Laserfiche WebLink
APPLICATIA FOR CONSTRUCAN PERMIT <br /> CITY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 R 257.8810 <br /> DEMOLITION COMBINATION BUILDING NNECHANICAL n PLUMBING SIGN <br /> PROJECT ADDRESS Y-0 p &0,J/ �7 S t I <br /> Owrrcn um AD[PE S!: / Cin tr RKMf <br /> ---- <br /> TENµ11 YM PW!![65 CR1 tP pgllf <br /> MCMTFCf OR DEEgNfP Y.K1Cp469 GIY IP IMp< <br /> DENFR4 CONIMLIa1 YIJIµM[S an 1, MI]I( I'A1E L"N[E• <br /> Y[OYNCµCdI1PIf1pP 4A0.1(pW55 f.!ir IP RFY1L S1Alt MEW <br /> 0 tA+� I1LMtr 7Q�$U /2'//N rOEC' .t-c�/�i�[dE.6fIH// QP3.2.s '25u VOl7Vb2 p�?�y. +�j�([Z <br /> n1AMMD La(IPALTOII � uAR AooPfs'i cnr 7P APYR 61AtE lKEME• <br /> CIMTPACI MCC a HMR <br /> yi V U HEATING SYSTEM: ❑OAS ❑ELECTRIC ri <br /> ME MlEw Yq EOUAPCr00TAG(Ml0tAD LONtACI P[Pta1µO hldEM <br /> /.VS/7itt Zi. <br /> Q/N <br /> 1 HEREBY CERT'Y THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE ANC CORRECT.ALL <br /> PTIOPOMDOM a EUlOM s M-me PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br /> ltGAI MKAF 1M Of PTEY[Rn ISMOHN EILO WAl1AEH lrp co t[i NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> lot KOC a AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.TI IAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> IYRuI In m HGMEEP <br /> CONTRACTORS LAW I18 227 R�CW AND 295 200 WAC. <br /> CdRTRICTM IOW I[w[R.ADpCIE.I[lf1'Tg1[HUlFP % �L&L -Z'/11 <br /> E!GNANR DATE <br /> all EDEN[6E LC[NEE!0 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A'HNDLG UNITS <br /> BATHTUB ! FORCED AIR SYSTEMS I <br /> LAVATORY(WASH BASIN) I HEAT PUMP <br /> SHOWER UNIT HEATERS <br /> _ KITCHEN SINK f DISP I CLOTHES DRYERS <br /> DISHWASHER I RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER I WOOD STOVE <br /> URINAL METAL FIREPLACE(WOOD BURNING) <br /> DRINKING FOUNTAIN I FIREPLACE INSERT RVOJD BURNING) 1 <br /> FLOOR DRAIA i GAS FIREPIACE <br /> BACKFLOW PREVENTERS GAS RANGE ! <br /> SINK(SERVICE—BAR,ETC.I GAS PIPING <br /> EXHAUSTFAN <br /> i <br /> SUBTOTAL fSUBTOTAL f <br /> PERMIT f i PERMIT f I <br /> TOTALFEE f TOTAL FEE i <br /> FOR OFFICE USE ONLY: <br /> rwNTMTBACK IEAn YIEµ4 [Cf EEIIACP "CKCRNIMER [EE PFCFPtW <br /> OlbI - 00(p <br /> OCE)CYE to,AREA vACNITI!TE FEES VALUATION FEE <br /> n YEE n MDRG <br /> xECM1lM!TAIXIN =1B owram YtEa RDDlI <br /> RLAIEHU <br /> ga'"CY Aov62 s MCWMT IDAO EABEENI WC µ <br /> S <br /> IMnv[e nw <br /> fPE HPYYLR RFOO R(ASON AEdITOPAI RAN QTEu <br /> DINER <br /> IP[µAPY ROD PEAYYI <br /> STAT[ELROPU SURCHNIDE <br /> IYPf a sl RWs oerCITY OFEVERETT PA <br /> "LCHOI <br /> LOCAL fiALEB <br /> art •00 TA%CODE IS 0105 TOTAL <br />