7005 YEW ST 2016-01-01 MF Import

��. e�a,o,a.� CITY OF everett BUILDING DEPARTMENT 259-8810 APPLIC..�ION FOR CONSTR�.CTION PERMIT TO BE COMPLETED IN INK -- PLEASE PRINT nooaess /,�crtv /� zir ii '�i'1 l 'i �'7 il/A C�'�1� .iM �� �NEW ❑ ADUITION ❑ ALTERATION ❑ REPAIR ❑ DEM110lITION ❑ N'OODSTOVE/FRPLINSEflT ❑ Bl11LDINGRELOCnTION LOT 010GN_— OF PLUMBINO �J NO. TYPE OF FIXTURE OR ITEM / WATERf,�OSET�TOILET) LAVATORY 1WASH BASINI SHOWER KITCHEN SINKB DISP. DISHWASHER LAUNDRYTRAV DfiINKING FOUNTAIN FLOOR ORAIN BACNFLOW PREVENTERS ROUF DfiAINS— RAINLEA[ SINK ISERVICE — BAR, ETC I HEREBV CERTIFY THAT I HAVE READ ANO E�AMINED THIS APPLICATION AND KNOW !HE SAME TO BE TRUE AND COFRECT. ALL PROVISIONS OF LAWS AN� OR�INANCES GOVERNING 71115 TVPE OF WORK WILL BE COMPLETED WITH WIIETIIER SPECIFIEDIIEREINOR NOT.THEGRFNTING OFAP'RMITDOES NO7 PPESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL TH[ 'ROVISIONS UF ANY OTIIER STAi E OR LOCAL LAW REGULATING CONSTRUC7 iON OR THE PER• FORMANCE OF CONSTHUGT�ON THAT I AM AUTNORIZED BY TME OWNER OF TI115 PROPERiY TO P[RFORM 7ME WORK FOR WIiICII APPLICATION IS MADE qND I COMPLV WI7H THE STATE CONiRACTORS LAW 1827 RCW AND 29�,200 WAC. I SIGN4lIRLOFCONfHAC10NU�U1�111pPRE[I�GENI O�iC I x ,v> / 4 n MECHANICAL FEE N0. TYPEOFEOUIPMENT A/C— A/HNDLG UNITS -- H.P. FORCED AIR SYSTEMS — BT.U. A1 EA UNITHEATERS—BT.U. M CLOTIIES DRYERS VENTI�ATION FAN RANGEHOOD WATER IIEATER WOOD STOVE MEiAL FIREPLAGE 8 CHIMNEV FIREPLACE WSE(7T — — — HEAT PUMP --_-- ---- -- GASPIPING'�—_---�--- T �FEE 5 �,N SIpE5ET0AGK MCANTSRE lI Y[5 I1 N0 GROl1P NOOFOWELLIN6UNIL5 ES BSMi. OCC lOnO UY ❑ N SUB TOTAL _PERMIT iOTAL FEE FEES BUILDING PLUMBING MECHANICAL O7HER STATE BUILDING SURCHAPGE STATE ENEfiGY SURCIIARGE PUBLIC WORKS TOTAL