Laserfiche WebLink
APPLICATIA FOR CONSTRUCAN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •257.8810 <br /> DEMOLITION X COMBINATION CI BUILDING I I MECHANICAL PLUMBING SIGN <br /> PROJECT ADDRESS 1r SIL (L',j+ /goa Lod-S/ S� <br /> OW//MA1 R" \ 4•L•(Ip11l L1sI Cli. II' AIp1E L <br /> (,e Cj N\Cl 1A. lE��c ilS If We,fi cALk LrE.e.. RI� L• 1cG,���l�?6, 7-_toLs`� <br /> lily 1l MAILIPO ES9 \\ I- `` city 1 c1 rP <br /> UA- �h\lf. 3lo �f � .sac—s5ao <br /> M1Ctni[LI OR pE{pttR YyODIRSS IC1Iy !P ROTE <br /> 'S!•..Off.55lon �C&Ian 941}<L Ca1N�orinc� fVe70— P11fia1 �A _ <br /> M(IEPµ 1R•LIDII Y•l• Llly I IP Rlq( BTAT11E11E lILFME• <br /> Aklcfl,�m-rI CdAU'lom Hlon.crs -' 1.20 }1G'lc.l%,,p-Ra• _ ALDERGNI�IBO <br /> MLCIYMC��AL1011 uMl•[OBESE L�a1\Q u\a\\4J`�n ': 2 STATE tCLKE. <br /> R TTWBYq ep11R1Ctp1 Yul AppllFSE CRY ZP Np1E 610E LXIY I <br /> -T <br /> CONIPN T1117 'I <br /> c� .r )� HEATING SYSTEM: OLGAS ❑ELECTRIC <br /> CExNdRA E011AREIW1AfIf NV0.VID, CONIACl P�REp11JlO RyNE 1A <br /> w�N LJ Fnn�;lrL.c�sGf1 t`l4[1 [Rerlild A.l1G'1lS <br /> AioAL 6an-45dn _ <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> FYOPOSfD u9E d{UEORq PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> 51 net\L �G rY.11 I Q4�Id[hL� — WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> ¢ou ux^ar nPRORRry IwawF a['TowrnalACN lwo s' NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> LO!A Rod_1 a AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER 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 WURN FOR WHICH <br /> APPLICATIO IS MADE AND 1 COMPLY WITH THE STATE <br /> P•RgLunD NwNB CONTRAC LAW 1827 RCW AND 2"ZOO WAC, 1I, <br /> CON91RKigN)DAM IEMEB Il101rEEE.1Fl[ROIE W.1 R <br /> 1P <br /> X. <br /> tUPE ~ G+q <br /> CRY SVSR[SEIK[Mx 1q <br /> PLUMBING MECHANICAL <br /> NO. 1 TYPE OF FIXTURE OR ITEM FEE NO. I TYPE OF EQUIPMENT FEE <br /> y_ WATER CLOSET ITOILETI 1 NC—AWNDLO UNITS <br /> DATHTUB $ Ou`L•r I FORCEDA]F SYSTEMS 1 <br /> LAVATORY(WASH BASIN) I HEAT PUMP <br /> SHOWi R UNIT HEATERS <br /> KITCHEN SINK 6 DISP ICLOTHES DRYERS <br /> 1 DISHWASHER i 1 RANGE HOOD _ <br /> LAUNDRI TRAY WATER HEATER <br /> CLOTHF3 WASHER 1 WOOD STOVE i <br /> URINAL — METAL FIREPLACE(WOOD BURNIIAM <br /> '- DRINKING FOUNTAIN — FIREPLACE INSERT(WOOD BURNING) <br /> FLOOR DRAIN 1 GAS FIREPLACE <br /> BACKFLOW PREVENTERS i 1 OAS RANGE I <br /> SINK(SERVICE—BAR,ETC) I OAS PIPING <br /> EXHAUSTFAN <br /> I <br /> I <br /> I 1 <br /> SUB TOTAL f I SUB TOTAL f <br /> PERMIT f I I PERMIT 6 <br /> TOTALFEE $1 1 1 TOTALFEE 61 1 <br /> FOR OFFICE USE ONLY: -O J L <br /> FRONI6E7e � + R[An 6[lery s«EEisa. C1Kd <br /> cY ['R O/� FEEJ <br /> NE m ��� 3 AECEPrw <br /> ux 7OuPEA/� VAC. utC /FEES VALUATION FEE <br /> :)VEE nN0 <br /> KOM INBAigrylZ tri! uRO m.0"ADO <br /> (% 175 BLAMING <br /> uwKy YOpINAEI OCLWANI LOAD eA EM / MECNANKAI <br /> Z C'Ell MJ <br /> FPE RRM1tEPREDO PEAY•11 ADOTONILL. ANCNECK ' 30 <br /> O.E. <br /> NAE•NARY P[OD PEA{PY <br /> STATE e01lmw SURCHARGE <br /> ilk <br /> QY nrEacoNsr Rus+nnov[D e. CITYOFEVERETT Pus,,: o s <br /> -iT- LOCAL BALES <br /> .KKAjDALE I po TAX CODE 183105 TOTAL <br />