOOR DRAIN <br />OAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SYI( (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />SVB TOTAL <br />{ <br />SUBTOTAL i <br />PER <br />f <br />PERMIT f <br />TOTAL FEE <br />f <br />TOTALFEE f <br />FOR OFFICE USE ONLY: I5,5 If O <br />InCMT NTIIK.X _� <br />nFu1V SIIIE YIIKI� <br />AM104ClI MlbEnn <br />lE16,oy j <br />I.li.'L MD <br />RIM roNrn ) <br />Io1 Nrt� vranl YTE <br />FEES <br />VALUATION <br />FEE <br />MAIMNO <br />Z <br />i <br />� <br />f-� / <br />❑YES ❑ M) <br />In IM11l MTNlP1 � <br />W PDYhIIMI <br />$�imOI MDMI <br />I <br />HMI' <br />JD/S S <br />AIMM <br />I <br />D{.C1pN[r IO nfIM15 <br />6YlfMVI HOLD a.EYYFrvI <br />yEMUK.M <br />n ow <br />n. <br />❑YEi � <br />FIUFSMKKLFn MOD <br />NFSibE <br />ICPIAIVMAWCIM CS <br />O <br />mMn <br />lwtM1 MNED'D <br />M.tON <br />SIM[MMOMn S�KNM1nF <br />�� <br />Irt atDrsl <br />Anrvs ner <br />CITY OF EVERETT <br />�( — <br />R D•� c(O <br />LOCALSALEB <br />TAA CODE IS3fOS <br />TOTAL <br />