Laserfiche WebLink
APPLICATI& FOR CONSTRUJON PERMIT <br />CITY OF E• ,BUILDINGDIVISION <br />3200 CEDAR STREET - EVERETT WA 98201 • (425 <br />) 257.8810 <br />El DEMOLITION `COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT AD/JDRESS:p 32�j2 9 �l%T70" <br />4MEtsi 7// /%ZEll <br />��� SEJ� 981a8 r/ts 377- 9a79 <br />....�... ..•n ..nrr.» ulr lro nKMF <br />A1CH11 Ll OR dLrA1EP YMI >MT\t 55 Ell, )I� Aryl <br />X•j�L.�3z � 37rr fiz c.SE �__+1� cjyze�i �w>,Ydui oc <br />an rvin4 CONIMLid1 VUI ALYM1f 55 CITY )�F rrvyuf n111l lKfM, <br />WCNAMCAL CONI-XCT(N1 Vr0. APCl., ryry )m MbN( •IRf UCENSEr <br />1'I�,IW�tI�hnP/ACry, <br />P�P�AnAr:rT''mI' �/��,(4A41[Orl(5$ an nr' 1`r104{ STAU IKINSF• <br />iA/Fg& 1)lNA.4 AllU_ <br />CONtnrCl RRK[ d MMI1 <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC <br />WK.OfW ANn SWAnr IO(l.111 o <br />EMMET n YS �y;� n.(Milq <br />jfigr�L.h.✓ 'FLS=347-90'79 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO OE TRITE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING T415 TYPE OF <br />WORK WIIL 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 />07HER 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 WOR✓, FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS L 2. RCW AND 295 200 WAC <br />"GNAT\1111. <br />nrarros0ust d IXMdNn <br />lroA� scalPflwdwprinrr�srnwrl n(LowwA,ntACN�rwo�cdy r�l sl <br />10T _ IXWa 6� 0r "ic// <br />MRLEL TAUP MIIAIKR <br />CONSrIM1ICIKIN (OAK IFNdn APInf35 il1ngNEMNnFn—✓�99 <br />— <br />IIAII <br />Ell, P'Nw Ss IK(NA NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EGERPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AC —MINOLG UNITS_ <br />BATHTUB <br />_ <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />_ <br />HEAT PUMP <br />SHOWER _ <br />Z <br />UJITHEATERS <br />KITCHEN SINK A DISPb <br />_ <br />I CLOTHES DRYERS <br />DISHWASHER <br />I RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER - <br />ed <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 />I <br />GAS FIREPLACE <br />_ <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC) <br />GAS PIPING <br />E AUST FAN <br />— <br />U <br />SUBTOTAL S <br />•3 <br />SUBTOTAL S <br />pp <br />PERMIT f <br />ZLO <br />PERMIT f <br />TOTAL FEE f <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />rnnxl vlp¢r <br />PFAn NInACK <br />spK 5CIl <br />flANnrlCrl Mlwrp <br />IT <br />Imm"l rb <br />use fwF <br />101 M. <br />vllCANI 611E <br />FEES <br />VALUATION <br />FEE <br />_ <br />Orts oNo <br />P\Mnn <br />- <br />�— <br />1<rGxi HVltArpV <br />Np dprY[IIIM SNEd IX06rtl <br />— <br />AUVIIMO <br />q � <br />urrvlK <br />oll:dANcr wnfllwls <br />rr.Wr <br />oCClp'Axl lo.o PAMxNI <br />xrcNAwLM <br />OrtP Orvn <br />— <br />--��- <br />FIRESAMMLERAtO'D <br />1FAn(ry <br />A(IOII(WAr nAx C1YCN <br />OIIFn <br />FMt NARMRfOTI <br />I'll <br />— <br />i1A1t aullOMn SMW Vlat <br />IY'TNdI'OrISI <br />nprvs Armlwlne. CITY OF EVERE7T <br />n,n: r: vrtxu. <br />_- <br />LOCALSALES <br />-- <br />— <br />TOTAL<9... <br />oHt TA%CODE IS 0105 <br />