Laserfiche WebLink
APPLICATIOd FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT w BUILDING DIVISION <br />3200 CEDAR STREET w EVERETT, WA 98201 • 257 8810 �T <br />DEMOLITION _ COMBINATION C: BUILDING w MECHANICAL PLUMBING SIGN <br />IOJECT ADDRESS 62961 ST ST SI: <br />w.I. 4• .•C:w[SS <br />PDR ENTERPRISES <br />•wp •L:' �Cfi4h[w uPL•DOP[SS CRr tr Rrlpr< <br />.('.I Pµ tv".41p u1h•ppwt(S CIT /a P••0 p•TE LCENSL• <br />Y`-'•RWNROWiLUIVlAd' JF.'29330124T1 AVE N.G.ARLINOTON 41223 (3100 rW-74._ P. �S �1�h�471Ct <br />w. P•e •+i CI: P•(YCP YYt -DJ to CITY lr ergrA - -puE LCENfE•-- <br />D <br />f2300 <br />HEATING SYSTEM: ❑OAS ^ELECTRIC <br />_fS BE nCP,.HD f .ftf I M"Gt.Y(X4 D <br />CCMACY"-P ANp <br />.N RODINSON-ELMSLIE (360)403.7462 <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 PERMIT DOES NOT PRESUME TO GrrE <br />AUTHORITY TO VIOLATE CANCEL THE PROVISION OF <br />OTHER STATE OR CAL KLAWW U REODCONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT HAT I THE <br />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 />CONTRACTORS LAW IB 211ACW AND 296200 WAC <br />�l4 �,^(�Gcy �e�27�3i <br />'""c`'` C °r ' •`' SINGLE FAMILY RESIDENCE <br />_..,C(L:wwe,Ch C• wPOgeT•IS•'Onh eNCn oP W.C. to CW.(Ss <br />el �•, (Y <br />..ca'•. c•..+ro[w <br />..'c%'p•.._v. I[NDfP •DOn[tL Y4(1wOM MIYFEP <br />uDrYr DAr[ <br />c:lr wFWLff LKLFu rA <br />PLUMBING <br />MECHANICAL <br />NO. I TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />V,ATER CLOSET (TOILET) <br />NC — A'HNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY IWASH BASIN) <br />HEAT PUMP <br />SHO'NER <br />UNIT HEATERS <br />_ _ _ <br />KITCHEN SINK 6 DISP <br />CLG.HES DRYERS <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />_ <br />URINA' <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />I <br />BACKFLOW PREVENTERS <br />OASPANGE <br />_ <br />SINK (SERVICE — BAR ETC 1 <br />GAS PIPING <br />_ <br />EXHAUSTFAN <br />SUB TOTAL f <br />SUB TOTAL S <br />PERMIT f <br />_ <br />PERMIT S <br />TOTALFEE f <br />I <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />.. �(•(.. w(m saeM• <br />syY SUeK. <br />n <br />I, "NEIII� <br />nt <br />P(cun Np <br />.wu <br />.¢•Arfnf <br />�r/e eFC <br />FEES <br />VALUATION <br />FEE <br />wnoiNO <br />. • .. 14 cl 0.911+4 <br />tit Or Km" <br />Rtvww <br />pcC...w on <br />e•HYENI <br />❑ris ❑w <br />u[CRg4t <br />•pWISN4 KM C-ICI• <br />•.f- w!;: I PpSOh <br />pMp <br />nL •Jc•..L.'. <br />wb SON <br />e••TF evawD tWtwwf <br />•••L ... :.s..w,(o F• <br />�I(!— <br />CITYOFEVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 1 <br />we,c YpRRf <br />TOTAL <br />v <br />