Laserfiche WebLink
APPLICATIA FOR CONSTRUC&N PERMIT <br />CITY OF EVERETT• BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. VIA 98201 •257-8810 <br />DEMOLITION COMBINATION BUILDING MECHANICAL 1 PLUMBING SIGN <br />PROJECT ADDRESS <br />aUf <br />Sf. SF <br />� _&nir 0 ,y+ E. IEe.t JYAJ L�,..r a gz4pj .i Vd-L 9JA✓7 <br />1EMAN1 F..4XAV SE Otr tV HOAR <br />YICMIECTOR DEEgNER 1Yl µ%gEss City Iv AAFX <br />OENE114 CdiRY.IOR Yul4M6p CIR !v Vu. Aql( 6tp1[IICEME• <br />�d F. L �i l3 X ays✓ E.E,n-.�l SrLl ✓�c 9lPr PA 54"02aJc <br />CAXODIFi lon YAE GLdNpE 01, !v RKIFK SIAtE L"AliA <br />RNYBSq CpItRlCtg1 Wn. ACL11Csf city lv Rql( SIATEIKENEE. <br />TgNrRAct rwcEa wrnE <br />HEATING SYSTEM: rGAS ❑ELECTRIC P. <br />C(SCIIIp[ Yg11R AM pg11PF EW rRO[ IM'IXKO <br />CONIACt RERSCN ANO,Ygl41q <br />C,(t <br />.�{ <br />Alln ItLA� <br />lJ -r <br />Aj <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />WORN WILL BE COMPLIED WITH ORDINANCESTHIS TYPE OF <br />PROVISIONS OF LAWS AND ORDINANCES SPECIFIED <br />WHETHER SPECIFIED 4EREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OWE <br />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 GY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CON CTORS LAW 1B 71 RCW AND 2B6200 WAC. <br />`7\_yi 'J�V/!]{+A,,(nQ•MO�j!/'� <br />usE aQ JC°M0. <br />A INAt, <br />I <br />J� <br />LEor scpvrgRa rmoPE .)SHORN pEIar oR A,tACN rwo ruPEsl <br />Lot NE%P a <br />— L <br />OO , <br />PMKEL,A. 10 FLAVOR <br />cuatRiC;ONIQEr/ApSS 1ELERYYERR4 <br />sgNAr�RE oA,E <br />:?S'3 •/iy <br />CR1pVyN5E1KEN5 W <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE Of FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />_ <br />FEE <br />WATER CLOSET (TOILET) <br />AC — A.HNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />i <br />LAVATORY (WASH BASIN! <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />I <br />KITCHEN SINK S DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />IF <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />I <br />WOOD STOVE <br />--!r— <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BUR14IN01 <br />FLOOR DRAIN <br />i <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />! <br />OAS RANGE <br />! <br />SINK (SERVICE — BAR. ETC) <br />i <br />GAS PIPING <br />CXHAUSTFAN <br />SUBTOTAL Si <br />I <br />1 <br />SUBTOTAL f <br />PERMIT 11 <br />1 1 <br />1 <br />PERMIT f_ <br />TOTAL FEE $1 <br />TOTALFEE f <br />FOR OFFICE USE ONLY: /1 1903 <br />f11pIl EE,pAtt <br />PEAR E[T <br />�� <br />LTY-1n 3 <br />EEE <br />3. <br />""" RD <br />20 <br />-L <br />USE ZMAE <br />LotAPEA <br />WANT IR <br />FEES <br />VALUATION <br />FEE <br />pUOORrt <br />Q <br />1 <br />-� <br />KE n W <br />NEgMIIYIIAI <br />MI OI bMIIM <br />RtE 010.0011 <br />UYtp I <br />I 4b9 5 <br />RWBRp <br />CCCIgVICr Wf/EIORI{ <br />_C11PAFF,, O pAYYEA, <br />AI <br />WO"AICAL <br />nPaX <br />ACOII[MAI RIM CMCp <br />_ <br />V. y <br />r 'Ell <br />FOE 6PRpMlERREDO <br />PLAC <br />ORIER <br />FOE A REDO <br />PEAEON <br />61A1F pUldEq OOCMAROf <br />trPE OF can, <br />RAN. AFtpgr.. Fn I <br />CITY OF EVERETT <br />RSLC RCOAS <br />11 <br />LOCAL SALES <br />- f <br />TAX CODE IS 3105 1 <br />TOTAL <br />L <br />pAtE <br />