Laserfiche WebLink
APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF E'/ERETf • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑pC/OM,BINATION II BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: �ylii MA AL)E_ SE . <br />E`IANI MUI A`OIWSS 1..11, pr <br />$_�Rsi[1TB S �Z %"r&mr Sf_S&M&CQ <br />._wel N) Stir-fm - <br />M:IaILIQ.Cf5.GWIl IMbnf S1 Clry nr ngNf —� <br />T2g� DS%S;Mibt� -- <br />GfvuwUH.m.C1IXI NMI AOI.IF: cnr rvq $urt uC[ 54. <br />ntLd MSPo S,2 fao /ye/-_ <br />Mf C11A4!l .L C.f1Y1f1'f10P L.II A $'j( Llry LIP ➢fl r $TAIf LICENSE I <br />pRezo-rr o7-� :zA/ <br />CDNIIIACt PLAICE 04 WORM <br />11I <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br />DFSCPIPF VYJPx OSW.PE EOOI.Gf MVOIV[O <br />CDNIAC11I R5ONAl rNMF NO <br />-e�.i� SGYMFRS� 9Ti� /�a� <br />7 <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 GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERIAIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCT ION THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATIO AOE AN"I COMPLY WITH THE STATE <br />CONTRAC RS LA 27 RCW AND 116.200 WAC y. T <br />A. 9 /.] �9 /, <br />1'RO%-SF0 USE OF RULDING SP 17 / <br />ICE(_ Y d <br />IEGAL OfS RIPOCN OF PROFERTV I511 N 1ILLM OR An.CR Iwo CCMCSI <br />LOI 01DCIt Or <br />,Lr <br />DN p4%t 1Y S <br />_ <br />—PAR� �5� ry <br />C(Y TnIgICOI IOOAN1ENOFR. AINWESS IFHMVNE HUMRF41 <br />51GNA1 VR VAII <br />OILY BU 55lICENSI NL <br />PLUMBING <br />MECHA ICAI. <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET( <br />AM,—NHNOLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />_ <br />UNIT HEATERS <br />KITCHEN SINK 6 DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />_ <br />RANGE HOOD <br />LAUNDRY TRAY <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 />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />_ <br />EXHAUST FAN_ <br />SUB TOTAL f <br />SLB TOTAL f <br />' <br />PERMIT f <br />PERMIT <br />TOTAL FEE f <br />TOTALFEE f <br />FOR OFFICE USE ONLY: <br />f Mhi •l iRAr??rt <br />nF.n SFI0.L0 <br />(ISE 17 <br />I OI APEA <br />IIEIG14111MItA110N <br />NO OF VWELIING <br />�J� <br />IINIIS <br />OCGN.hCt <br />'OVOl yifwll5 <br />IX:CUPANI IOAO <br />rn <br />(_ <br />v <br />RNE SnII11�MLlE)0'10E0'0 <br />nHSfn <br />/VV <br />FIREAIS.AIO'D <br />rVFAcOl <br />)—)V <br />,,r,mcON/i�l� <br />PI ANSO inw <br />SIDESE'S' <br />Lj/� <br />FIANr—r[NUAPFR <br />P �jG� Dc <br />V4U41511E <br />❑vE5 XEO <br />FEEL_ <br />RIAIDING <br />SIZE OF U051, <br />1,49 <br />PI IIMRMG — <br />RASENf hI <br />❑rF5 NO <br />Wf..HAAICAI <br />ADd IH!NAI IYAN CHf G� <br />' <br />ONIfR <br />5mF Run DwOSIIMI.. GE <br />CRY OF EVENETT <br />LOCAL SALES <br />i 9 i TAX CODE IS 3105 <br />INmllr. WVIIAS <br />TOTAL <br />Y�o IRFCFIrINO <br />